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A31 13608/03/2004 08:13 AM Zo1L�19D '� '�K�d � Person Co. 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S�m,hctlivi�s�ioii I J J �.:r. �� _' � Ph.�s�e Sectioi� Lot # � ;; � Improvement Permit Permit Valid for Five Y ars No Ezpiration Type of Facility: -�v�->G New +� Addition Water Supply J';,'�r� # of Occupants # of Bedrooms � Projected Daily Flow O O g.p.d. Proposed Wastewater System: ���,/' . Type: - Proposed Repair: �r Type: « Owner or Legal Representative Sign ture: Date: Authorized State Agent: __ <_�,r�1 �/r,�i Date: /- � -0 The issuance of this permit by the Health Departmeai in d�s not guarantee the issuance of other permits. It is the responsibility of the applicandproperty owner to in sure that all Person Counry Planning and Zoning and Building Inspections requirements aze met This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina `Laws and Rule�or Sewage Treatment and Disposal Svstems' (15A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable. Autho.rization to Construct wastewater System �Required for Building Permit) * See site plan and additional attachments (_�. Proposed Wastewater System: �,�,�1 f��/��,�/'� Type �g_ Wastewater Flow �. o� g.p.d. New �� Repair xpansion _ Soil LTAR: • 3 g.p.d./ ft 2 Type of Facility: Basement �/ Yes No Wastewater System Requirements Size: Septic Tank: �� gal Pump Tank: -� gal Grease Trap: -- gal field: Tota1 Area: �-�� sq ft Total Length � 7� ft Mazimum Trench Depth ��� in ch Width ,� ft Minimum Soil Cover: �_ in Minimum Trench Sepazation: �_ ft . Xi Distribution Box � Sper.ifications- Authorized State Agent: � Permit Expiration Serial Distribution Pressure Manifold The type of system permitted is �' Conventional the permit. Owner/Legal Representative: Innovative Date: _ /% 1S/y.OIZ� � Altemative. I accept the specifications of Date: PCHD7/30/2002 � v i / ��� � f ���.��� �Y .•� � � ���� 11 �i7C➢.�bs�mm'nrr �7C��.CU.� ���.�¢JC3 SITE SSETCH _� �.r � • •> . • .. • • �► ► ..-e . � ' -.. �� .. � i I � � • y • -. 1�' . Tax Ma.p # a� Parcel # /�T Section/Lot# i��� � ����►��� `l `JC � Date System components represent approximate contours only. The contractor must flag the system prior to be�inning tbe installation to insure that �roper t�rade is maintained. \ s sg o I g. �� � S��D ��F � 00� �.�` �� ��. '� �50' Undlsturbed StreaM Buffer Measured each � Slde of $ahk, Exlst,Lot 14 Wlld Strawberry Fields Subd►vis�on 5,5� ac, �oY'a5�� -�� �/. 5 ��ooM s �oo �d • 3 �T/¢�,� Zooa �r Z �O� %� G�� F� �'G�.�(f� G / 3� � Z�- 30 " ?2�+/Ccf T�otro�c( ts = �3g. s� . ��0= %3.zCP� /�SD��J�joTiG T2�VlL _ ,._. / :f .vs ; . ..'. '.!.•�..'.:. '....'..��...��•.,,. .. �t � ��� . �,..� : .. �: :�'�1.lJ �}Lit.��.� � � •V . .: k..Y•�. .� .`�!+"��~..':':..;•:• ..c �::x, �j.:�'q�r .. . Z:.��.�1'. ••/'..1\\•'1 .�•� . •.:.v...�i' •:"i•i:n.C�ir :•�::..•..:�'��:.••, 2'::y,�•' ..4..� .. �i�l�:��' .. � ;,rv.:..Y.� �:::;..w,..;:.: • :: . . . :. ..>. .. .v, ... . ......:. v � . . • - . :. • . . :.... . ..... .. . ...,., ... , . . :,.. . , ,� . ,. ... . ::.. 7��'+7� . . . .�.•,,+,r: :: , �e: - � 'A'9'i�C^45�,'�--•, • 9C1 • : �;�YtO.JL'�7�: -. .....,.,.: ,71'.,'.,a,.; "., • •�. . ..: .....,, ' �..... �- :•..': .: . WELL PERMIT � . _ PL�ASE SE�' ATrACECED PLAN FOR WELL SITE LAYOIIT � .�� ; �.� .� �•� � .� .� _� _. •1�- . �� 1 `I � 1 ► -.If��Lr� ��i i I \ I �/ . . � . � �. �i ! /r �6.'�14� � i � . 1.I�� f ,i l /S7 ✓�! ri � �� /:I t/ f_ ' .�i. �1:� � ..!i. 1`ype of Water Snpply: � Individual Commumty Pnblic Yteqnirements: Site Approved By: Grouting Approved By: - - � Well i.ug. � PumP 'Fag: ' Weil Tag: � . Air Vent: ' Hase Bib: � � Casing Heig� . Concsete Slab: � � +�ell Driller: ` Well Approved by: . . ****See Attached Site SketcL**** Liner: 7nstalled by: ' Depth se� � Grouted: Date: � Water. Sample: � We11s must be 10 feet from praperty lines. • Wells must be 100 feet from septic systems. � Wells must be at Ieast 25 feet from any building foundation. , Other conditions• Date:. . PC� rev 01/2?/04 ��► � ��.�:� . G_.� �' ' 4