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A32 205
� .. � � � � � � � . \ / � .� ���� gv�� � � s�� � � � � � �-�� . � � � .� � , � a � o . f11 � -C $� � � 5 �� � � � � g � a o � �� `� a � ' - ro �. ��� -C , � � ' �� ��I � . O . � . � P z � I �. �' -� • -� o _ .. I � `f . � �" � � °� � r �' � � _ � � � � � �I � 0 � � � _ � �. ' �� � � � a a � � •- ,� �► � � ` � '"' �r° � � � p � � � � ��� . 5 �.,� � ��� . �� �$ $ �� � _ . � � � �� . �� � . � � ... �� � . �� Q�� � � . �. � .� a �� � � . � � o � �� N _ i � � ���� � � � � ���� � Q� �� � . I� � a �� . �� .� .� � , g � �� . . � �" , ��.� �� � � � � �. �- � � • - 0 0 0 0 0 �-� � ; �� Jl ��� `ll�� � 1 �. � � � �l.J � �l. � I��.��.�-� �.�,.��.��.Il IH[ �:�.Il�]I�. . Applicant: Location: Permlt Valld for � Type of Facility: # of Occupanta tNt�'f- Propvsed Wastewa er Proposed Repair: � Permit Conditions: �� _� # of 3yst�n•_ Owner or Legal Representativa Si Authorized State Agent: ' � T,i�X �r1-���� � � P�ii�c.�,� � . S'll,il�(i!!' IS 1011 Pf.i�� � �� �5�,r,t�i���i,�� Lot �' ��� � . � . I�riprovement Permit :�� x ,_, No Eapirallon �� � _ New �. A�{dition Water 15upply �� doms Projected Daily Fl�w �i'� g.p.d. � �S � The iaeuarice of this penmit by the Health Department���n does not ��te� appllcandproperty owner to in eure that all Poreon County Ptls�g sn � Improvement Permit te eubJect to revocation'1f the eite plan'�p�at o�th�� by a change In ownerahlp of the property. Z'hia permit wae i�e}��.In Fppzi� le r e e earment a s '(1SA NCif,C 18�f1:�9b0)., .\ � �' Authoxization to Constxuct Wa�tevq��r � �� . * See sfte pla» and addttlonal attaohments (_J. � � Proposed Wastewater System:__��2�,,-�i�-� � • New �- Repair Elcpa ion ' Type of Facility: , f'� � � � :s�- Type; �°r Typa: :�..�R �o' t. It ie th aponaibllity'of tha �u ente era mok This ent Permit Is not affected the North Carollna 'Laws and for Hailding Permit) Type�R Wastewater Flow Z pu g.p.d. Soil LT�iR: � g.p.dJ ft 2 B as 'einent _ Yes ,� No Wastewater Syatem Requiremeate Tank Size: �eptic Tank: 1f�0� gal Puinp Tank: � gal �;� C�rease Trap: gal ' � �l� ;. ' �L �- � Drainfield: Total Area: �_� aq ft Total Length "G � d fE Maa�imum Trench Depth � 7 Lt Trench Width �� ft MinLnum Soil Cover: � in Miniriium Trench Separation: � ft . Dlstributlon: 9peciflcations: Diatribution BoR �. Serial Dietribution Pressure Manifold• �- S�� �-e_. 5��-1-� �i � �. . . . � . � �utliorizcd State Agent: Pettnit Exn `� Date: � _" � a."� a The type of aystem pernutted is � Conventional Innovative i'�ltemative. I accept tha specifications of tha perntit. �, / Ovrmer/Legal Representative: � "I/,�=.��� - .. Date: _:_l��o`Z�d c� � • �-cr •re run �Nrae aov Nt alavdaw � 'r� tSM•j'�' ? Sriri �SIX[ 1NIL � e ' � � st ¢airvu -�s173� � Q 1nu ��" i 1tl3S NI»Yyrp fY �QkYJn10.iNAlW71] 3YY1Q3A7AMfK OM % ��Jb' ��t�,a'1 ' t3tarawua 3x�iNntuQ �+rauo��•�y •-- �ra �'•.,,�i� 1��. �...' ^����,••''. 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O � b' N ' II Y, � 4wi 1 �M1S7 7Yi � w M� M R ZSO£-1 S9NINN3f' 'T NHOf S31'dI�OSSI+ 9 S�NINN3f-113lJNVH 'S661 ' �' N'A1N(10� NOS2i3d '' dMl H�fO� AHS 11�7WaH NNb yC1N3�18� ,�3nans �o ta�d � ..,��r�._�EF��:�, ���� . ._ . 1Y-�'� . ._;�r: �� - - . . z � J t"_`: -1 ' �� .; � � - : _ I ID , � � / ; � i ��� � .�, � � . .. � . � - � . � �, �GP.RIS -. . .. . ,, � - . o -. _ �. . - - •_ . � _ . . - • u; � .. . � . . . � � - : � o . . . . z . . , . i . , I . � � � r,� ;� i • , , `.'`` � .�i c..���`fr' `���� ` i�_;i�Ni;••i 'C' � �..�. L"�'-'� 'JL� ���.V�'� _ - _ i�. =i�L; I_ _ �L:"i1�."� ,-,_- = :4"� J l�+_ _ ,<_ n�� - —� ` — — – �Cs���l �t(v�`' 0 i'�.�r �..il�'�-��1i� .� . r JAC� THuMFSu�i D.E. ' �6,!�45 T'� i •� t . �;as;;�; �H��rAP�Or .�, i� v 1 �G ;� 3=1� �� . . . - � ��,��G �i,, � X� ;� . �,�^��S� EA.SEME���T SEE P. �. g,�-, _ � 'T a �� l ���� �� � y 1 d � �.. � � � �� Jl �i ���-v.a-v.�a�_,*„-„ �s�.�.� ����.�.��a Applicant: � �Q � Locaiion: . p �t/ ,u � . _ ��x M�p % �.rc I � S W�� C��I V I�5.1 � � I Ph�s�e Sect.ion' ot � # of Bedroorns � - . er�t��n er�it . . System .Type (in Accordance Wiih Table Va): '�i THIS SYSTE3IA H�4S �EEi�! 1NST�4LLED !N COMPLIANCE W(iH APPLlCABLE . NORTH G'AROLIRIA GE1VE€�►L STATUTES, RUtES FOR SEWAGE TREATMElVT, AND DISPOSAL, AND • ALL �ONDITiOiVS OF � THE lMPROVEMEIVT P RM1T AI�ID COiVSTRUCTION AllTHOR ON. � - . . � -� (a-1R -o!� - . A thorized St e Agent Date � lnstalled. By: �S �°D�� D��: � � ' . . � �,f �(o� �� ." 31,� ' !� �,�, � ,� ; �s{�G�e.� A PCHD, rev. 07/29/04 ���'�� �e��� ��5������� �������� {��� �� - � Tax IV1a� # � Parce! #� o S� . Sys�err+ Type (Tabie Va) OwnerlA�piicant � Subdivision Address/L�cation Ser.IPhas� Lot # � � Sep�ic. T�e�E� Ins�aa�lDa#� �i �iion nes In�i�a �a� � State�lD/date e � Trencti V1(idth� '3 ft. Ca aci al. � Trench De th �6- in: Tee and Filter � • � T,rencii Len D ft. �-/ -� � Baffle � Trenct� G�ade � � Sealant � Trenc� S ac9n Riser ifi a(icable � � Rocic De th and Quaf" 'F'ank Outlet Sesl Dams/Ste down� e#c. -_ Permanent Marker Pressure Laterals � � Purna Tank � --� Hole Spacing � . � Riser . Required� Set6ac9� Water Ti ht �� From- We!!s � ' Purr�t� � From Property lines , Checic ValvelGate Va[ve and au�ible Rate (gpm) . . Approved Pum�a fl�odei Blocic Under Pump � Pump Removal RopelC . �Dis�ibu$ion:Sys� Serial Disfribution ressure IVlan o �ow Pressure Pipe A�pr. Pipe l�ateriai and 1Jalv�s A � � � Surface Waters Public Waier Su�i Verticai Cuts >2 ft Water Lines • �Ea$ements/Ri ht of V� �er . Easemenis Recorded . , .. Co�vasn�re� . a pci�d rev. 3!'13/Q1 ����� �� ���� �b. V �.�.. � � (�: � �� � � II ' -1La���'►�e'r „'„'T B�L3�.iRL� ��C.a�.�� � � W �� ��illYld 1 1']LEASE SEE �'�'�ACHED PY.AN F�R WELL SITTE I.AYOU7C Tax 1dYap #: �Z I'azcel # � Tawnship e ��iin�i'� ��7TT� Tl ,�i� Y ' ` \ 1�. � l � �li�, � - \ i' Si1�Dd1Y1810T1: S�OII: I.O� I.Oqit,011� ' t' ��� 'T'�e of Wate� Su��l� � In.divi�dual Communitp Public Requirements- . Site Approved bp l�lo� Grouting A�proved bp ".�1 �l 7 � � W� r.���� o� �'i'eil �' � .TS Air Vent � Hose B� - �-o� C ncre�te Slab ��,M� I �.� weu Driller: _1-� WP� A�DprOV� 4- . � �c;,�-�;� � o o �� ��-l�a.�� �� ��� �°Se�e Attacb�ed Site Sl�CtCh'�` Wells must be 10 feet from property lines. Wells must he 100 feet from septic systems. Wells must be at least 25 feet from aap building founda�ion. Oti�er conditions• �� ri���� c.���, . � PC.��, r.ev 09/07/01 Apr 07 06 03:40p Keith L. Barnette 336-598-9275 p.1 qUIL'L/ l0 A� QH�d O ��, ��EQ � a.tn�Ea�g �a�su� diund ` �, � •iavnso pana a� o� PaPinoxl IIaaq sz�l P.�o�aj S� 30 �idoa E�z� Pue a�P sug uo �a�a ut sain2i IEaly� �tiuno� uos�ad a� o� �urp�o� pa�aldLuo� peau lia� � P� PaIi�s� s�n dcund sn{; ���ci�i I � � dq �/ f :�u4E2I P� �S �d � 2� � 3� :IaP�Y�I ?8 a�1i �d _ �i :iaea'I �h1 ou�IS �I � :q�daQ .d�un� :aaq�rtH uop�sr.$ag a�� , so;�� uo, e� dum � � �� ��,'�?�(�1� �� --���V��C� � n n � a ;uam�s� dYuna q �'� �`j �gQ �# � ��'�� �.r°��uo�J;o a�n;eu��S ✓ i�.io� ;as saoqejn�ai c�� aouepao�� xn pa;�nzjsao� senn an� st u� �a.ttoo si uo�Q �I�H �luno� IIosiad aq� �q t� ��� P} R 3ut aeoqE a� ��3qsaa �qa� I . , � r,�,L �� '� tJr� ..�' t sc . i . r r �~ Q �^" O i ..M? t"'� A'°'1�'ti �.+�a°�` t, . O uoq�mio,3 o,L mo.i,� aui.a�Q uuqEaoZ ��z $�a :�� �n� �Ea ��a �'' ' . :xau� oH — sa� qEjs .� � �, ox -- Sa�� :y,��Fd � o� oq� - (s�uq�o `ta�� `pues) am�ui � spunod �g I 30 ��ta� . xaatuao ptt8�od s��g 'oi,� ��[1 �I�?��Eltii '�3 0; �daQ � pamod amssa� padumd :;no-uJ3o i��aW oH . sa� aaeds aelnun� rn aa��� sa��ui . �px�, a�ed� sernuu�* •.� . ic�a�a�J/[a°�uJ a�.a�°°� `�`— luauia�JP�S �EaH . . � :�nw� :uoseai ant� �,sa�C„� �l�i� �X . L�Ynse� ��as aIR{�a Pa,ra�uno�ua s�ua�qoad �ta� oH sa� �- ;ao�g a,�uQ . ui .�1 :punouJ anoqe ��tag �a1 ' :ssami�tqs ��ia,� /+ I�S P��t�J ��L ��'%� 9:.ia�aLue�Q •}� Z� o; Q� iuo.i3 :�daQ . _ :��se� � $ $ $ � tAdaQ :sauoZ �uu�ag sa;e� � �"�— =i�a'I �I�A �u�iS � L�IciJ S �Pia� {� p� -�� �a1, � C}�3 09 ��� �S �udaS tuw3 a�iz�S.TQ � Q ia�3 OZ ��7w am'I ��.�d �sareauzuaz3 a�u�Q noqatt.t#sno� naM . �C� # Ia91Ea -Z � deyq xes, �o-X;nox� :uotsrnipqnS I— :tto�o7 ��O ��-L � P�Q -�Oo '�1r�'�i�[ �u`'����������� •� � ���� }� ��-a . a�.. , � 0 D •.���� �:� 's.:�.�i ;.--,; L 9� �, � a� �a :� �� ���� -�S ���`~'`� . �� r �. . sa ♦� I�ir�c� —, �