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A32 98�� ! Tax Map: �'Z Parcel: � �� ` � � � ) � ���� �� Subdivision ' - �—� � � � � � �" Phase/Section/Lot # ]C�s7��a,���„-„-„ ����.Il IL���►.Il�I� Permit Valid for: Five Years V Type of Facility: �n � �a �w Number of: Bedroo ��/ 0 upa Proposed Wastewater System: CC Proposed Repair: �r� d / /-1�r,� Permit Conditions: • �`uthorized State Agf (X) Owner or Legal Improvement Permit Non-expiring ���Iew � Addition _ �( / Employees / Seats: Water Supply: �W��� Projected Daily Flow:�� gallons/day Type: � Type: Date: 3 - � Date• The issuance of this permit by the Health Department does not guarantee the issuance of other required permits. It is the responsibility of the applicandproperty owner to insure that all Person County Planning and Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes. The Improvement 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 aiid Rules for SewaQe Treatment and Disposal Svstems'(15A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic system will continue to function satisfactorily in the future, or that the water supply wiil remain potable. Authorization to Construct Wastewater System See site plan and additional attachments (�. Proposed astewater System: � ��25% ,����n �v�M,J ('�)Type� Design Flow 3(00 gal./day New � Repair _ Expansi Soil LTAR. , Z gal./day/ftz Type of �acilit_y: 5' Basement: _ Yes _ No (*) System Types Illb, IIIbg, IV, and V, requireperiodic system inspeciions by the Person County Health Department. Wastewater System Requirements Tank Size: Septic Tank �.�2 gal. Drainfield: Total Area �'q0 sq. ft. Trench Width �_ ft. Distri6ution: Distribution Box �/ S Specifications: '� �(e-i n�� ���n�� ! A�� �'n�) n n.iD-�d�/Pr �i11�AM � Authorized State Purr�p Tank — gal Total Length 33a ft. Min.Soil Cover � in. ^vrzase Trap gal. Max. Trench Depth _� in. a,C. Min.Trench Separation � ft. Distribution / Pressure Manifold / � ' r Issue Date: , -3 //-/lf Permit Expiration Date: 3 //-�9 The system permitted is: Conventional /Accepted �/ Alternative / Innovative . I accept the conditions and specifications of this permit. (X) Owner or Legal Representative: Date: � � Person County Environmental Health, 325 S. Morgan St, Suite C, Roxboro, NC 27573/ph: 336-597-1790 (rev 5/12) i Tax Map: /� 3Z Subdivision: ���.sf ���.��� - � � ���� I���nu-������.ffi,Il IE3C � �Il�l� Parcel: � WELI,, PERMIT (New� Repair_) Lot: Applicant's Name: Q�Qh �-�inKl� °� Moroq.r�; CL�risfi�an Mailing Address: �� � �3 I�u�r�l�e Mi�15 �2.75� 1 PhoneNumbers: Qp�— 35�(-411( �'�7 —�55— �55� Permit Conditions: 1.) See attached site plan for proposed well location. 2.) All applicable State and County regulations governing construction and setbacks apply. 3.) Permits expire 5 years from the date of issue. 4.) Issuance of a permit does not Quarantee a potable water supply Permit issued by: Date: 3-ll -I Y (�Tew Well: EHS/Date Location: Grouting: Well Log: Well Tag: Pump Tag: Air Vent: Hose Bib: Casing Height: Concrete Slab: Well Driller: Pump Installer: Approved by: Additional Comments: Date Sample Collected: EHS: Person County Environmental Health 325 S. Morgan St.,Suite C Roxboro, NC 27573 Certificate of Completion �,iner: EHS/Date Depth: Grout: DAbandonment: Date: MethodlMaterials: License #: License #: Date: Date Results Mailed: Phone:336-597-1790 fax:336-597-7808 11/26/13 ���, s f ���.� �� �= � � ���� �nawns��an�na��n�am.� ����.���n SITE PLAN Name °� ¢f �1f���a Tax Map #� Parcel # �$ Subdivi ' n Section/Lot# 3 - / 2-/ Au orized State gent ate System components represent approximale contours only. The contractor mustJlag the system prior to beginning the installation to insure that propergrade is maintained . . ��(�-' S � o�l I1�If�Y1_ .. Ynan��CtJ� � I In �� �T' , � �.Ou ( SF�✓�✓� �2A'+'� d� cjavoX So i �- Zn ��h a� S S�Y✓1 � 7 �J , � 3 �� � 3�0 9 � — 33d' �icc _ .� _ hb� -- � 2�� fir�e�Gh _$,� so�� �AP Si�' I `` = Zoo' ., � ConnectGIS Feature Report Page 1 of 1 Person � "� �� � , � � � � Printed March 11, 201A �� � ,��F .. �,�,: See Below for Disdaimer --. ¢ c . . . k•" '� i d " - t Y, �',�+ . . a �� E• � 55� .. :,�r°�,'. � . � . � >� ,�"�: � kF � . . '�' � ,.;� 49 [ �4 � E 3 � f �i� ye � � t? ph, i� � 4 . R 4 1 T�( e� �"s � � §�' � � � -0a � t � � ,g A�� " � 'i ��.. � . �, _ L�., . '� 3 �". 2. . �. f � , 2, � i � � � � ��• ' � �� • �'�� �� � �� � s x ' � � �' � � � �. � �e, �" �� �f��`-".� h t � � s � ;y �.. : .: ' ' � . � = 7 a _ �. ' :. 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'` �: . < � �� . 6. �. _ ,. . .� ,�_ . ��� , , �. � � rE;�. , � � 'P",M �'� � � rq g � � k � aa � a � ` f � �l� � j' d � � �, �� � � .� � $ "� � : i� , k� ��� � ' � �� � _. � ,. � ... � � F �` � ' � �` _ � �� � � �" ` •� �� � � � �k °� � � � ; �w: _ `r a � � � 3� � � �� � `1�� � �" �• ' *�,:� �`� '�T4- �C.f--�� � f��� f ,�� ,� •� r � E �� � �� ��� f�y � � �� ..��UJ rEr} .... S �� � , .�. .Q= ,� , . � : , a . ,_ �� _ ... OTICE: Recently, we ha.� h��l s�.ual��ueis iepoit bic. su co�m��aLih I t; i,,u� ��I cn t�ying �o access ourGlS website �ypicelly, the problem stems from users who F �cently upgraded to the Windows 8 operating rystem or a new version of Internet Explorer. We were able to resolve this iswe by directing users to the Internet Expl� ompatibility View tool. This link is to Microsoft's "How To" for the tool: http://windows.microsoft.com/en-US/internet-explorer/products/ie-9/features/compatibility-� this does not solve the problem feel free to contact us at the number listed on our main page. Welcome to the Person County GIS Website. ConnectGIS has b repared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system otified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County, Mobile 311, Connec ssume no leqal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. http://gis.personcounty.net/CoruiectGlS_v6/DownloadFile.ashx?i=_ags_mapeedd3ef85762... 3/11/2014 ConnectGIS Feature Report , 4�� � �1�► -�� � i s � � � ' � � • � � a,��. �� �� � , � .�.� � r ^ � � bdJo _ � � i b j At �«�r � � � . �1 � � � i� ./ �� ti ..'! �q , g .a�� � . � '? ,, .�€ r -, +� q `�+ , �'�.g� k x s �" a, £ `�'4 . �' . , t„'� � f ,�'�` ��,�� �_. , n�,•A(jU,� '� ��� .��..� .,`"� S �„ � � �_.�t , �. r ' � � , '€ n ,�n� � t"� ��r �a /� '�'�- � � � ';.�' � t�1 `� x C �.,.g ::� zt. .� � ��,, � . �� . � I � ���'F �: � � b '� _ � ° � �. �� � �,ti— �� �3 , 1i�� ,,�, `�� � �, �ti `=E _ _ ,��, � F � ,. 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Y �� vii-i� n: ,� �- � .;a. s�#� �a > �, . : �� , N . y� kC: aq �i 1 t � ' i � � .z9� �. � t �' � # 4 S .S*' { _ ,+� �_ &�a�� � _ q � � �. :l � , f J :P ... �., �.k � "� 4k$ �� �♦ 3��`d : �: : �� .� � � + ' � , , � ,. � 9 .Z � ,�y � 4 J�i� .'"3� � ' i �7 a ,��xAi �'�' �a�+, i'�, h F .?-�_fi� z � � � �'�w'� ' sz,.aat..,.,.� ''s � i �� ii i � 2° r �a y ,s �, ��� ; �a. ._e..... a E i�.3, � � ��.��:zl x � ���n �# 'r _ �` A`.. _� k � 'a� � ''r', I Ilt " 1 3 '��.c � 4 � � d'� ��,�_ ''�1 F; .ry �. T� �� p .. `� �` � �n � �a �r -� � s , 4`� � ' i t k � �� ��s �� � ....i ..,, '� � � :�� K p y � �- ". 4 . � ':/ ' , k ��Jl� �.`_'=4 � t _ t > .. : . . F. , ��.., � ; . , - �. „ ,-...., . -_ . �� , I � '�, NOTICE: ReCently, we have had tiuu��l u,� iti i���uii l�iu .z� i�om��ati �ilitj itisu�,.:ixn ti;iny tc acccsz oui il` :.� I�Sitr I;pi� +II, th�^ problem 5tems from u5ers who hd� recently upgraded to the Windows 8 operatiny rystem or a new veision of Internet Explorer. We were able to resolve this issue by directin� users to the L�ternet Explori Compatibility View tooL This link is to Microsoft's "How To" for the tool: http://windows.microsoft.com/en-US/intemet-explorer/produds/ie 9/features/compatibility vie f this does not solve the problem feel free to contact us at the number listed on our main page. Welcome to the Person County GIS Website. ConnectGlS has beE prepared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system ai notified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County, Mobile 311, ConnectG assume no leqal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. http://gis.personcounty.net/ConnectGIS_v6/DownloadFile.ashx?i=_ags_map62f40df436a54... 3/6/2014 ConnectGlS Feature Report Page 1 of 1 °" "`'�° `'` � t a ' ...� "4.�!' 1� � �f t � S �F �^ 1',.li�. �J� � . � � 4 . . �. . , : `�v -�? . . . . , _ .. , ._ ,. , ' ' . . , o _'' � . ;.. ��i ' l �;. � � � Person Printed March 06, 2014 See Below for Disdaimer :�� ��.; �� �. . z �.. ,. , � �: �'i. � ��. � `.� r'4(a E � �� � 717 t7' i � � �., , n n� 3 �Y $ —�^',"_..^ ^ �I . � . . � . e �'.`�`';«:..� '� . F�� a � ��A � I . . P �' � � n r. . . , . � � . �'..... . �+y� � . °� . . �� ; � � 7 �. �.� . .� � ... � i � -: :.. ,� � � '�,b �: � � � 3 � � � q i. � _ ' }��7{'� � � `. � ip . . i� i � € �. . _ , j .. �£`& ' . ,� �� - - � = i �� . ' �, �. � , i _ - � � . .. . �. - . ' �� ' � ��.�J 3 .. ' > 4,,� � � �:. .'� �. ~. { �.. 13 ? 1 � �� ' �' �'� �� e 4 l \ _.' 3, : d . .._ _ " �� .. � . ..t t ; . � . F., . "._ � ' . �3 - . . ,. . •; I . }��i`�u...����:r��~ �'' . � ���,v � � � „ _� . ,_ : ; y�� ' 201 5 ,� � � � . �,� � � . � , � � � � ti i �,- k ., , - � _. . � �_ ,, s� �� ,. ; , � >.,� . � � �: ; �. ..�. �� � a, � � ,. � � , � � �� � � r,� , � - � �� �� ��rc�s� , ' . _ --- _ _ -= —_ 3 ; .. ' �.. r � _ -" . . � ' � � - i � _P:'" ,�� - . _ � � �° �.� �'� � � � � .- � � � � �,z. � � � �� � �' • � � - � � , � , � - : . �.-,.. .-- - � i-irF�� . �- �� � �� .��� ��, � . � . . `-� �„ --� hh�. � � � = � '�,, � �'J El. Fe et OTICE: Recently, we have�had seveial �useis repoit biov�ser compati6ility issues when trying to access our GIS website. Typically, the problem stems from users who hav cently upgraded to the Windows 8 operating system or a new verslon of Internet Explorer. We were able to resolve this issue by directing users to the Internet Explore �mpatibllity View tooL This link is to Microsoft's "How To" for the tool: http://windows.microsoft.com/en US/intemet explorer/produtts/ie-9/features/compatibility-vie� this does not solve the problem feel free to contact us at the number listed on our main page. Welcome to the Person County GIS Website. ConnectGlS has bee 'epared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system ar �tified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County, Mobile 311, ConnectGl �sume no leqal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. http://gis.persoi�county.net/ComlectGIS_v6/DownloadFile.ashx?i=_ags_map61374ab02019... 3/6/2014 ConnectGIS FeatLire Report Page 1 of 1 Person "�, ; � Printed March 06, 2014 � � � ... ° ' � �; ; See Below for Disdaimer .. « � � � . � �� � t,n�� . ;�, k f�; . . � 3 � '. l� � � � � � � � �@ : 9 9 . ' .. . .. $'� ,�. ��a° � �.. ) � k � , . +� 3 { S a �p e i s°. , .. . z s, � b' 4 ga� � „ { � . . . �. � �i,- ,. � . D � r : {,� , . . � �" :e + S. � ,; # . �: � � : �, �. � r � � a �� � ¢ � ��� 1 �i I 1 � � � , b, . � �`� c �:.� �y�� + F � . � � SA �,e ;Y� F t i � .. �d " � •b f �. 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Y� . _ . . � A�� . � '� £ b �,p'�. ..w.kw ta Y�� !A nc -. �� � ��d , b . +{e � � � :`,<° .,� � ��-,. _„�"' } S: }, . � �F � '�' . � � 8 E j �' � kti '�� �� � � �� � . � � F r � � . . .. � .. . . . . . .. .. � � .. - & �'.r " " � � `' 0 y . . F�e �: � � � , , . h; _ � .1 .. � . & s �` �i . $ . : � :: ' } , . �3 rt 4 R i �.- U _ y �; � �. ;. � '�. � , �TICE: Recently, we h i. had x� �al us�.is ic ��o�t l ic,..,ei un�p�ubilrty i,sues wh��n t�ving to a�c��> uui �,IS website. Typically, the problem stems from users who hav :ently upgraded to the Windows 8 operating system or a new version of Internet Explorer. We were ablc to resolve this issue by dlreding users to the Intemet Explore �mpatibility View tool. This link is to Microsoft's "How To" for the tool: http://windows.microsoft.com/en-US/internet-explorer/products/ie-9/features/compatibility-vie� this does not solve the problem feel free to contact us at the number listed on our main page. Welcome to the Person County GIS Website. ConnectGIS has bee epared for the inventory of real property found within Person County, and is compiled from recorded deeds, plats, and other public records. Users of GIS system ar itified that the aforementioned public information sources should be consulted for verification of the information in this rystem. Person County, Mobile 311, ConnectGl sume no leaal responsibility for the information in this system. Grid is based on the NC state plane coordinate system, 1983 NAD. http://gis.personcounty.net/ConnectGIS_v6/DownloadFile.ashx?i=_ags_n1ap23a32900b37f... 3/6/2014 � r 7 '— s � o W^ •' 1./� � E n z , oat �I ti 0