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A40 390
: "�b-13-02 .�-� : 15t� P.02 ��9 . .. Y: . . ...�'. . .:.�� � oo . � � .. ....� . .. ..� . . w . �..r . j_(� n � 7� � ,0�• A � tc�?U '�-� ' " . 3 .a-� . �Ai�#: ����' . �:�aiti�` 2.54� i ,...�.,.� ' ' �~ ��' � '. "p'�acaM�k %-v`I ,:� � � . , . �'� � ,� c %� -;/ 6 --. � /� ` �`.".,`---�� � � �� :���d� � ' ~� � �'��..,��� � � ' � : ; 1'�sa. — ���•+.i,.�i .. _i;. � _�f � ��, ;�;a ••aa ,�`'.-�6.i.� � NYAL�_ -. - -- '�� p+Fd� C�ii� �S � �'rn''9''� �i°�iGc` ��% Fl�ri1�! Pt1oMC �3 L�6��i� `� ti�.5 �� - �.� �'� �r� �� �2is0�lpa PFlofl� +�'I/ ���,�? �„ �"' � iY f—'n • : `� s W�1—'� v '�'T'—y_� ;:p R�iil� iOd �d�t O� Ci� OaRilMt: >=_J c� ,,d� J . . � � �1 �► Q..aiptlon: Lot � . / c�-„ Ta�rnsr�r ���� • E� ���i:--��,�,Y �� %� �-1 %� Dit'�diDas 90 tt� �ty (1n�n� ro�d. t�ln� alrld tnurubaa): , ' -�,fi'�/ �i�� ,, r , /! 4r„ /�, -"'—' �) �O�rd i!a �nd�� �S�r�ac �tt ot the �Uc�ng � ttx De a) �°0� _'' p�.G � b) Nurr�her af 8edrac�t� t�Wn�bae nf occx,�p�nie a psople bo ba mave� �� c) ' Ba�eenertk Ye�s ;, Nn _ lA�ti th�sr� bs pita�btg (n i�ss ba�rtenCt • .. cl) O�t�ps Dbp�k Yes �,, Al+p _ . �� u�►a�r S��y'�Y�c i�rw+�' � �{�,w �. � �►9 .�. Rudb� Ca�t�r ..,.,, sl�� _ . A�any �eb cn �'p�t�eriy?�Yes _ No _.,. ItY'�+ E�� �� �pp+wc�s to� an tt� a� �e. ,• • . �) Do�s �. p�op� cos4la prtv�ausey l�d Iv� �� Yas _ No � � . � A PI.AT OF"fiE �' � g� PLAN Wl$T 8L' � W17ii'iliil8 J�►PPLiGAT�i: y�RTY �s ANt� c�� �ls't eE c�1Rl.Y� YA�. � n� e�opoa� i.or.N� a� a�,�.. ��� ��� cu�t �►c�. x' 7ktIE �"T� ili�J9"f � ASAGI�,Y A�BL.E �UR �iN ti/rRL.11ATDON 8Y Tt�E NEALTH DE�P.AR�I7E�"T SiJ1FF. 1- f�eb�F rrtalo4 aQplc�t fio the t�� CauMy Ei�h pe�rtr�t fbt a�� tor ih+� �Y�m �r th �e�c�(� �,�y, � �Q lhai tt� � a� tft� � �� � �'� tio ba y�d an #t�e , � � are tn�a �d r+�re�t fhe mooamttm �Come InV�iid. :, i' � pn�� �� tha � ia ei�rred at' the intende�d tiae cl�a�gea, iha p�nr� �t! _ ,.rrvrnc,� r� � ,. ci�-� .z _ .z U ._� -, o�ner cr l;�I R��e - � � t�. � �arn� ���„���. ���� �� `�' � C� � �.T1�'I� �Y I��.�-aa-��.-�-,�„ ����,Il. I�1L��.11�I� Applicant: Location: Permit Valid for � Type of Facility; # of Occupants �ti(� Proposed Wastewater Proposed Repair: � ve Y �S # o� System: ,ovw �, T��x M:��� � � P�;rc _ I # ' � S�ubdivision � ' ' � � Fh:as�e:`Section:'Lot # � �• �proveffient Per�t IVo ]Ezpnration i ,,/ New 1� Additi�n, � �ater Supply �G s Projected Daily Flow �l'�a g.p.d. � � �vt� Type: cr C Type: � � Permit Conditions: �'e 7� '� �x�� � Owner or Lega1� Representative S ture. �- �- Date: �' � �- a� Authorized State Agent: Date: ��3 The issuance of this permit by the Health Deparlment in does not guarantee the issuance of other peimits. It is the responsibility of the applicant/property owner to in sure that all Person County Planning and Zoning and Building Inspections requirements are met. Thi� 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 Rules for Sewa,�e 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. - Autlaor�ation to Construet i�astewater Systea� �Itequired for Building Permit) * See site plan and additional attachments (_). Propos d Wastewater System: l_.CJWt1'8✓U�'"�OVI-C{/� Type �a Wastewater Flow �� g.p.d. New � Repair Expansion Soil Y�T'AR: .�c� g.p.d./ ft 2 Type of Facility: ,� � � ,�. Basement Yes � No �Vastewater System ltequirements Tank Size: 5eptic'Tank: t�-� gal Pump Ta�k: gal Grease Trap: gal Drainfield: Tota1 Area: �.sq ft 'I'otal i.,ength '�3 � ft li�Iaximum T�eaach Deptla�� �in 'I'a�ench �id� ?J � ft Mi.nimum Soil Cover: �O aai Minimum Trench Separation: � ft Distribution: Specifications: Distribution Box Authorazed State Agent: � Permit Exp�ratxon Date: � Serial Distribution Pressure Manifold � � Date: �'—(�''�3 The type of system permitted is �Gonventional Iunovative Alternative. I accept the specifications of the permit Oweaer/Legal Rep��sesatatave: � - Date: �-�d-O$" PCHD 1 / 17/2003 � , ����� �� L .LS..� � �� i'LJ - �`. VT \�•. v ' + J `i -��" � C� � �T�� � 1t� �.d'�.�T � �'��"L'53�.2� �I. ��'3.� � � �.� � Applicant: Loc�ation: I�Y Glu a ,,� ,i G �f� �1 � � U ��u'C�ll � � S� � t'J ° � �ll� �' [� ' , l 1 ��- �d�c�`s�o��� W r p o �� o-a oo � is'-� . . .��' �� � �` i� .. . � . Syst�m Type (in Accardance Wiih T�b1e Va): � THI� �YS��� 9-��+S �Ev�9 INSTA1.LEi� IP! Ci�f�IPl�►f�C� 1�lIiN APPLICABLE .�QRTH G'AROLINA GE�E�L ST�iLlTES, }�Ut�S ��R Scs�i(ACE TR�Ai1ViE�T �1�D DISPOSAL, AIdD •,4LL CD(VI3ITiONS �F � TI-3� fiVIPROV��Ei�T PE�Ii11T AND CONSTRUCTION .4llTHO�'ciZ . � ' L �� � � � � Auth rizrd State Agerzi Daie lns#aile�i. By: ��I i��e. L�e�.�n'S Date: �`-G�� �f . � � ..,, ��► � � 1�3' �� . . . . �� , ._ `�,� � t�' � �.10 ' ` �'S''�2 \ 5�?Y2 . '" —�-., � �L �� �u � b�' a`"��'� � � �CHC�, rev. G7(2?iG^ ����� ���� ���������� �����9� 9 � � f�� �� Ta„ IVi�� ��_ Parcz9 ��i�n Sys�e:�n Typ� (Tat�ie V2) .1L� flwne�-lA�p�i�nt � S�bdivision AdciresslL�c��ion SeclPhas� L�f � � �����.3°�ra� �ni�aad9��� �o��scc��o�a ��� in��a da� � State�fD/date - 2 -2y-a ,/' �-1 -� Trencfi �dih � 3 f�. �-l�-�B' Ca aci - ai. � � l"renct� De #h �2�; in: Tee and Filfe� - � � T.rertch Len �. Baf�fe � irenct� G�ade � � Sealant Trenci� S ac�n � R9ser ifi applicabie � Roc� De th and Quad' �'ank Outlet Sesl � Dams/St� down� etc. F Perman�nt IVlarke�- Press�tre Laierals � � � �'aa�a� T�nk � � Hole Spac9ng � . /Sealant Rise�- C�ec4c ValvelGate �laive Anti-�ip on o e �a�le and audible Cam�anents � Rate m) . . :4 roved Pum Mode! Bloc� Under Pum . Puen Removal �Ro elC�ain . ��D'as�rabu�aora.: Sy��an �a � Serial �istribution �ressure �1an ot Lav� Pressure Pipe A r. Pi e IUlate�iai and G�ad� Vaives �� 0 O B iZS Pi��. Slesve Tu�n-upslProte�tors �qui�d' Set��� From� Weils � ' From Praperty lines � StrucivresBase�nents � � ttc es / rainage ays Surfac;� Wat�rs Pubiic 11Vater Sup�lies Ve�ticai Cufs (>Z ft.) 1llJater Lines Ve�icfe Traffic � � � • �Easesnents/Ri trt of 1N . O�er � Easements R�Pded e e erator on T�i-F'artate Acareemenfi I ��mmea�� rc:�d r�r. �113/C't � �.r,-- - . 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Individual Community Public I��T ���a�:_ ' Site Approv�ed by �� `•�I � 3/`�° ( O� Grouting Approved bp ��r J�Q`�i � l�,� Well Log T�1 � �3/ �-L /h� WeIl T ✓ � Air Vent � ✓ � �- I�t� lo�- Hose Bib ✓ ' Coacrete Slab Weli D�r. �t�.trnP 1� . W�1 �pprov� �y: ���tv.Q fi� _ D�te: �l � 1 lo �o� '�ee Attac�ae� 5i� S?�t��` Wells must be 10 feet from propertp Iines. Wells must be 100 feet from septic systeins. Wells must be at least 25 feet from anp build'mg foundatian. Other conditions: PC��,sev.09/07/01 Mar 26 08 05:10p Keith L. Barnette 336-598-9275 p.2 at1lGLl! U� Ci�}d �i o_�' L�'�� "�� . .� � � � ��� .san,�° IIa� a� aq F�pt�uad �aaR�� P=� � 3Q �oo s� p� �P �t � ;'�'.� � � t[a1ld �'J �d � � �mp� pa�a�d�r�. P� it� �!1 P� Pa� se+x dmaul s� � �� �q �udS `�� c%q�}---. ���I P� �S �d � " 1�'ylt � �I�yQ �atti rf � . r� Z �t�''I �1fA ��I,S � $ o n 1 ��aE � 7 / �I� � �s `' �1 '�' i /7/ . y �'n'v"��-�; '�°q�'�q°�°J �SI[�I � � ���I d�n,� , , - �a'-S� - �� ��h �� ` 7� ��j�����JIo'�i� �����s�ea � ��H� �'� � Ila � �B F� x�a�uc�o st �d �A �9 • . _ ���''�°� �[t � •� � I f . s�•'�� ��f°!�' �j'�Q �u.e��tQ uoppo*I � �a � �tt� � �u� �at - �a ..,. - � :.�� . °H--��� �S .�x � °�._� _ ,�._ �� � A 1 • °� °�2I' (� `�a°� ) �3I ��d _ �� T3���1f�1 . �aP�od �'o� '�3�' o; . Q �II �a#� _ • °l�t - �' �.eL ao'edS ����1fd � P�d �auJ3o P�S�iM1t ��'J/fanguJ � �.�K �S �* . �'J !%�� t'�"JlP�S �$a� . . -���� �I�i : � .saX �uise� �u�as a� �ua sma o�d � �•�'�, 3I � iq � oAi ��% • �IS a►TJCI � � —�� =p�'°`i`J ad°q� �i'S _ � S� i ` ���iL. �ra� � /" I�lS ��1�J �,i. � � � �l, 9 � ��°� a - ��:�a - - � $ � � Z�_ � � � iB�(I �',Z �8 �1� $ sz �t�� �� �s -�-'� �r�.h � o , =�a� �ws av � f�a3 ti9 � �s �s � �!a � + (�3 QT ��� �'I �L1�aclurd � m�u�,I �Q uoipn.t�sao�J HaAA , Q d #�°Z Sr��I ✓F?/J� , • "2�+'f�2 � �JOTSlAi�1�s . ,#,,�� 7 �'J �p��� ���j �� n�7 �yK ""' 1 }� ,j� C �tr� M� _ IWINYJ� ' :,T�anyO O :-:- �g`�'�Z'_. � �� �'f11�' , � � .,�`� �� • . � � � � G � � ""-'1NRP1:1 ,�� •1 �� � .,�'���� _.�.���.�.o.=,r;;�Y..m;r� '- � �.:µ ?'�:.Ai:':it�x`l��'�_�'+`6`N•-f �'� ' � , ....... • :: , _ f = s .. v: . � � � s�"'�� ������ .,,v:�-', . .,. .. .� .. _. . . ...`__...__. ...sxa�... ........ _ . �.