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A27 345��d�� l1li �� ..-. �'_' � � � � � � I��-a��m�.,,-„-„ ��.�.]L Ir��.]1.�I� Applicant: _ � C Location: � '7;� T�x M�� P�rcci # _ Subciivision � Fh.�se�Sect,ion'Lot # Iffiproveme�at Pe��flt - � Per�e►ii Valid %r Five '�ea�s _ 1�10 E�piration �� Type of Facility: '; �:t,;-� ;� �� 1; s New �' Addition _ '6V�$er Supply e� 1�� of Occupants �;�„jC,�l� ` •f Zc�r��ms `3 ?rojected Daily Flow �� .r.d. Proposed Wastewater System: D f1 V�(1�� ut'l� . Type: � Proposed Repair: C[D r�V �' ifl �-i or1 Gt 1 Type: Permit Conditions: Owner or Legal Representative Signature: Date: • Authorized State Agent: ��0 �,`, Date: �7 �. —D� Tlie issuance of this permit by the Healt�r�Department in does not guarantee the issuance of other permits. It is the responsibility of the applicandproperty owner to in sure 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 Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the l�Toa-th Carolina `Laws an�i Idule�or Sewa�e Treatment and Disposal Svstems' (15A 1�1CAC 18A .1900). 1�Ieithe� Person County nor the Environmental �ealth Specialist war�ants that the septic tank system rvill continue to function sati�factorily in the future or that the water suppiy vs�ill re�ain potable. Authorization to Construet i�Vaste�vater �yste� (Iteq�i�ed for �uilding Pe�mit) * See site plan and additional attachments (_). Proposed Wastewater System: �_(��Q��40Y�Q,� Type�R Wastewater Flow ,_ ��g.p.d. New f Repair Expansion Soal I,T'�: �� g.p.d./ ft 2 Type of Facility: � G� (►Z S'�� Basement _ Yes ✓'No Wastewater Syste� l�equirements Tank Size: Sepiic `�anlc: � gal Pump 'I'ank: � gal Grease Trap: � gal Drainfield: Total Area: i� sq ft Total Length ((J� ft l�Ya�u� Trencla IDeptl� � in � '�renci� Width � ft 1Vlaniinuffi Soil Cover: �� an Minimum Trench Separarion: ft Distributioxa: Specifications: vDistribution Box Serial Distribution Pressure Manifold Authorized State �igent: Permit Expiration The type of system permitted is Conventional the permit. �wne�/�.eg;al Repa-e�en�a�tive: Date: %��'' �5 Innovative Alternative. I accept the specifications of Date: PCHD7/30/2002 •�1��J�� J3.q. iifJ�.i. qq�1��++.�� 'V � �, ~ ��1 ' t/ 'V -\��.�� 1E�-�s�,r„ ,,,,-„ ��.�.Il 1C-T��..Il� � SI'Y'�. S�'�'C�: Name n'1 M �+� Taa lYla.p # o�i Pa.rcel #�y 5 Subdivision ✓t � Section/Lot# 11 Ce.�, � �a -DS thorized State Agent . • Date . Syste9n com,�osaents repr�esent approximate�contours only. The contractor must fTag the rysterrs prior to beginning the iristallatzon to insure that pro�iergriade is maintained `' � �V � . �___. :� �;e.�;° `_ .`". �.� .r'+r� � � � l.�` �: �_.-..r i — �� ,, zs zzz� . ; U' I : ,:.r;f � �~X �� x k�' x , Q� , ,, .,: �r �� ' �t..00, sz.dos I ,�,\��.�.- J� '�� i � � I � ��, ��-��,a �� r---� ��'} � ��.� � �as �; ��, ,: �-� ��,h� �, f; �� _ ; ov— �,- �` ,c �� C\J ,' �' . � � �� n ��,� �•. -��, ,� � , ; �/� '� , , �� . � � \ �. �� ' +� I i� �q' � �� ' ,(; 'i / � % % ';'� / � ' `L % � � - . ,� 'lJ ,� t/ / � � ��'°�� 1 r �.� . -. -� � C •' .� �." � r ' \ �°° � s ' �,-�3 � : �� ,. " � � �i� L G � ' � �� c�,?� ^ � Q � � �.�-'-� ,� N�, �j� ,1'� � ��'� � • � � h`r�� . 1 -y, � �� t� �.��, C�,� . __..,` ; � /,.ti, �„�i � ..,,,. ; / � �. .� l , q ► � , �� i i � k i�• ,, � • o � ��' �' � / -- -- iucaucasv,� ssao�y. =� ;- `�-- 5� R A� e�� .OS Pasodo�t,d ---------_� M �.�_..� — — � ' � -, \ �. ''� �\ �� ''s� �y,�I I °.� -� . ��("�: t� � i - � _ G +J',� � �+°' _'---- ' �►� pa . �' =: '� a � /� �v �, . °' � .� ./�'�i r c�� j 5.,, ��,� u� V�, o� � � ^ � G � c �'�� " � � � ��,�p� � , � ��, b � I � - � " �N . jL'� ' n� �� y I � 9r� � �� y� � � � a �� - �� ;� ,?�' � �, � � �� , so •sdzt � � ,�,,� - ._.�_..---------- _._._ ,�..o�, sz.aonr - ---1------.--- � �n� _ ... . Y