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CBPR-03-2016-23352.tif
� THIS IS NOTAPERMIT Case # CBPR-03-2016-23352 CATAWBA COUNTY HEALTH DEPARTMENT v• • ti PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1841/5m Commercial Building Plan Review - Building Alteration G Liu 4..0 IMPROVEMENT i �f Applicant HIGHWAYS & HEDGES MINISTRY (PHILLIP WILLIAMS),910 3RD ST PL NE,CONOVER NC 2: C:8284460734 Owner JUDY GOODE, 561 GENTLE BREEZE LN, ROCK HILL NC 29730-7817 NAME TO APPEAR ON PERMIT Highways & Hedges Ministry (Phillip Williams) SITE ADDRESS: 3675 HERMAN SIPE RD NW,CONOVER NC 28613 PIN # 373207596679 NAME of SUBDIVISION: Lot# Section/Block_ PROPERTY SIZE: Square Feet 0.00 Acres DIRECTIONS: F PRIMARY CON s • ' •.licant SEWER TYPE: Septic Tank GALLONS PER DAY: 180 r WATER SUPPLY: Public Water DESCRIBE WORK: **IP to designate repair& change of use 2 times a month 125-130 ppl (2 hours max) & 2 times a month 40-50 ppl (2 hours max) Church Services on Sunday mornings & Wednesday nights. Approximately 30-40 members. Interior alterations to basement for clothes ministry, food pantry, etc. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? Yes Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Church OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 44 x 138 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 03/10/2016 12:03 Page 1 of4 ,a,• \ CATAWBA COUNTY Case a CBPR-03-2016-23352 T r_ " _;\ Public Health Department Subdivision "'1 Environmental Health Division PIN it o PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 373207596679 NAME ON PERMIT: HIGHWAYS& HEDGES MINISTRY ( PHILLIP WILLIAMS), 910 3RD ST PL NE, CONOVER NC 28613 Highways & Hedges Ministry ( Phillip Williams) Site Address: 3675 HERMAN SIPE RD NW, CONOVER NC 28613 Property Size: Square Feet 0.00 Acres Directions: F Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 t t +i x(11.; 0 ini121117� n7. 74-(xr liE i '),, o;g3:17171; FE ENAM F 'lS h Skit 4 7 ,A DATE FEEIAMOUNTG' Improvement Permit Fee 03/08/2016 $150.00 , -TOTAL ft-Es /ji P I ,i , " 1t° 11 $15000 ,.-Sea flee k1n fi z < e a.I!lak:Y 4 i. �dw �. , ; Lar.la.i2iaz oitt 4 ..m 3,;S1 iiiir i�.. �F 4 Ft a nd FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-chapplication 03/10/2016 12:03 Page 2 of 4 BA • THIS IS NOT A PERMIT Case # CBPR-03-2016-23352 f; R CATAWBA COUNTY HEALTH DEPARTMENT U a �o_ 1 S CI u e PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �� 2 SM Commercial Building Plan Review - Building Alteration o} f°U 0 IMPROVEMENT D r lox Applicant t IGHWAYS& HEDGES MINISTRY (PHILLIP WILLIAMS), 910 3RD ST PL NE,CONOVER NC 2: C:8284460734 Owner JUDY GOODE, 561 GENTLE BREEZE LN, ROCK HILL NC 29730-7817 NAME TO APPEAR ON PERMIT Highways & Hedges Ministry (Phillip Williams) SITE ADDRESS: 3675 HERMAN SIPE RD NW,CONOVER NC 28613 PIN # 373207596679 NAME of SUBDIVISION: Lot# Section/Block_ PROPERTY SIZE: Square Feet 0.00 Acres DIRECTIONS: F PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 450 WATER SUPPLY: Public Water DESCRIBE WORK: **IP to designate repair & change oLuse times a month 125-130 ppl (2 hours max) & 2 times a month 40-50 ppl (2 hours maxi-) Interior alterations to basement for clothes ministry, food pantry, etc. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? Yes Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Church OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 44 x 138 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 ********************************************************************************************************************** E9-ehapplication 03/08/2016 17:09 Page 1 of 4 s i CATAWBA COUNTY Case# CBPR-03-2016-23352 ,�sink L Public Health Department Subdivision 4 1_E,r Environmental Health Division PIN# 373207596679 790' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1842 su NAME ON PERMIT: HIGHWAYS & HEDGES MINISTRY ( PHILLIP WILLIAMS), 910 3RD ST PL NE, CONOVER NC 28613 Highways & Hedges Ministry ( Phillip Williams) Site Address: 3675 HERMAN SIPE RD NW, CONOVER NC 28613 Property Size: Square Feet 0.00 Acres Directions: F :i4 sz X11, mil*- s7.. ry,.aT x=� '+ rt "TA1 . 47B g '" ra ' � ,� DATE FEE AMOUNT �" �FEENAME�.m a a i�3�ti� @r �a�mkt S�+.t. � i �� „dm y..e e n� :?' ... ....ikt.rw..,, :d = le aAQar .=,wi � �'iS6J Yh..:v g.,a�a..,_._ __... v"il Improvement Permit Fee 03/08/2016 $150.00 3l;ret'��.TOTAL�FFrES lr sstS� �"�;�Rt � � �3.'�', R„s��515000;#t lied, t., ,z?-_,l_ma wk°_;,°ea'r' s ,,t.=riti -d' -,.2--.-,3iu.,r.L',.w,Yaigll FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 03/08/2016 17:09 Page 2 of 4 g'A � THIS IS NOT A PERMIT Case # CBPR-03-2016-23352 .F . CATAWBA COUNTY HEALTH DEPARTMENT 0 yr.; , .•`I; ° a , ,9. ' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES -. , '.` ti� 18 2 sM Commercial Building Plan Review - Building Alteration OE, n ti+O.:: IMPROVEMENT 111 . % Applicant HIGHWAYS & HEDGES MINISTRY (PHILLIP WILLIAMS),910 3RD ST PL NE,CONOVER NC C:8284460734 Owner JUDY GOODE, 561 GENTLE BREEZE LN, ROCK HILL NC 29730-7817 NAME TO APPEAR ON PERMIT Highways & Hedges Ministry (Phillip Williams) SITE ADDRESS: 3675 HERMAN SIPE RD NW, CONOVER NC 28613 PIN # 373207596679 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 0.00 Acres DIRECTIONS: F PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 450 WATER SUPPLY: Public Water DESCRIBE WORK: Interior alterations to basement for clothes ministry, food pantry, etc**IP to designate repair& change of use SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED** FACILITY TYPE: Church OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 44 x 138 NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules.-I understand that I am solely responsible for the proper identification nd lapeling of all property lines and corners and making the site acce lei sot1-t a comp rte site evaluation-can luation-can be performed. Date: .::..JJ �/l b Signature of Applicant or Agent le/1.6 a An Environmental Health Specialist will contact you within 5 worki g days of application date. If you need further information or assistance please call 828-466-7291 O Is ********************************************************************************************************************** E9-ehapplication 03/08/2016 14:48 Page 1 of 4 •• CATAWBA COUNTY Case N CBPR-03-2016-23352 I Public Health Department Subdivision ®) Environmental I-lealth Division PIN# 373207596679 ' PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 /g42 su NAME ON PERMIT: HIGHWAYS &HEDGES MINISTRY (PHILLIP WILLIAMS). 910 3RD ST PL NE, CONOVER NC 28613 Highways & Hedges Ministry Site Address: 3675 HERMAN SIPE RD NW. CONOVER NC 28613 Property Size: Square Feet 0.00 Acres Directions: F FEENAME. DATE , FEE AMOUNT Improvement Permit Fee 03/08/2016 $150.00 TOTAL FEES „ - , '? 1' $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplimtion 03/08/2016 14-48 Page 2 of 4 C rrA THIS IS NOT A PERMIT clown CY B L A CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit Authorization to Construct H Septic Repair H Septic Malfunction H Septic Expansion H New Well Permit Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) n Application is for New Construction H Existing Facility H Property Address IP C s fig,gin Ps-,0 '! P£_ 94, Subdivision d/)v-I SP Lot# Acres _ Section/Block/Phase Driving Directions to Property &Rom e c-f) L/e!r' Deice- (SS 70 au ro �>=12111 Ai Sl P g Ra. C)o 1. t Mil 7e S 7U Pr F-72.7/ O� GC'c-( - NAME TO APPEAR ON PERMMIT? n Owner Applicant n Contractor Applicant Contact Information Name 14-/ j / P c G0/LG/4-41S — (`✓ Hiofn• I // D& S nh//A)577a y Address Op' gip C? S7, 1 . P y_ dy Edz I C (615 Phone Cell Phone ¶jc7. y c47-6 7S7 Owner Contact Information // Name Address Phone Cell Phone Contractor Contact Information Name License # Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner n Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *'* Q Structure Dimensions V y X 138' # of Occupants Basement igYes .L I'-Nb Basement Fixture as s ❑ No '/ 'e)e, e_Jo The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yeso Does the site contain any jurisdictional wetlands? es ❑ No Does the site contain any existing wastewater systems? rYYes \D'No Is any wastewater going to be generated on the site other than domestic sewage? es ❑ No Is the site subject to approval by any other public agency? ❑ Yes ❑ No Are there any easements or right of ways on this property? Describe Existing water supply in use Rr Individual Well ❑ Community Well n Semi-Public Well n County/City/Township Water Line Is a public water supply available? ** tp Yes ❑ No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT ..,,,,e.—;;;;;;,r,, Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement ❑ Yes n No Basement Fixtures ❑ Yes ❑ No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes n No Describe Plumbing Needed n Multi-Family Residence#Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts a g 7 ❑ Other Facility Type Specify Zit//Z7DX07i/ /Z 5//pfl-PpM '.€. r ,.OM Ya-..) 2yF/23 If Church# of Seats Kitchen n Yes n No If Daycare Specify Occupancy NA/' Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well n Community Well Abandonment Type n Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be be performed. Q� Signature of Owner or Agent l` �ce / c^- -, , Date J 7S1 Printed Name of Owner or Agent (/ Parcel Report Page 1 of 1 Parcel Report - Catawba County NC • Parcel Information: Owner Information: Parcel ID: 373207596679 Owner: GOODE JUDY HANEY Parcel Address: 3675 HERMAN SIPE RD NW Owner2: City: CONOVER, 28613 Address: 561 GENTLE BREEZE LN LRK(REID): 67000 Address2: Deed Book/Page: 3294/0612 City: ROCK HILL Subdivision: State/Zip: SC 29730-7817 Lots/Block: / Last Sale: $100,000 on 2011-09-29 School Information: Plat Book/Page: 23/239 School District: NEWTON CONOVER Legal: PLAT 23-239 Elementary School: SHUFORD Calculated Acreage: 1.440 Middle School: NEWTON CONOVER Tax Map: 3100 00017B High School: NEWTON CONOVER Township: CLINES School Map State Road #: 1490 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: CONOVER County Fire District: CONOVER RURAL Zoningl: R-20 Building(s) Value: $15,700 Zoning2: Land Value: $24,400 Zoning3: Assessed Total Value: $40,100 Zoning Overlay: Year Built/Remodeled: 1974/ Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710373200J Building Details 2010 Census Block: 2031 WaterShed: 2010 Census Tract: 010202 Voter Precinct: P33 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. 141■1 13/ gp5pci sThib 1,1& g am .tLP s 4—o e) http://gis.catawbacountync.gov/nomap/parcel_report.php?key=373207596679&typ=P 3/8/2016 Catawba County Environmental Health L l 0 I F . N N O N 0 307.33 .! \1/4 N no 2 . • K W 0 n 92:5 ^° 955 ix 8 z °1 ! W . r • • ! 100 (296) • 185.46 •3 1 77# --- g a • . Parcel: 373207596679, 3675 HERMAN SIPE RD 1in=60ft NW CONOVER, 28613 This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba, its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Coovriaht 2014 Catawba County NC CATAWBA COUNTY HEALTH DEPARTMENT PERMIT COMPLETION PERMIT FOR - EPTIC TANKS (Ground Absorption Sage Disposal System — G. S. 130-13C) N? 1122 Sewage OWNER OR CONTRACTOR -1 / (, / -.7 DATF 7-A5-74 ADDRESS yr_a.i t'7 — 4 — . - . ' z IN _ r . . _ S w-_— .4 > LOCATION / • —i i a--G'Y/a.--�i / AO CI SUBDIVISION NAMF — LOT NO ECTION BLOCK NO. , ________7) HOUSE ( ) MOBILE HOME (—) BUSINESS ( ,�)/ NO. BEDROOMS ( ) NO. BATHROOMS (—_ ) GARBAGE DISPOSAL UNIT: Yes (—) No CL-‹* /3/ ---7: SIZE OF TANK /3---2 0 Total Gallons /`y� NITRIFICATION FIELD / 0 Ft. /� J WATER SUPPLY: PRIVAT (1)------ PUBLIC (_) INSTALLED BY are- ._ ���_, --y - 4::/ /s, , -9. CERTIFICATE OF CO "'ETION BY c / 7.--Z--:- DATE INSTALLED "7-75.-7LI Health Deportment HD z- 4 • 'Dif. . cyvik CATAWBA COUNTY HEALTH DEPARTMENT PERMIT 1 />y'� IMPROVEMENT PERMIT FOR SEPTIC TANKS pi, L J ,' (Ground Absorption Sewage Disposal System — G. 5. 130-13C) N? 1 O f-' 1 ■ �4 C `� ir DATF ? /7) 'OWNER OR COi ACT -�A ^��� ADDRESS ` iYr'11/ K/ LOCATION U '�0 '&' V ✓Y 6 0., . CO I 1 �/ 6 ate-' ' .S BDIVISION NAMF LOT N SECTION OR BLOCK NO. FHA ( ) VA (—) STANDARD ( ) LOAN LOT AREA HOUSE (—) MOBILE HOME (_) �\ NO. BEDROOMS ( ) NO. BAT , S ) I _ 1 PLUMBING UNDER BASEMENT FLOOR: •. ■ - 1 - U YES (_) NO /X) � L Y , I '2 GARBAGE DISPOSAL UNIT: YES (_) NO ( ) per . SITE SUITABLE: YES (__) NO (—) E REASON: ISO 1411 '' SIZE OF TANK ./ SO / Total Gallons AINC4) ? /��- NITRIFICATION FIELD 4 gh-O Ft. ��1 / lj � ' l�'�� "" WATER SUPPLY: PRIVATEO UBLIC (—) C 1�7- a rT r'-O, IMPROVEMENT PERMIT BY d-7\-, " — Building Inspector ,{,t.oL. �' V��nu 2-1,°`