Loading...
HomeMy WebLinkAboutIMPV-1-10-4103.TIF COP File'Number 37980 County ID Number: EHPR-1.10-3347 'Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. Site Plan The Improvement Permit shall be valid for 5 years from dateof Issue with a site plan (means a drawing not necessarily drawn to scale that shows the existing and proposed property lines with dimensions, the location of thefacility and appurtenances, the site for the proposed wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 feet that includes: the specific location of the proposed facility and appurtenances, the site for the proposed wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article. This permit is subject to revocation if the site plan, plat, or intended use changes (NCGS 1 30A-335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance monitoring, reporting, and repair (.1838(b)). Applicant/Legal Reps. Signature Required? GYes ONO Applicant/Legal Reps. Signature: Date: , 'Issued By, 1952 - Phelps. Robert Date of Issue: 1 / 1 8 / 0 1 0 Authorized State Agent © GValid without Expiration? OHand Drawing C'Import Drawing **Site Plan/Drawing attached.** Total Tinie-(HMAM) 0 Hours 1.1tnutes Page 2 of 3