HomeMy WebLinkAboutRBPR-02-2013-16924.TIF
Owner/Agent
Address
I~~ f 00-sled.
DEPARTMENT
673
Type
eLl-
Phone .3 2H - "ir~..j' 7
Subdivision cJ/JK C/Z6G'I<
Section/Block/Phase Lot# II
e. II p. I" I c;:M..
\ t
CATAWBA COUNTY HEALTH
. Telephone: (704) 46~9270 TDD: (704) 465-8200 N~
Improve. permit~uthorization to Construct~Repair Permit___Oper. Permit~System
Lot
Facility: House_____ Mobile Horne
Multi-family Other
# Bedrooms ~# Seats # Employees
Hot Tub or Spa yes/~ Special Fixtures
Basement yes/~ Basement Plumbing yes/no
Water Supply: Private Well Public~
.........***..**.....******;;;;;...**...........**........***.*....~...***.~.*..
Type of System: Trench_____Bed_____pump_____pump/panel_____panel~LPP~her
Tank ".., '.pOio Tank ",. IAQ~ ," / ~~ Pump Tank {;,;
Nitrification Field: Total Square Feet r~O , tpepth of Stone 1-// It-
Trench Width .3(" JE;l '1~g~f All Trenches / Se> Number of Trenches ..3
Individual Trench Length ~~/~____/____ Feet on Center ~4r Maximum Trench Depth~6
Distance of Nearest Well /tJ ()
Business_____
Other:
Zoning
Tax Map
*DO NOT INSTALL WHEN WET*
...***...............****.....**....****...**..........**.........***..***....***.....*****....
Topo3-S % Slope I 14S
Texture CI~ tlEV I
, I
I
I
Clay Min. I"~ I I
Soil Wetness P.5 "I
Soil Depth ?q~ "I
Restric, Hoz. at ---- I
Available space ~nol
Overall Class ~ I
Comments: I IbO
p. 1!J5~ ~(arcl~ I \
to M~~~.s Sr:l ~f'f..r'()Ws
I
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. I
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-.~, ~.iLMPL"D ::,:. ~": T~~::-=DR L,""TH DP nM' rn"
SYSTEM WILL FUNCTION**
Structure
AUir.ey
1-
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........**.......****...........**...............***....********...****.....*************..**..
*Improvement Permit has no expiration date and is transferable, but may be revoked if site
plans or intended use changes for the proposed facility. An Authorization to Construct is
valid for (5) five years ~ date issued and is not transferable.
Permit Date ~- ~~- 'Z,
White - Office
Blue - Building Inspection Operation Permit
Yellow - Owner/Agent
./
Sanitarian
Datel-)(_ '71- Sanita
Owner/Agent
Installed By