HomeMy WebLinkAboutRBPR-03-2014-18637.TIF- . ? ~ ~ ~ Uv
~ATAWBA COUNTY `HEALTH DEPARTMENT
Telephone: (704) 465-8270 TDD: (704) 465-8200 u 1 `t
Improve. Permit~horization to Construct~~Kepair Permit_Oper. Permit System Type \
Owner/Agent iFi~c'F~:Dr--2/GIG G ~ IJ~--.~b5 d2 Phone '3~~~' (~) ~~"
Address ~~ ~ ~~~~-K;~-.~._~~~~ Subdivision~7~ /z~~ ~.,~
C'~~ct1d~~/~ ~'~ Section/Block/Phase Lot#~_
Lot Size ,~~~~~Directions: ~~~~ B~ir=~.~l-Lt7 $yyfn~s fin' p~S
Facility: House_~G Mobile Home Business Other: Tax Map # c' - 3 $'~
Multi-family Other Zoning Approval # -
# Bedrooms~_ # Seats # Employees Application Rate GPD Flow~~
Hot Tub or Spa yes/~pecial Fixtures 1000 Repair Are es no
Basement es o Basement Plumbing ye /no
Water Supp y: Private We11~PUblic
***********************************************************************************************
Type of System: Trench t~Bed t Pump Pump/Panel Panel LPP Other
Tank Size: Septic Tank Size / ~ ~-~ Pump Tank Size
Nitrification Field: Total Square Feet Depth of Stone ~~ ~ Bed Size .rte
Trench width ~ ~~ Total,-L~e~ngth of All Trenches ~®-®'~ Number of Trenches 7- l
Individual Trench Length Js~j~ /~J 7~ Feet on Center~~ Maximum Trench Dept ~~
Distance of Nearest Well ~ ,l- *DO NOT
*****,r****,r*********************,r******
Topo s - ope
Texture C,~,g.U~7 I ~ ~`~`
I
Structure ~~_
Clay Min. / ~~
Soil wetness
Soil Depth L/.~ "
Restric. Hoz. at ~f "
Available space yes no~
Overall Class I~
Comments : If ..
~I
1 ~ ~-F
~7
r~ / /~'
--
~ '~ ~ ~
.pR
%~c
~~s~
eb
~D'
_~r. ~
~/ ~I
l ®i
_~~
~ / ~~j / /f~/'
~--'' ~ ~
r*,t**,t*,r*,t,t*,t,r*,t*,r,t****,t*****
~~~c~ES
'~~~ X 3 ~
0
.`
**NO GUARANTEE OR WAR Y IS IMPLIED OR GIVEN THE PERFO CE OR LENGTH OF TIME THIS
SYSTEM WILL FUNCTION**
************************ ******************************tir\ ***,rw* ******************************
*Improvement Permit has no expiration date and is transfex'ab ut may be revoked if site
plans or intended use changes for the proposed facility. An\°~uthorization to Construct is
valid for (5) fiv y rs from date issued and is not transferabl'+e.
Permit Date~~~ ~~, l~'g ~ /'
Owner/Agent~';~c.~l.`.z~ ~.~ >Gi.~-~~~%~i Sanitarian !~'~ S~
Installed By t~t1e EGf=n-~ p,~C Dat~~~~jt -~ ~;~ Sanitarian
White - Office Blue -Building Inspection Operation Permit Yellow -Owner/Agent Green -Building Inspection Authorization to Construct