TB_04-27_Sweyer

OCAMA 27-04
Topsail Beach Permit Number
Local Government
\- ]& CAMA
RE(cEK\
MINOR DEVELOPMENT
JAN C 6 2005 PERMIT
DIVISION OF
COASTAL MAN. ab - `_'^ "' �ytbesiateofnorth carwne,D" rnne�or�t°"'"a"G
and Natural Resources and the Coastal Resources nm*dm for to Section 11 dev
ro
In an area of environment caerrr pursuant
A-1 18 of the
General Sfadre , Coe" Area MarragenrenC
Issued to Richard Sweyer , authorizing development in Ocean Hazard Area at 308 N Anderson Blvd. as
requested in the permittee's application, dated 11-4-04. This permit, issued on 12-10-04 , is subject to
compliance with the application and site drawing (where consistent with the permit), all applicable
regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes the construction of a duplex dwelling and driveway installing landscaping as needed located at
308 N Anderson Blvd. , Topsail Beach
(1) All proposed development and associated construction must be done in accordance with the permitted
work plat drawings(s) dated received 11-04-04.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and
Federal regulations. Contact Jimmy Canady Building Inspector/CAMA LPO for applicable local
ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a
re-evaluation and modification of this permit.
Conditions continued on second page
This pemnil action may be appealed by the pemhitlee� or other
qualified persons within Twenty (20) days of the issuing date. From
the date of an appeal, any work conducted under this permit most
cease unfit the appeal is resolved.
This permit must be on the project site and amessble to the permit
officer when the project is inspected for compliance.
Any maintenance work or project modification not covered under
this permit, require further writen permit approval.
All work must cease when this permit wares on December 31,
2DD7.
In issuing this permit t is agreed that this project is consistent with
the local Land Use plan and all applicade ordinances.
This per -it may not be transferred to another party withal the
written approval of the Division of Coastal Management.
Local permit i
James
CAMA Local permit Official
Town of Topsail Beach
t20 South Anderson Blvd.
Topsal Beach, NC 28W
(si9n0lore required t special conditions above apply to permit)

Richard Sweyer
Mirror Permit # 27-04
Date: 12-10-04
Page Two
(4) The stricture must beset back a minimum of 60 feet from the first line of stable natural vegetation,
as determined by the LPO or other assigned agent of the DCM.
(5) The structure must be elevated on pilings with a diameter of at least (8) inches and the first floor level
of the sills and joists must meet the 100-year flood elevation level of 15 feet
(6) All pilings shall have a tip penetration greater than eight (&) feet below the lowest ground elevation
under the structure
(7) No impermeable surfaces shall be allowed over any functional part of the septic tank system.
(8) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently
threatened by changes in shoreline configuration. The structure(s) shall be rekxmfed or dismantled -
within two (2) years of the time when it becomes imminently threatened, and in any case, upon its
collapse or subsidence. However, if natural shoreline recovery or beach re -nourishment takes place
within two (2) years of the time the structure becomes imminently threatened, so that the structure is no
longer imminently threatened, then it need not be relocated or dismantled at that time. This condition
shall not affect the permit holder's right to seek authorization of temporary protective measures allowed
under CRC Reim
(9) A copy of this permit shall be maintained on site.
- EHV E D
JAN o 6 ZMS
DIVISION OF
COASTAL MANAGEMENT
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Uate

a
41141
P
21
TION FOR
7,,
-areas r r andfa productiiZ, s ando&an&ont. Ah"
rin"special Gaze i th G
an lop, e e# with requiring &de"Vel
Assembly directea'theCoastalCommission (cw) to imgle
that irummize the enio"n-Ithe applicant'Vo
went clear regulations
This appicatofi�for a" r, ..e..... t, permit under CAMA is,part
zi—
cornruiiii6ii's'�ffbit f of the 6'rheet the ,, pifit an -14 fiteni'4he General'
,
'Ightf ia 4 Assembly lt'has `,`be'6iidesigned to be'sti d rw d �r �;m, require no
tk more- time of.,kffdrt: ftessaryKPMomiihe applicant ....... e4se�go over; S
,,, folder with the tal-
Officer (I for the'locality s" which
you z" d"' n
A I
plan to buil&tb'�.be certain that -yot ' 'i:un 0rstand "atif6 rma ion
she needs.
A
a n
'P Under CAMA46golaiipus, the,
P minor permit is to be issued within 25
f
land. Often less time is needed i
X days once a complet&applicati" is in
U
0 !,.-the project is process generally takes about 18 days. You
can speed the 4pproVal,:,p)roces's',,-b making certain that your application
by
is con ' �plete and-signA"that your drawing meets the specifications given
--,.
ti
I inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal
i,area While these are not CAMA-related, we urge you to check with the
.Local Permit Officer to determine which of these you may need. A
'N
listing si"--' this folder
_. ptipage of

NOTICE OF FILING
OF APPLICATION FOR
u \urII�M'AD)WWOto]UUrIa2us0RUM
Pursuant to NCGS 113A-119(b), Town of Topsail Beach, a locality authorized to issue
CAMA Permits in Areas of Environmental Concern, hereby gives NOTICE that on 11-
16-04 Richard Sweyer applied for a CAMA permit:
To:
Construct a Duplex Home — at 308 A N Anderson Blvd., Topsail Beach, NC, Pender
County
The application may be inspected at the address below. Public comments received by 12-
10-04 will be considered. Later comments will be accepted and considered up to the time
of permit decision. Project modifications may occur based on further review and
comments. Notice of the permit decision in this matter will be provided upon written
request.
CAMA PERMIT # 27-04
Please publish on
11-24-04
A
Jam Canady, CAMA Lo 0 cer
Town of Topsail Beach
Address: 820 South Andrson Blvd., Topsail
Beach, NC 28445
Phone: [phone]

GENERAL INFORMATION
LAND OWNER
Address
City W�/r*n State // C. Zip 2 04/// Phone 2 G �- -U
AUTHORIZED AGENT
a
Address f. 0.0 a n Lf a') U —
City State d_ Zip 2-Y-Vq Phone -3a9-1goc/
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of
the adjacent waterbody?) 3
DESCRIPTION OF PROJECT (List all proposed construction and land disturbance.)
�f A o A _
SIZE OF LOT/PARCEL: square feet 0. 8 acres
PROPOSED USE: Residential (Single-family _ Multi -family v) Commerical/Industrial _
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVI-
RONMENTAL CONCERN (AEC): �Oo O ?- square feet (includes all floors and roof -covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN
THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): sq. ft.
(Calculations include the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property.
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
(3) within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT Is the project located in an area subject to a
State Stormwater Management Permit issued by the N.C. Division of Water Quality?
YES_ NO
If yes, list the total built -upon area/impervious surface allowed for your lot or parcel. square feet.

ETHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
ievelop'ment permit. As a service we have compiled a list of the kinds of permits that might be required. We suggest you check over the list
vith your LPO to determine if any of these apply to your project: Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
;and Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway, Connection, and others.
3TATEMENT OF OWNERSHIP:
the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
Jerson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
isted as landowner on this application has a significant interest in the real property described therein. This interest can be
lescribed eck one)
� 9
_an owner or record title, Tide is vested in see Deed Book ✓ 3SZ
)age ?/ in the County Registry of De .
_an owner by virtue of inheritance. Applicant is an heir to the estate of
rrobate was in County.
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
90TIFICATION OF ADJACENT PROPERTY OWNERS:
furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
,CTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
?OR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to
rosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associ-
.ted with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing tech-
dques.
furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
inter on the aforementioned lands in connection with evaluating information related to this permit application.
Chis application includes: general information (this form), a site drawing as described on the back of this application, the
,wnership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any infor-
nation as may be provided orally by the applicant. The details of the application as described by these sources are incorporated
vithout reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any
Jerson developing in an AEC without permit is subject to civil, criminal and administrative action.
Thisthe2 day of /WSJ > 20
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

AEC HAZARD NOTICE
Project Is In An: ', Ocean Erodible Area — High"Hazard Flood Area'_ Inlet Hazard Area
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware
of the special risks and conditions associated with
development in this area, which is subject to natural
hazards such as storms, erosion and currents. The rules of
the Coastal Resources Commission require .that you
receive an AEC Hazard Notice and acknowledge that
notice in writing before a permit for, development can be
issued.
The Commission 'srules onbuildingstandards, oceanfront
setbacks and dune alteration are designed to m imm i ze, bu t
not eliminate, property loss from hazards. By granting
permits, the Coastal Resources Commission does not
guarantee the safety of the development and assumes no
liability for future damage to the development.
The best available information, as accepted by the Coastal
Resources Commission; indicates that the annual ocean
eros,t,�n rate for the area where your property is located is
c feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as
much as , l feet landward in a major storm. ,
The floodwaters in a major storm are predicted to be about
_kQ feet deep in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such 'as bulkheads,
seawalls, revetments,, groins, jetties and breakwaters are
prohibited. Temporary devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application will not be
complete.
Applicant's Signature
//-
Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permits is sued for developpment in this
area expire onDecember 31 of the third year following the
year in which the permit was issued. Shortly before work
begins on the project 'site; the L'ocal''Permit Officer will
determine the vegetationline and setback distance at your
site. If theproperty has seenlittle change and theproposed
development can still meet the setback requirement, the
LPO will inform you thatyou may begin work. It is impor-
for official approval to continue the work after the permit
'has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the permit must be renewed and' a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact: .
Local Permit O cer
Address
Tdpsa, aFggs
Locality
y/03,2-
Phone
Revised 11193

BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
When you build along the oceanfront you take a calculated
risk. Natural forces of water and wind collide with tons of
force, even on calm days. '
Man-made structures cannot be guaranteed to survive the
force of a hurricane. Long-term erosion (or. barrier island
migratioril may take from two to ten feet of the beach each
year and, sooner or later, will threaten oceanfront struc-
tures. These are the facts of life for oceanfronbproperty
owners.
The CoastalResources .Commission (CRC) has, adopted
rules for building along the oceanfront. The rules are in-
tended to avoid anunreasonable risk to life and property
and to limit public and private losses from storms' and
long-term erosion. These rules lessen but do not eliminate
the element of risk in oceanfront development.
As you consider building along the oceanfront, the CRC
wants you to understand the rules and the risks. With this
knowledge you can make a more informed decision about
where and how to build in the coastal area.
The Rules
When you build along the oceanfront, coastal manage-
ment rules require that the structure be sited to fit safely
into the beach environment.
Structures along the oceanfrontmust be behind the frontal
dune, landward of the crest of the primarydune and set
back from the first line of natural stable vegetation a dis-
tance equal to 30 times the annual erosion rate (aminimum
of 60 feet). Large structures (multi-familyresidential struc-
tures greater than 5,000 square feet and non-resideritiai
structures greater than 5,000 square feet) must be set back
-from the first line of natural stable vegetation a -distance
equal to 60 times the annual erosion rate or 120 feet,
SESE SETBACK
�;a TRACK ; FIRST LINE OF
I
STABLE
ANNUAL
IAVERAGEALi
II0p ZNATURAL
�7 E
EROSION
VEGETATION
RATE 8 IRATE
(LARG�ALL I
STRUCTURES) I STRUCTURES})
PERMITTED
STRUCTURE;
ADEQUATE
SETBACK
whichever is greater. If the erosion rate is greater than 3.5
feet/year, the setback is 30 times the erosion rate plus 105
feet.
The Reasons
The bea'chfront is an ever -changing landform. The beach
and the dunes are natural "shock absorbers taking the
beatings of the winds and waves and protecting the inland
areas. By setting back 30 or 60 times the annual long-term
erosion rate; you have a good chance of enjoying the full
life of the structure. At first; it seems veryinviting to build
your dream house as close to the beach as possible, but in
five, years you could find the dream has become a
nightmare as high tides and storm tides threaten your
investment.
TheException
The Coastal Resources Commission recognized that these
rules, initially passed in June of 1979, might prove a
hardship forsomeproperty owners. Therefore, theyestab-
lished an exceptionfor lots which cannot meet the setback
requirement. The exception allowsbuildingsinfront of the
setback line if the following conditions apply:
(1),the ;lot.must have been platted as of June J,1979, and
notcapabieof being enlarged bycombining with adjoining
land under the same ownership, (2) development must be
as far back on the property as possible and in no case less
than 60 feet landward of the vegetation' line, (3) no
development can take place on the frontal dune (4) special
construction standards on piling depth and square footage
must be met and (5) all other' CAMA, state and local
regulations must be met.
The exception is not available in the Inlet Hazard Area.
To determine eligibility for the exception, the Local Permit
Officer will make these measurements and observations:
required setback from vegetation line
exception setback (maximum feasible) ,
rear property line setback
max. allowable square footage on lowest floor
Iot area as calculated from vegetation line
piling length needed to extend 4 feet below MSL
PRE -PERMIT STRUCTURE; INADEQUATE SETBACK
PRE -STORM BEACH PROFILE
__� POST -STORM BEACH PROFILE
ONE YEAR AFTER STORM/BEACH REBUILDING
After the storm, the house on the dune will be gone. The other house has a much better chance of survival.

North Anderson Blvd.
I P7BVAEFi OOLT7TY
- - - 1 BEALYfi DEFY.
r - %N Mo"M 1YAL HEALTH
1 SECTION
+ P. O. BOX !20'J
+ BVAGAW, -• -
' Plnur # s/g S7/ -s
I 1 OE 1
1 �r tt�
1 ! =1
astu&:'flfiE.. DATE
' House Area -- -
( I
1 +
I +
1 +
+ 1 150'
1 1
+ 1
1 1,500 gal. 1,500 gal. '
E I Septic Tank Pump Tank;
(D 1
m
1 5' 1
w 1 1
Peat Pods
150 �
o ❑ 20' x 30' Installed
;n + bed system w/
pods placed
+ ro 1111
on10'X10'
' - Q Sections
1 m
o m
Ca m ❑ ❑ 10
+ )
1
( 1
'1 1
1 1
� N +
1 fh 1
1 _
65'
71TLE:
pplied Resource Management PC
P.O. Bar 662. Hamps}-ad, NC 2B43 JOB:
(910) 2762979 FAX [phone]
_ Waterworks
308 A North Anderson Blvd.
1'= 20' I 6111104 I EFC

EnviroLinc
Environmental Compliance Solutions
June 2, 2004
Becky and Tay Filer
347 Family Lane
Hampstead, NC 28443
Re; 308-A N. Anderson Blvd.
PCHD permit #518571
Topsail Beach, Pender County, NC
Dear Mr. Filer,
EUVEROMENTAL HEALTH SECTION
P. O. BOX 1209
HURGA'N, C
P GE or
p-27-
tr TUM . vAZ
As you requested, we visited the above referenced site on May 26, 2006. The
purpose of the site visit was to determine if the existing 20' x 30' conventional
bed system designed for a four bedroom, single-family dwelling, could be
converted into a Puraflo@ peat bio-filter system for a six bedroom (total) duplex.
The system was installed on 5/5/03 under Pender County Permit Number
510562.
During the site visit the system was inspected and measured to determine if it
was installed as per the permit and could be converted to an initial Type A
Puraflo@, and if there was adequate area for a Type A PurafloO repair area. The
system was installed and appears to be as perthe permit. Based on this
information there is approximately 600 square feet of drain field installed. This
would be adequate for a Type A Puraflo@ with a 25 percent reduction in the field
based on Section E.2 of the Innovative Wastewater Systems Approval (IWWS)
Number: IWWS-98-1-R3. The actual reduction is approximately 16 percent
versus the whole 25 percent reduction allowable. Based on conversation with
the Pander County Health Department, Environmental Health Specialists the
system can be utilized by removing the existing cover soil over the drain field
area (by a septic system installer, preferably the installer who originally installed
the system). Once that has been completed, it is recommended that if the level
of the bed is disturbed and cannot be repaired to install the modules as per the
approval specs, then it is recommended that a layer of approved 57 stone be
placed on the field. This should be placed on the bed in an adequate thickness
to allow accurate leveling of the peat modules. Then the modules should be
installed over the existing bed, and backfilled in accordance with the IWWS-98-1-
R3 specifications. The repair area will be designated as a 720 square foot Type
A Puraflo® bed area, in the area originally designated for the repair area on
permit 510562.
1115 Skeet Club Road • High Point, NC 27265 • Phone: [phone] • Fax: [phone]

a... vaa.vava�iLlf1Y.L 1iEF1'TH SEz""yaiN
P. O. BOX 1209
BURGAW, NC 26•125
PERMIT # �—�S S�7/1
PAGE T Op y
AJ to- ?-04
'S1f$VBSQBg DAt�
In addition to the changes in the field, one 1,500 gallon septic tank, and one
1,500 gallon pump tank will have to be installed and shall maintain a five-foot
separation from all parts of the dwelling. These tanks should be installed at the
eastern edge of the field in the location of the existing septic tank. The tank will
have to either be removed or crushed in place to accommodate the installation of
the two new septic tanks. If these tanks are to be placed in an area subjected to
vehicular traffic then they will be required to be traffic rated.
If you have need any additional information please do not hesitate to call us at
[phone].
Sincerely,
Ellen. Corne` tt, R.S�
Geologist
ftNagy
Project Soil Scientist,
Enclosures
L
LSS W21 _ t
4315 Kirkstone Drive -High Point, NC 27265 -Phone: [phone] • Fax: [phone]

Registered Mail -Return Receipt Requested
November 16, 2004
George Feehley
1500 Mallard Island
Ocean City, Maryland 21842
Dear Mr. Feehley,
This letter is to inform you that I have applied for a CAMA permit on property located at
308 A. North Anderson Blvd. Topsail Beach, NC. I have enclosed a copy of the maps of
the proposed project. If there are no objections please sign the Adjacent Riparian
o
Property Owner Statement where indicated and return in the enclosed envelope to:
Jimmy Canady L.P.O.
820 S. Anderson Blvd.
Topsail Beach, NC 28445
If you have any questions regarding this project please feel free to call me.
Yours Very Truly,
H��ams
Partner
51 JH BATTS ROAD
P.O. Box 2566
SURF CITY, NORTH CAROLINA 28445
[phone] • FAX [phone]

m1k
ACTION
CONSTRUCTION
Registered Mail -Return Receipt Requested
November 16, 2004
John Ray
210 Forest Rail
Isle of Palms, S.C. 29451
Dear Mr. Ray,
This letter is to inform you that I have applied for a CAMA permit on property located at
308 A. North Anderson Blvd. Topsail Beach, NC. I have enclosed a copy of the maps of
the proposed project. If there are no objections please sign the Adjacent Riparian
Property Owner Statement where indicated and return in the enclosed envelope to:
Jimmy Canady L.P.O.
820 S. Anderson Blvd.
Topsail Beach, NC 28445
If you have any questions regarding this project please feel free to call me.
Yours Very Truly,
ZiramB. Williams
Partner
51 JH BATrs ROAD
P.O. BOX 2566
SURF CITY, NORTH CAROLINA 28445
[phone] • FAX [phone]

ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Richard D. Swever
property located at 308 A. North Anderson Blvd.
(Lot, Block, Road, etc.)
on Atlantic Ocean , in Topsail Beach. , N.C.
They have described to me as shown below, the project they are proposing at
that location and I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
See Attached Drawings
Signature of Adjacent Owner
Print or Type Name
Telephone Number
Date

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CERITICATE OF SURVEYOR
i Danny Marco Pad
tt do owify !
elan, the `
�j� a•
\�
that under my direction on e
attached phlslcol survey sae d
actual survey made undr my
so from an
perdslon. That
the ratio of deporiwee Is 1:6.
hand and,sed this day
0+, VQQQ ss my
�April , 2064.
Pn
ZAV,
6D
h
— r,
UiWNY MM ['ADGETT R.LS.
April 24; 2004
This property—K_le Is not
Scale: 1"=
0'
Ref. D.B. 1352, Pg.
31
In a specld Rood tone as datormined
by the Department of Housing and
L21Y
Project No.: IuclunZ.d
Urban Development.
10' a'
ZO'
SURVEY FOR,
Allison E
Lucien
Danny Marco Padgett S arveying
99 Village Drive
A Portion of Tract
No. 9
Holly Ridge. NC 284
5
L.P. Mayrand Divisic n
Office: (910)827-18
7
Town of Topsail Be ich,
Pander County, N.C.
F

SYSTEM TYPE d _ PENDER COUNTY HEALTH DEPARTMENT MAP #
P.O. BOX 1209, BURGAW, NC 28425
PAGE OF PHONE: [phone] RECORD #
IMPROVEMENT PERMIT / CONSTRUCTION AUTHORIZATION
OPERATION PERMIT
OWNER / AGENT �/c� �/ DATE 6 - / 4 -tiq PERMIT# 51f571
ADDRESS J y 2tp—oi�'/� CQ�2e� l ip SfFGG/ . /U� Z��i�& PHONE [phone]
SITE LOCATION _ / % /1/ /v 210 L' -An ra � r�� f a o� .foi / 64" 7yw4
SUBDIVISION, LOT# SECTION/BLOCK
HOUSE[ ]MOBILE HOME ( ] { # Bdrm. }_ BUSINESS [ ] (# EMPLOYEES/MEMBERS/SEATS)
WATER SUPPLY: PUBLIC [r -t WELL [ ]OTHER_-___-_ __ DESIGNATED WETLANDS: YES [ ] NO Lj
BASEMENT/LOWER LEVEL PLUMBING YES I ] NO [L} SYSTEM MINIMUM REVIEW FREQUENCY /,Y i+2 rn}EIr
DAILY DESIGN FLOW 7,0 gpd DOMESTIC WASTEWATER [v]--" INDUSTRIAL WASTEWATER [ ]
/Soo pump
LTAR gpd/W TANK SIZE % Ov S 4i c Gallons NITRIFICATION FIELD EXi3t :14 /00 Square Feet
NUMBER OF LINES Al fj
LENGTH iV14
Feet
DEPTH E f Inches
BED SYSTEM SIZE o2o X
30 jq TyPe A
Pit
syxtcM,
********IF GARBAGE DISPOSAL UNIT IS TO BE USED AN EFFLUENT FILTER SHALL BE INSTALLED********
SEE. LAYOUT OR ATFACHED PLOT PLAN
NO CHANGE IN SEPTIC SYSTEM OR ITS LOCATION WITHOUT PRIOR APPROVAL
FRONT THE PENDER COUNTY HEALTH DEPARTMENT.
THIS PERMIT 1S SUBJECT TO REVOCATION IF THE SITE PLAN, PLAT OR INTENDED USE OF THIS SITE CHANGES.
G-S. I3OA-335 (t)
MINIMUM HORIZONTAL SEPARATION OF SEPTIC SYSTEM (See Section .1950 a-c)
5 YEAR IMPROVEML'NI' PERMIT : P �. �S , ISSUE DATE E -/ .- 0
IMPROVEMENT PERMIT, NO EXPIRATION DATE: _ f�/ ISSUE DATE
CONDITIONS / ADDITIONAL INFORMATION:
f Jt'tni i✓0: SWWS- 94- l -k3
a
CONSTRUCTION AUTHORIZATION: n �e % ISSUE DATE /U- 27 n c/
VALID FOR 5 YEARS FROM THE DATE OF /. ANCE OF IMPROVEME 'El MIT.
OPERATION PERMIT:
INSTALLER
ISSUE DATE
THIS PERMIT DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE AND SATISFACTORY PERFORMANCE
IS NOT ASSURED BY THE PENDER COUNTY HEALTH DEPARTMENT.
c
THE SITE IS SUBJECT TO APPROVAL BY OTHER PUBLIC AGENCIES..1937 (b) (1) (C)
PCIIDMIH 3 Rev. 2-98