corby county

CALMELL Mt NTY ENVrRG NVIEVAL HEALTH WPAfRTMENT Pafrtt� �: �i�itS'
'Z30 Mirpow Dlrd, Lenolr, NC UVU
ALUT11403tilIZATION FOR till ASHMRTIER SYMM CONSTRU= (AXWMT-ja�
Ownw-. '%Lp " L P,
PropatVAddraw Lst.l-iT - Y r T PIOM . 2-10 MR351
$ #km (If appR sW, ._JL'v ig .._Ev"p aft C,
Prap*tyr Upadonc ._ 3l r► i
rmprauermt h kkM ti W T- Assodaw Permit:
hem bIlpsed For [&Gw IopAr UAddftvn Emhlfa meAt_ [E�F!U dO ae Mque Some �t?ther
Flow; G.P.D. Number of Aedrovms; _ L _ 8aswwnt Yes No
Some of wabrr UPOW; � — _ Dmunar from SeviW �,�rn! i-CIL
Porn- t CWWROWd. 11m Mret grade or All drain field qr repesr area.
RbAtaCt ' SMAk onmeoto Heakh If there are snV qu&Wanj =rIC+6 nrem d plsn or wewmcirn of septic spstere_
' - q cn
theta m k . rF+4,'4Apt ft ar�il+��� 'nrr Mt i� ImbJ1 IN sef�ils.►� RUA LMAI be++Mi4.1
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SeptitTenk Liquid Capb&Ljr .J MIS, * IFOOR@C . r+ ! No. unes'
lnitla! Dr.An Field Type. LTAA; F35 KzpWrC"M Field Tyve: 5e*% Rfe LTA PL • F
T►4 ich Wieh= MA: NO Wkkh: 74"' Sapirme; es O Nt, RAW n! D*Vka MI +wENS Je�.�'"" pi �
N040e; Th4 A.&W.SiL Is sw4act to all: the proyWons of ,wrtlebE It G:S. I-XA-153-399 ar d Laws and Rules far SMAtarx S+rwap
collerEkiM Treetwwt xW fitpos*L Sedidn L%U of the PLC parrunistrative -Code. 11his A.F.W.S.G Is based on the Abu
ew"WrVimprunrnent pemTit mued ffR AAy alteration & the site or chargrs made in M6 d@Vjnr 16"VON 0+ IAA
of tw sxstem mode after thk& dates unbess speafleailysated will mmedlately Mold this A,F,W.S,C. I urdervund the FOWALemantt of
this A.F.Y -kC and the Wfa Y tion I have FiwIdtd :e atcurawe to Lhe hest of astir knowledge
-1107�
Wis..F.WS.C. explrss are; � ldeserib�e�sfste�n has bmm InsWiled,
Sanllarlan" _ � - ; yfg �'.. _ _ tl■ Dmz-