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HomeMy WebLinkAboutVA199200027 Application 1992-07-17 County of Albemarle Department of Zoning 401 McIntire Road Charlottesville, VA 22902-4596 (804) 296-5875 FAX (804) 972-4060 � VA- care - DATE: 1�/ ` j FEE: $95. 00 Pd STAFF: VARIANCE APPLICATION OWNER (as currently listed in Real Estate) Name V ', -- . .°, •;:k- t°,,.ir ki.. Phone ( ' ) ( v,_1 J`., • 65) �. v �16� Address l Qtl` cri .' Ra � ( luir s b 1 ilk- Z APPLICANT (if different from above) Name 6M€ A ) tau&R Phone ( . Address \ \ CONTACT PERSON (if different from above) Name /j •i i,c ,r- 4* -1; ,, 41 t.t �� -o Phone (r''. _ ` ) Ct.r _L-/ ir. )(1),:l ;I Day Phone (`',r, �) -q - ;:`i2_ - ( ,)- ' Address (' Ou;') �(--c-t ;_/t). ,.\ KC.:, _'.Y, IC' \if/<- 331O 1 i d a LOCATION: h I .��,ti -L,_�c` + z PLEASE PROVIDE A DESCRIPTION AND JUSTIFICATION OF YOUR REQUEST ON THE BACK OF THIS SHEET. OFFICE USE ONLY TAX MAP 446 , PARCEL 454; TM , P ; TM , P ZONED: PtlaAl- ) 2 ORDINANCE SECTION: 44,6 Board of Zoning Appeals Date: i/ l /la- c?,C I aC rC6 ( ) Special Permit (\ lea ( ) Variance i lA ( ) Proffers M- Q--rya-O 1 - t55 t j t 11.13 1 " BZA ACTION: Aprvved (5--d) wrt4 ho 1,orti4 5 . A`tt&- I/i lq9� µf e. l 4 d r 2 i/—9 L VA-92-27. Marek and Grazyna Kruszec (owners) . Property located on the W side of Rt 649 approx .2 mi N of the inters of Rts 649/741. TM46,P45A, zoned Rural Areas. Variance to reduce the reserve drainfield area from 100 to 70% for the construction of a four bedroom home. \qlr\ r � GEOLOGIST SUBSURFACE EXPLORATIONS, FOUNDATIONS, EARTH DAMS, SOIL ANALYSIS, 1111 ROSE HILL DRIVE,SUITE 5 E.O.GOOCH BLAST DAMAGE, GEOLOGICAL & LAND USE STUDIES & REPORTS CHARLOTTESVILLE,VA.22901 CHARLOTTESVILLE (804) 293-7780 ENGINEERS H.G.LAREW,P.E. E. O. GOOCH AND ASSOCIATES CHARLOTTESVILLE Consulting Geologists and Engineers June 15, 1992 Mr. Mark Kruszec 403 Four Seasons Drive Charlottesville, VA 22901 Re: Additional Investigation Drainfield Sites for T.M. 46, Parcel 45A State Route 649 Albemarle County, Virginia Dear Mr. Kruszec: As requested, we have performed an additional investigation at the referenced site to determine if it would be possible to expand the potential drainfield sites to accommodate a four bedroom house. We understand that Mr. Gary Rice indicated that you would need to expand easement "X" so that it would accommodate five ( 5) 100 foot drainfield lines . We attempted to expand the potential drainfield site north from easement "X" onto T.M. 46, Parcel 45A. However, the slope of the land exceeds twenty-five ( 25% ) percent, which eliminates this area as a potential drainfield site. We drilled two ( 2) additional soil profile holes south of easement "X" (see sketch) . If easement "X" is enlarged in this direction, it will allow for installation of 100 foot long drainfield lines . However, the slope of the land, an existing drainageway to the east of easement "X" and the suspected location of the existing drainfield for the Payne residence west of easement "X" will probably limit the drainfield in easement "X" to four ( 4) lines . If you want to pursue this matter further, we suggest that you have the surveyor set the four ( 4 ) corners of easement "X" , as shown on the plat prepared by Huffman and Associates dated May 12 , 1992, and have Mr. Gary Rice see if he thinks it would be possible to expand easement "X" to accommodate one ( 1 ) additional drainfield line. We hope this information is helpful. If you have any questions , please let us know. Very truly yours , E.O. GOOCH & ASSOCIATES Steve Gooch SG/pbs Enclosures E. O. GOOCH&ASSOCIATES Consulting Geologists and Engineers Soil Profile Subdivision James Payne Property Location Lot No. T.M 46 , Parcel 45 (Drainfield '�vu� 1 n Easement) E9w►rt Acts Gicgl t``PPc`e °l (Ake_ i". /oo • - 5011 PrbSt(e fee_ Subdivision - James Payne Property Lot No. T.M. 46 , Parcel 45 (Drainfield Easement) Hole Slope Depth Material Description ( inches ) 10 15% 0- 6 Topsoil 6-36 Red mica clay loam 36-60 Brown-red mica sandy loam 11 14% 0- 6 Topsoil 6-60 Red to brown-yellow mica silty clay loam --J --J Li T.(Ai• L.' • . . 6 ,..... I r COMMONWEALTH OF VIRGINIA • - - "—{-] • ap.-TEIAL R;rzizr ALBEMARLE ORM AURT DEED RECEIPT DATE: 05/19/92 TIME: 14:06:11 ACCOUNT: 003CLR92005998 RECEIPT: 92000007958 CASHIER: KPS REG: ABO5 TYPE: EASE PAYMENT: FULL PAYMENT INSTRUMENT : 9200599B BOOK: 0 PAGE: 0 RECORDED: 05/19/92 AT 14:06 ' GRANTOR NAME : PAYNE/JAMES E EX: N LOCALITY: CO GRANTEE NAME KRUSZEC1MAREK EX: N PERCENT: 100% • AND ADDRESS P 0 BOX 955 CHARLOTTESVILLE RECEIVED OF : C BRUCE MAXA DATE OF DEED: 05/14/92 CASH : 315.20 DESCRIPTION 1: 2: CONSIDERATION: .00 ASSUMPTION: .00 MAP: CODE DESCRIPTION PAID CODE DESCRIPTION PAID 301 DEEDS 14.00 145 VSLF 1.00 039 DEEDS AND CONTRACTS .15 213 COUNTY GRANTEE TAX .05 TENDERED : 15.20 AMOUNT PAID: 15.20 r , CHANGE ANT .00 CLERK OF COURT: SHELBY J. MARSHALL DC-18(12/91) • ALBEMARLE COUN 11' r \ ....... _32 I / �• �%. / FOKgT LAK•-���L 30A / 3 CT16N �.- _ 3 • 24 / 298 \ S�� - Qm AI ������® ♦ .® 33N III I_---- -� � � . ? H 7 01 _�!�'' ( 33 VA-92-27 Marek and Graz n 3a - ` 10 i---•— . • �, �1'1Al I�I a Kr 28 �lig I F �`I I • Tax Map 46, Parcel 45A Y ,uszec I q _ __ D ode 11 �28D 1 I `iii��a���- \ 1 \I � —� / 33F °o ttrF4frs uru- n \■ ll- �13APE28N ` I kiiiii0 ♦-_ti / 35A �3j4 i\AIOI I 1f� I i �6 IS �/V • x2N ,' 'I'!2),, 1 ._ V2' u�.I�� 36C / 3He IaA 110 / IIII I"II■9' "�t ' ea9 .DQ 1, a4 j43 �3• JfL X 1 :I i6■188 I j 2682 c - 438\ ;_ 38 4 R1.78845 45/ 47 .• iN.. p \ •, )----.. 17 1 .`e‘ � -OfF1T e4/ 83 I \33. ✓ 3.4 H6J7 \.51‹. 69 / / 82\\ 38 6 .� • • 160 / .....s'"......\ . )c \ / \ VVV T N..,,. 19 / 37 / 91L; 0.�4\ slL4. 7 45 18 / Y \ • Sur 9!u 4,� �y v 47 43. 41 , .\X, ik/\''`''''''\ 01 25 ..3C\ 3M . 9 / 24 93N • y/ , 180 J )o �R��4,yN \• J 6p 26 � �, 98 �'. 9`.9/ 94 /\ 9+' • ( .9 �� ��� 23 N 103a • . 93F • 'N-. 93D\ 1•, `\`Sl /f01R \! 23C !x '988 99 ! ;\ '\t\� \ 934/ �/ 23E y./ / • \r �'q3r )/\ 89 /A � •98A Oe ' 90,\- � 1 c.. 104 4936 92 --)._f,_,.\S / SECTION 468 9,Q� \ 103 \ / oA -A 22 C 10'fl "t .// 1I/y. // / r- ° i y la's n!?J,, 4/ 133 SOA m `.noon j3 u 3 \ I I, i \J' J, 'c. / � o 144� I J la /3� \. 21 ` fof !I \ �/, li9 \ ,, 143 .\ .L.,....•........••• ....... ic. . 0 \ Itf 120 CTION 464 // itiflii' _ 91• /// Jp"r 1221111V," �A _ \ / it. / 12] � 146 62 SCALE IN FEET CHARLOTTESVILLE SECTION .46 AND RIVANNA DISTRICTS , • I Health Department 4Iq9 _5/3 Identification Number 101 Schematic drawing of sewage disposal system and topographic features. r PAGE ZOF Z,- , Show the lot lines of the building lot and building site, sketch of property showing any topographic features which may impact on the design of the system, all existing and/or proposed structures including sewage disposal systems and wells within 100 feet of sewage disposal system and reserve area. The schematic drawing of the sewage disposal system shall show sewer lines, pretreatment unit, pump station, conveyance sys- tem, and subsurface soil absorption system, reserve area, etc. When a nonpublic drinking water supply is to be located on the same lot show all sources of pollution within 100 feet. ❑ The information required above has been drawn on the attached copy of the sketch submitted with the application. Attach additional sheets as necessary to illustrate the design. tit)tfr '\ I- \rb�u�1d . Ifz ,e a 4 ' \\C4 � 13 \ Dra rifield 'a gpr X s 4 "c9 a 1B W ell r3, % a) , Area 2 2 L 2 • t-3�i" 2er 2 \ ED © , iY cv �7' 4 IX� , 4- 1:414-"\ The sewage disposal system is to be constructed as specified by the permit ❑ or attached plans and specifications ❑ . This sewage disposal system construction permit is null and void If (a) conditions are changed from those shown on the application (b) condi- tions are changed from those shown on the construction permit. No part of any installation shall be covered or used untl inspected, corrections made if necessary, and approved, by the local health department or unless expressly authorized by the local health dept Any pa of any installation ich has been covered prior to approval shall be uncov- ered,if necessary,u n the direction of the Department. Date: 12111 91 Issued by: • This Construction ar Permit Valid until 4 Date: /1—/1��/ Reviewed by: ��� f Supervisory Sanitarian If FHA or VA financing Reviewed by Date Date Supervisory Sanitarian Regional Sanitarian C.M.S.202E1 Revised 6/B4 II-2A r1ott-21mAt 4. 2 Sewage Disposal System Construction Permit PAGE OF Commonwealth of Virginia Health Department 101-91-0513 DeptmlallomIth Identification Number 46-45A Health Department144-- Map Reference General Information New ❑ Repair 0 Expanded 0 Conditional 0 FHA 0 VA 0 Case No. Based on the application for a sewage disposal system construction permit filed in accordance. with Section 3.13.01, a construction permit is hereby issued to: 804-974-6308 Owner MAREK KRUSZEC Address 403 FOUR SEASONS DRIVE, UHAkLuTTESVILLE, VA 22 1fphone For a Type SOUTH 01!STt ge6 �potal E�gn� cibip tube ystructed on/at Subdivision Section/Block Lot Actual or estimated water use DESIGN NOTE: INSPECTION RESULTS Water supply; existing: (describe) Water supply location: Satisfactory yes 0 no 0 comments To be installed: class I I I C G.W.2 Received: yes 0 no ❑ not applicable 0 cased 20 FT. grouted 20 FT. Building sewer: Building sewer: yes 0 no 0 comments I.D. PVC 40, or equivalent. Satisfactory Slope 1.25" per 10'(minimum). • 0 Other Septic tank: Capacity gals. (minimum). Pretreatment unit: yes 0 no 0 comments ❑ Other Satisfactory Inlet-outlet structure: Inlet-outlet structure: yes 0 no 0 comments PVC 40,4"tees or equivalent. Satisfactory ❑ Other Pump and pump station: Pump&pump station: yes 0 no 0 comments No 0 Yes ❑ describe and show design. Satisfactory . if yes: Gravity mains: 3" or larger I.D., minimum 6" fall per Conveyance method: yes 0 no 0 comments 100', 1500 lb. crush strength or equivalent. Satisfactory 0 Other Distribution box: Distribution box: yes ❑ no 0 comments Precast concrete with ports. Satisfactory Q Other Header lines: Header lines: yes 0 no D comments Material: 4" I.D. 1500 lb. crush strength plastic or equiva- Satisfactory lent from distribution box to 2' into absorption trench. Slope 2" minimum. f Other . Percolation lines: Percolation lines: yes 0 no 0 comments Gravity 4" plastic 1000 lb. per foot bearing load or Satisfactory equivalent, slope 2" 4" (min. max.) per 100'. ❑ Other Absorption trenches: Absorption trenches: yes 0 no 0 comments Square ft. required : depth from ground surface Satisfactory to bottom of trench ; aggregate size Trench bottom slope center to center spacing ; trench width Date Inspected and approved by: Depth of aggregate ; Trench length ; Number of trenches Sanitarian C.H.S.202A Revised 8/84 11-2 Z-II >9/9 pesJAey VZOZ'SH'3 uepe;lugs sagouaq ;o JagwnN ' y;6ual youail 91e69.466e y;daa :�(q pana o dde pue pa;oedsul als ;o y;p!M gouail . 6uloeds ia;uao of Ja;uao adols wouoq gouai1 • azls a;e6aJ66e : youai; 10 wo;;oq o; tioloe;slleg aoe;ins puno.J6 wog; y;dap : pailnbai •;; arenbg sluawwoo ❑ ou 0 say( :seyau0J;uofdiosgy :segoueJ;uogdJosgy • Jay;O ❑ ,OOL Jad (•xew •ulw) „{s „Z ado's ';ualenlnba tioloe;sl;eS JO peoi 6upeaq ;oo; Jed •ql 0001 oliseld AllneJ0 s;uawwoo ❑ ou 0 say( :seull twilelowJed :said' uol;elooiad Jey;0 Li •wnwlulw „Z edolS •gouail uol;dJosge ow! ,Z o; xoq uol;nq!J;slp woJ; lual do;oe;slleg -enlnbe Jo ogseld y;6uai;s ysnJo •ql 0091. •o I „17 :leua;ew sluawwoo ❑ ou ❑ say( :seu;l Japes :Saud JapeaH Jay3O ❑ koloe;slleg •s;Jod y;!M a eiouoo;seoej s;uewwoo ❑ ou ❑ say( :xoq uol;nqu;sla :xoq uol;ngp;sla aay1O ❑ A o;oe;slles •lualenlnbe Jo 416ueJ;s gsnio 'ql 0091 sluawwoo ❑ ou ❑ say( :poq;ew eoueAeAuoO Jed Hui „g wnwlulw "a] Je5Jei JO „£ :sinew A;IneJO :se,( II fuo;oe;sues •u6lsap Mogs pue egposep ❑ sa,! 0 oN sluawwoo ❑ ou ❑ say( :uops;s dwnd v dwnd :uoge;s dwnd pue dwnd Jay;O ❑ do;oe;sl;eS lualenlnba JO seal„y'0q OAd sluawwoo 0 ou ❑ say( :am;oru;g;eI1no-;alul :ain;on.gs;al;no-;eiul tioloe;sl;eS Jeq Q ❑ sluewwoo ❑ ou ❑ seA :pun;uew;eai;eid (wnwlulw) •sle6 ,}loedeO :glue; °Iglus JaylO ❑ •(wnwlulw) ,0I.Jed „9Z•;edolS tioloe;slleg •lualenlnbe JO '0y OAd 'CD sluawwoo 0 ou ❑ say( :JOMes Bulplln9 :AMMes Bunn palno.16 • paseo ❑ aigeolldde ;ou ❑ ou ❑ seA :panlaoaa Z •M•J ; ; ; sselo :palls;sul eq o1 s;uewWOO ❑ ou ❑ say( do;oe;sgeS :uo+;eooi Alddns Ja;eM (egposap) :6ul;slxe 'Alddns Ja;eM S11f1S31:1 NO11O3dSNI :31ON NOIS30 asn JOIEM palewl;sa Jo Ien;oy ;off Tools/uolloes uolslnlpgng le/uo pa;on.lsljo5' iBsodslp?a6eMag'' ii edA1 a and 3 1ASII '.)� .; :, � Tur; �.,�c,- lam ..'� •r ssa�pp'i euoydejel �,�. ..- , JauMO 80 9-FL6-t-O8 :o; penssl AgeJeq sl 1liuiaduol;5nJlsuoo a 'I.0•£1•£ uol;oag y1!M aouepj000e ul pall; ;pied uollonJlsuoo walsAs lesodslp abeMas a Jo; uol;eolldde ay; uo poses 'oN ese0 ❑ VA ❑ VHd . ❑ Ieuol;lpuoO ❑ pepuedx3 ❑ Jledelj ❑ MaN uol;VWJOJUI IeMeueo • aoueJa;aa deys luewliedeO y;IeaH w Gfi-qfi' iegwnN uo!leo!!!luepl 43004 4 0111eIiIiJedea t:,'"HO I6-t0i • luewpedaayliee ro eiui6J!A J0 431eemuowwo3 AO_-3OVd puued uoilona4suo3 Iesodsia a6emes z 1 - Commonwealth of Virginia Uniform Water Well Completion Report Owner LriCc does i - c_ Tax Map ID Address c>- , t r , Sires T�tv�. VDH Permit l C IL`JU2nvt Ito_ v1,-- aaei I VWCB Permit Phone VWCB ID Locations 2 04et County r:1 I1Q1 mctalSL . •Weil Data • General Information Drilling Methocl`��j t Date Completed 1 a—I-i -oil Total Depth of Well /3Z) Depth to Bedrock 3ci' Yield ,..,?S (GPM) Length of Test Static Water Level Stabilized Water Level Natural Flow(Rate) Well Disinfected (Y or N) &J, Disinfectant Used Amount Used Casing From 0 to 844 From to From to Size(wit/"' Material Ave_., Size Material Size Material Weight/SLe 41-0 Weight/Schedule Weight/Schedule Gravel Pack From to From to From to Grout From 0 to -O From to From to Bore Hole Size /p Bore Hole Size Bore Hole Size Type C'Qr►'lo# Type Type Method" )l c_i , Method Method Water Zones or Screened Intervals From to From to From to Mesh Size Diem. Mash Size Diem. Mesh Size Diam. — From to ' From to From to Mesh Size Diem. Mesh Size Diam. . Mesh Size Diam. ` •Use Data * Private Well: Domestic k Agricultural Industrial Monitoring Public Well: ' Community Non Community l Z t90g00SoLZ lagwnt4 esuao!1 slolotiluo. em8,!A • ` d R ZZ usi 3 8upuasa,das and 1nlEU8!S slawj[,Q • 6L06—£L6 ($708) 2UO4d • y06?Z VA 4aTTTAsa330-LaE44 aAIiQ uuyaTgoa Spa ssa,ppy 'ONI `XNVaW00 d lld '4 gum 221S03 l023ei3U D Surjjrla 'SMEI put sa3UEurplo 'suoile�n8a, !coo, pue aleis aIgeoljddt IjE yl!M sarldwoo 110M ay) lEyl lay pay ijw,ad oyl ylrM aauEp,oaae ui palan,lsuoo pin pai1Elsu! sEM Ham Slyl min pUE anll Si alay poumuO3 UOIlEw1OJU! Grp leyl 'Jtl,ao • I cam/ -- • sx,eu,a�j luawipas JO UOUew,Od JO UOUd!lasa(' Lida(' (6Essaaau J! slaays (euor)rppe asn) Sol s,attun C'rIGT( - L(J�"�� ,Lktru+ VARIANCE CHECKLIST The current application form must be completed by the applicant in its entirety (the request should be clear) . THE FOLLOWING INFORMATION SHALL BE SUBMITTED WITH THE APPLICATION AND IS TO BE PROVIDED BY THE APPLICANT. ( 4 Application with justification statement. (4 Most recently approved recorded plat. If none exists, then a copy of the deed description for the property or properties involved in the request. - (,J( The appropriate drawings showing all existing and proposed improvements on the property, with dimensions and distances to property lines, and any special conditions of the property that may justify the request. (4 The fee payable -tLo the County of Albemarle. -C��� -\ E(i l l�iv iiGi CL THE ZONING DEPARTMENT ' WILL PROVIDE THE FOLLOWING INFORMATION TO THE APPLICANT: ( ( ) One public notice sign for each roadway and/or road frontage. � o f?'" k/ }'� ( ) Instructions for posting signs. (v) Copy of the review schedule. 1 � (Person accepting appl4cation) ate GOOK G 0 I PAGED 4 5 5 r N • N10• LY IRO'l Ol //'l .. I F0 /f!.L7' jj7t°It DO°[ f7.1L ._______________\ 7ser, /Npy 7PZV✓0, tNL� \I I l7!•/4'/ 2.0//ACRES ',-'`" D.B.366-/63il JAMES E. PAYNE - O. B.383-/63 97A°/1'E £DWARD J. a FAN//E BROWN 6^t 70 D.B. 477-266/P/OT/ /5 949 AC kE5/DUE / [76.st RAYNCY/O L.B DORA', .. BROOKS 0.D.474-6/5-6/7 311.50 /P/OT/ r p it �'°� 4 h ti h4 . sLr, h 4 I 6 hOe S 4•,,'4/ /�•:--r PARCEL X-O.091 AC.--''' DEDICATED 70 THE COUNTY Off v \ ALOL.49LS fOR RawPURPLts[l.` -. A. >p -" \'T�° NP 4'y\\' n z.onAC. PLAT OF .r, pIRC �To 2,0//ACRE PARCEL LOCATED ON ST. RT ci l pPJ. �� 649,NEAR PROFF/T, ALBE/.IARLE CO.,VA. ^'0�' u.t. FOR 79 JAMES E.PAYNE pY I�' i n/uoin f49 VICINITY NAP . SCALE,I.a/00• DATE: 4-27-76 1,1 I/O SCALE /00 50 0 /00 200 I •wwww,nr 1 R.O SNOW 0 4550C/4715 !lel fig ARLOTR-S VILLA', VA. Li APPROVALS i S,.P/E/ CERTIFICATION 1 OWNERS APPROVAL :Fr.'s e: '- ere '�NNE:T ihE S.•tl.^-/V/SIUh :! 7.Yn...INC - - • k 1I _ 0.:v.. ,wr J< .s 4No1VE0 As SNOA4 \t,,1LTf(Op COUNTY PLANNING COAYA5510N ,,_No. y- / ' 'H<% - /' �'✓I' • STATE OF VIRGINIA ^A'^"/-:• �� , COUNTY OF ALBEMARLE, TO-NIT ' '/.I90•', . THE FOREGOING INSTRUMENT COUNTY BCARO OF SUPERVISGkS WAS ACKNOWLEDGED BEFORE • ME THIS—DAY OF n",' / 97_ AS OWNER -r 5'� "r.�„�.'1 ti.J-• •,ZM:�, MY COAr..1:SS:ON E%P..i/ES i }„r 444+4 � �L1\LTFi ( • if oLr , r M + ARTH 1R F :_DwA,R:,: •- + K+ 14ZOE3 0 u ;y /11 V 3 \.n sc1lz\,,4: +l t aj f )4/ i 39 fin! its rm. 4to PA495A , 7frt 160 p,9,q 45 A o / . i.k - o � ` tx.,„? z 773 96 N PAIr. 13 8 a , t Q,e N est./Air ..._ R M 25, .� d°: `(S U 380 °14/ • lam, /43.2 v � o;', ‘ n try I� Cf •� T 99 „:2L,9T oh"w/N 6 ($E2"7-7C lS Y 5TE/`9 Or n/N, ... ELO E79%S'E747 fW7S Zac47-FD ON rt> 96 / /9 95 7?" 8621/6- /T Z ' 1c' , 9/r 154 CscAe. -.•/ /00/ /9L 8 9 j 6 ov vTy, !//,yG/fv/,9 /` 4/ /' /772 B. AUBREY HUFFMAN & ASSOCIATES, LTD. CIVIL ENGINEERING - LAND SURVEYING - LAND PLANNING CHARLOTTESVILLE, VIRGINIA i wi ft F.9. 28B a. 4 4+4#+. , �11 S -4\L"TFiG/ g ....7 ,, /.. 4 11 P.4' ♦ •• ... :..; , te � ` M J) :, 1420E-1 13/ 9 ' Nk • 'I. ill 31 Pig 45 A r-ci. 4 69 iv/9 A''. 4 5 .- til ,. . 4\'‘ ' i Ni V • ,�� � � r� � 13 8 0 tc-sfriA/r* '‘x" ....: k, ... . , . J/ oi2 c� �' ,O(It ,CC� a � J 5rInr r >' • ° eo, /43. 2 c.s /`� U...3°9a .9s w. o o ,, scl, h �oNis. a°' CP/Io°.5791,E`.. p(,to <V , . .: .. ( Lr'? . \ c fT 99 vA 4121. 11.0. /•=7. /.9T U/710 w/N 6 ( f 77C l$ )47 &2At O /N�/EGO 6-AsEiENTS LC•9 v 7E0 v 7� 46 l'/9� 45 TO 5�iVe /T 77 9' /%f 154 O Csc/q L6-.•/=- boo' ,9Z Q E-7-7/9/rzE c449U/v77', 1/i/76iN//9 /74/ /e /7Y B. AUBREY HUFFMAN & ASSOCIATES, LTD.CIVIL ENGINEERING - LAND SURVEYING N A LAND PLANNING CHARLOTTES ic'R 7RB Health Department 1 �j Identification Number -. 9 �� e disposal system and topographic features. ;J PAGE OF � Schematic drawing of sewag � showing any topographic features which may impact on the design of Show sthe lot lines of the buildingp lot and structures site, sketch :�f property whin eet op se gedisposal conveyance ystee and the 'n and/or proposed structures including sewage disposal systems and wells within 100 feet of sewage system an sy reserve rvete a all existing1 is pretreatment unit,located station,onthe sameanlot show all sys- teserve area. The schematicoilabsorptiondrawig stemf , reserve are sewage aoetc. When asnolnpubl c drinking'watesupp y tern, and subsurface soil Y sources of pollution within 100 feet.❑ The information required above has been drawn on the attached copy of the sketch submitted with the application. to illustrate the design. Attach additional sheets as necessary riblfr k 04., Orairif1eld NI- . , le , . Well 1 \ Area 4 t. G I , _ I TO9 litep . ,.. specified bythe permit Ell or attached plans and specifications [ The sewage disposal system is to be constructed as (b) con. permit 15 null and void If (a) conditions are changed from those shown on the application This sewage disposal system construction rmit. tions are changed from those shown on the construction pe by the local health departm� corrections made if necessary, and approved, to approvalocalshall a una N a of any Installation ich has been covered prior or part of any installation shall be covered healthcal used untl inspect or unless expressly authorized direction ot by the othe Department.t Any p Bred, if necessary. uThis Construction �2 g Issued by: Permit Valid until Date: S ari Date: C 2 �/L 9! ReVleWed by: Supervisory Sanitarian __________________________________________________________________________________________FHA or VA financing Date ------ — Regional Sanitarian Reviewed by Date Supervisory Sanitarian Il-2A C.H.S.2028 Revised 6re4 ORIGINAL - \IA