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IPACHTE# I,-5- aSaL~5 Harnett County Department of Public Health Improvement Permit 26898 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 0ZC.s 'Q ISSUED TO: ~ t-~- SUBDIVISION C?sAic ,NoN LOT # NEW [ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: L-4, x5 CO Proposed Wastewater System Type: o V ,.j 5`) Projected Daily Flow: L-14© GPD Number of bedrooms: L-~ Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes I~KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well ®d feet Permit valid for: ,Five years Permit conditions: c ❑ No expiration Authorized State Agent:: Date: aA SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the i c other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Impro Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization Reauired for Building Permit The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. n ISSUED TO: C.i-S-- Y\ OME.-'s L.(.-<Z.- PROPERTY LOCATION: Qoc,s 949 SUBDIVISION QN-4-rnosrS LOT # Facility Type: K New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** °lo c.-;N0N S`)5-Drt (Initial) Wastewater Flow: q ® GPD (See note below, if applicable L?Q (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 10 flO gallons Exact length of each trench a-t (!3 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 1`b inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: C inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type specified is different from the type specified on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to re if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subje LtVompliance with 4_ pr " s of and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: v RCS Date: a -col Constr~uthorization Expiration Date: HTE# Permit # Harnett County Department of IN blic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: i:oGs _ SUBDIVISION ~axv-\osZTT l LOT # ~S yE~Z`TO Z rssx (1~~J Date: V lb, l-j- Ipd 57~ -;07. E-)Gc,uSivt D2tV~ Department of Environment; Health and Natural Resources Division of Environmental Health x Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: L.) Q40~.Wo~ Design Flow(. 1949); v,l ~ P ~ s~~ Location of Site: Property Recorded: .7 117- roperty Size: Ler Supply: Public❑ Individual ❑ Well Evaluation Method Auger B 'ng ❑ pit ❑ Type of Wastewater: `j Sewage Industrial Process ❑ Spring Cut ❑ Mixed ❑ Other