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IPAC RHTE# I~-s' ~8ct3s`R Harnett County Department of Public Health Improvement Permit 2 6 9 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N' C- t~ 7 W ISSUED T : V✓1n Co.LS• ~sc_-~ SUBDIVISION _--r, n IQ a LOT # f/ 7 NEW REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: FD X.7 8 15 Proposed Wastewater System Type: ~1n~ a. ea v~ SYr ttew. Projected Daily Flow: 3 y GPD Number of bedrooms: 3 Number of Occupants: L_max Basement ❑Yes 101o Pump Required: L~'Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 2 '*Five years Permit conditions: ❑ No expiration Authorized State Agent:: sent Date: 3 5 20! Z SEE ATTACHED SITE SKETCH The issuance of this permit by Health Department in no way guarantees the issuance of 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 Improvement 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 (Required 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. ISSUED TO: ~Y/1n C~~r rvc %4v~ PROPERTY LOCATION: //C- X-7 k--J SUBDIVISION a-.\ /~aa.ti~c LOT # //7 Facility Type: ifs J) DR""New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** F,3rv,.p 1, 7, AzJli rkn, (Initial) Wastewater Flow: 3~C GPD (See note below, if applicable - -V.r{~n-• (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /000 gallons Exact length of each trench fs © feet Trench Spacing: Feet on Center Pump Tank Size /1U®0 gallons Trenches shall be installed on contour at a Soil Cover: t~tz inches Maximum Trench Depth of: I8-a'-1 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specifed on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershio of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH G Authorized State Agent: wa{-, Cff Date: 7 / 0/Z Construction Authorization Expiration Date: / 1 '2 °ri HTE # Z4 -S-- a 8 q 3S'~ Permit # H(arnett County e ta,rtment of Miblic Health Site sketch PROPERTY LOCATON: Al C 17*7 k>) ISSUED T0:~~i► SUBDIVISION Jn~~.~ ~o;nte LOT # l/7 Authorized State Agent: Date: Rol Z /08 /0 (~5 n I I -D I^ y _ _ f Al-p I f moo` S`-pp ty ?;1. 4-- be. Department of Environment; Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated..s? 4012- Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: i Public❑ Individual ❑ Well Evaluation Method:[ AugeAS" og ❑ pit ❑ Cut Type of Wastewater: ewage El Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed -