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IPACHTE# 1Harnett County Department of Public Health Improvement Permit 2 6 9 8 5 A building permit cannot be issued with only an Improvement Kermit C PROPERTY LOCATION: \4-1<-Le Vj> ISSUED TO. 9,4v`1 'ftaTvE C. SUBDIVISION LS~~~ ~cs~2cns LOT # a0 NEW REPAIRC~ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SF'Q t56.x4y Q-E®VG'+ n*► :Eyr Proposed Wastewater System Ty e: 11,S"010 Projected Daily Flow: IA-6 GPD Number of bedrooms: L) Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes N No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ]a Public ❑ Well Distance from well \00 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: l SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder is resp insible 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 Improve j 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: SQ,yvy Okotrg.-5 LL C- PROPERTY LOCATION: \JIVLL- Q-'Q SUBDIVISION LPN LOT # Facility Type: s '1!< New ❑ Expansion ❑ Repair Basement? ❑ Yes :N No Basement Fixtures? ❑ Yes No Type of Wastewater System**UC.'7► O N 5 G(Initial) Wastewater Flow: 4$d GPD (See note below, if applicable c, &5 °/a ~v ~s V~ -'Ysi F-m (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1©00 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench v B feet Trenches shall be installed on contour at a Maximum Trench Depth DOI inches (Trench bottoms shall 6e-level to +/-1/4" in all directions) GPM Trench Spacing: 1 Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe 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 specibed on the application. / accept the specipcations of this permit. Owner/Legal Representative Si nature: Date: This Construction Authorization is subject to revoca ' the si n, 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 subompliance s s tie Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: a.c--Y35 Date: on, Authorization Expiration Date: HTE# la: 5-14f,0 1 Permit # 2-4`t`'O 0 Mt."A Cs 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: 'I) 3 3 Proposed Facility:1413 C-bZC1t1M5 Design Flow (.1949): Location of Site: Property Recorded: Water Supply: 'public❑ Individual ❑ Well Evaluation Methodh!~,Auger Bofing ❑ Pit Type of Wastewater: _RSewage ❑ Cut ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed