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IPACHTE# QIi -=-~y Harnett County Department of Public Health 2 5 7 5 6 Improvement Permit A building permit cannot be issued with only an Improvement P"it PROPERTY LOCATION: V,} utist 6Lfi. ISSUED TO: C-o vs-Ess Lv,.,o V E~t -o?c•.~aT SUBDIVISION ~ ooGsH~~E LOT # Vn NEW` REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: CA N-4 C,.r z, P,3 `+9, v Projected Daily Flow: GPD Number of bedrooms: t l Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well b d feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: G\'a.Qld`~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance ermits. The permit holder is res nsible 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 it 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, .1957, .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 T0: C-P,vsNCCss LO ..p QEtFaoQr~t3: PROPERTY LOCATION: ~yQ".~~ RQ SUBDIVISION \,4o005~~~2E LOT # NT Facility Type: SAO ~dicSG~ New ❑ Expansion ❑ Repair Basement? ❑ Yes -'N, No Basement Fixtures? ❑ Yes No Type of Wastewater System** Cn T4 -J N P% (Initial) Wastewater Flow: y'~ O GPD (See note below, if applicable Cv nr t6cv; N ski (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size x,© o d gallons Exact length of each trench w feet Trench Spacing: c'I Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: AH inches Maximum Trench Depth of. "34-11 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 `1 Aggregate Depth:- inches above pipe Conditions: r.rCga2. LvuG MvsT gt_ )r FWol S~S~c `~StF~ ~u V-t~L,SsE inches total M0"V'rcaoy+S~t 1~''-'~ fi~' L-- Og- Qzeo',0- CL~A~ **If applicable: /understand the system type specified it different from the type specified oa the app/icatiom / accept the fpecifcwt flr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation i Ian, pla r the intended use changes. The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This Construction Authorization is s o c ante with the r ons d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: col-A 109 Construction'Authorization Expiration Date: HTE# Q':►-'S-a3d~y Permit # aS-1 Harnett c onnty Depailinent of Vtblic Health Site Sketch ~ PROPERTY LO(ATON: ~vrLSG2~! ISSUED TO: ` lPll v E ~ ~f~ GlO r,E C SUBDIVISION rccxt~~2~ LOT # _ Authorized State Agent C-~~S ~auvF~L`Tot Date: t0 ~)o~ 113" I c.ocr,vLrS\ 4NgL YLCPa~2 AQ.~ I ►~o X 56 fl R C k~rnc~2ou~H D2 d Q a Department of Emimnnienk Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOHJSTTE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: 4JA)c`I Proposed Facility: tiS6L>-'m- ~Y J' L Design Flow (.1949):41G Location of Site: Property Recorded: Water Supply: ❑ Public ❑ Individual ❑ Well Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Type of wastewater. ❑ Sewage ❑ Industrial Process ❑ Shed: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Nfixed P R O F I 1940 01L MORPHOLOGY .1941 THER PROFILE FACTORS L E * L=Wsmpe, Position/ Slope, % - Horizon Depth (In.) .1941 Struch" Tezbxs I .1941 Comiatmoe Minwelo .1941 Soil woommof Coto .1943 Soil Depth IM. .19% sapro Clan .1944 ReW Horn Proms Clam & LTAR L-5 S ~Q Description Initial S stem , Repair Sydow Other Factors (.1946): Site Classificatio 1948r } Available Space .1943 n l E d B Sydow a va uate y: 0 O h site, LTAR 2 t ers Present: