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IPACHTE# 0" -S-a33Sa, Harnett County Department of Public Health Improvement Permit A building permit cannot be issued with only an Improvement Permit 25790 PROPERTY LOCATION: low ISSUED TO: ~ALSta Corsscivc.S~d N SUBDIVISION 1•ry" L~ _ LOT # 4 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S'~- 0 Proposed Wastewater System Type: CoNvF,r+-S,or tRt- Projected Daily Flow: 36 GPD Number of bedrooms: 3 Number of Occupants: G max Basement ❑Yes ~kNo Pump Required: ❑Yes ❑ No rKMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well l0 0 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: A1J ZO I D°S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance permits. The permit holde is res Bible 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 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, .1951, .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: © . N~ A~sY, (2~ ~,s •n,~ c:, ~ o a PROPERTY LOCATION: ou Fsc Q o SUBDIVISION ` 7- reE.N PLac.C_ LOT # O Facility Type: SAO New ❑ Expansion ❑ Repair Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes No Type of Wastewater System" Cc cw 6rv C , o r- y, (Initial) Wastewater Flow: _3G0- GPD (See note below, if applicable Co r v E,.rS o N f., I(Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size lU 0 a gallons Exact length of each trench 1 S6 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. G - a. inches Maximum Trench Depth of. )1'7 --M 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: r, L.N rv f} M us-C 9,E- 10 r ~avn, S E.PC-, G Cvys-z - M `~L_ inches total **If applicable: /understand the system type specified is different from the type specified on the app/ication. /accept the specification of thi permit Owner/Legal Representative Signature: Date: This Construction Authorization is subjec ocation if the ite pla at, 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 compliance wit o o o s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: _ Cons n Authorization Expiration Date: HTE# O`t -5---,335a, Permit # aS'19 0 Harnett County Depa Ament of 1- ii bl i c Health Site Sketch PROPERTY LOCATON: -owC.ar 1J2 ISSUED TO: , A4 CcvSNcW -,%0 c~S SUBDIVISION eT---4 PV~L~ LOT # _ Authorized State Agent: ~OL~vE~z'COLJd Date: A f~ ^r & A T B A G t A s M F N r Yom. / L0 SB-c6Atx 36' I- _ ` f ' LONJeN%)ONa ~ Iv i 2EPa~2 t A i 1 A Q i V `TOw~,a. ObZ.w L uepartrnant ut r-mitutunern, nedmt, dttu tvdtutdt neauutt,va otroet. Division of Environmental Hear Property ID: On-site Wastewater Section Lot # File # SOILSITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Proposed Facility: 3 ~P~ctcchc~ vAom t Design Flow (.1949): 6o S Location of Sib: Water Supply: -_KPubic I I Individual (I Wei Evaluation klethod: _~{`Auger Boring (1 Pit Type of Wastewater Sewage f I Industrial Process R O SOIL MORPHOLOGY F 1941 1 .1940 L Lerhdecape Fbri=. 11941 E PmMwV Oeplh Skudae/ • S X (IN.) I Texture 1 Q-u8" G 5 _ .1941 Connor ItAnrrrloDq Date Evaluated: 1 a, 05 Property Size: Property Recorded: f I spring [ I other f I Cut ( I Mixed OTHER PROFILE FAC .1942 So$ 1943 Wett~l' , Sot . i9SQ 4 .1944+ Ff illi Sapivr' ` Reetr C1aso Ck" Fbda a LTAR S Description Initial S em R air System Available Space (.1945) System Ty e(s) Co N jJ Site LTAR y Other Factors (.1946): Site Classiflcatlon (.1948): S Evaluated By: d Others Present: S 5,