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IPACHTE#to--S Harnett County Department of Public Health 25871 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: L.o'114-- (ZD ISSUED TO: \fj Y~ N CC, va r1 SUBDIVISION CK,U2 o tvt t-AL_2 LOT # _L NEW,X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5(;:D ) Proposed Wastewater System Type: S"!r Pip vc < sd r t 5~~~ err., Projected Daily Flow: 3(-' o GPD Number of bedrooms: 3 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 ~K Public ❑ Well Distance from well S Q feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: k ~s pate: t ~t ti0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuati2 er 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, .19S7, .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: -'v4 CO r ~cl- vt Facility Type: S Aos~,~O New Basement? ❑ Yes ~3\ No Basement Fixtures? ❑ Yes Type of Wastewater System** e -C-DU ' t~,6 (See note below if a licable PROPERTY LOCATION: Z i,,vv-u-cC L-t r G SUBDIVISION Co,MFQ2 $ N -ACS LOT # ❑ Expansion ❑ Repair No Gn, (Initial) Wastewater Flow: PP - tlo Luc S "c "I (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 a ©d gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. D-L-) inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM GPD inches below pipe Conditions: W 1_s-E i{1 g ~C) aG S`Elnsc- Sys -s V Aggregate Depth: inches above pipe inches total '?,L C) Q L-,c S>0 **If applicable: / nnderrtand the S,ys m type rpecided is different from the type specilled on the appliwl n. / accept the speclllwions of thu permit Owner/Legal Representative Signature: Date: nuuwn-on > waft < < evucauun n me sue plan, pear, or me mtenoeo use cnanges. ine tonstructron Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliN -sons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH ~.v Trench Spacing: ` Feet on Center Soil Cover la inches (Maximum soil cover shall not exceed 36" above the trench bottom) Authorized State Agent: Date: ► } 6 No struction Authorization Expiration Date: ` ~5 HTE# 10`5- ssCo Permit # '~,Wl I Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: r' ISSUED T0: ync~1 C y N 2v G; C? N SUBDIVISION `~~M~~aN p~~iES LOT # Authorized State Agent:- ~ws (pi, , v 6 -r 0 Date: as 1 - - L)f- t00~ a.S°w PZOUcrIC)N I 9- GP n,N cz v o.,-- r~ I 3B x5~. ID 36Q C R w6rirjN ev N f=5 o 150" Department of EwAfounwd, Health and Natmal Resourm Division of EwAmnmeaW Health On-Site Wastewater Secdmt SOIUSI'TZ EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applk Address Date Evaluated: Proposed Fatality: 3 66OWdm Dedp Fir (,1949): 3,6 0 r, Lawton Of Site: NdVS6 P,,opwt7 Recocded. Water Supply: 7t •"Y~•] ❑ individual C] Well Evaluadon Method: r Borjns ❑ pk Type of wastewater: ❑ t pocm Sheet- Property ID: Lot; File !t: Code: Property Size: Cut ❑ Spring ❑ other Misted P R O F I .1910 H m MORMIOLWY .1941 THER PROFILE FAiC1OltS B Po sore % LS am Dq& (la) .1941 sbuch" Tema .1941 Ceaet>te~oe mbwalp" .1941 Sol! wol mw CAW .1943 W .1936 s4o Cleve 1 0-a.4 G vr-n-SIv P 14 -IV). ~K sc.L Fil =3 )NP n, N C.~aa, ~ 5 v f~ Ns sQK sc.L S 3 G S Site CkWficsdo (.194ik e5 Evehuded By Othas Present 6 .1944 Reels rhas chm & LTA P.S. 5 PS ..5