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IPACHTE# I o--~-a Harnett County Department of Public Health 2 5 8 7 7 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NL-,p v rv ISSUED TO: KErr Cy r r, r, , , GS SUBDIVISION S,, MM ,-T NEW REPAIR ❑ EXPANSION [I LOT : 1 a Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~9 ~ 53 x3~' Proposed Wastewater System Type: Ccs -i r, s; N n c r P,t_ Projected Daily flow: 3G~ © 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 )Public ❑ Well Distance from well 100 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: _ctL Date: u1 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no w~a esthe ~foermits. 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, pia4 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, AM, .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 T0: PROPERTY LOCATION: P~~Q sryE SUBDIVISION S04Y,.►,~ LOT # Facility Type: S V-Q) New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes NJ No Type of Wastewater System*'F C-1 N.t G so rq p (Initial) Wastewater Flow: 3~,0 GPD (See note below, if applicable C-0 k-4-4 e vc, D.L. (Repair) Installation Requirements/(onditions Number of trenches a Septic Tank Size ► o OC gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: A!) -20 inches (Trench bottoms shall be level to +/-I/r in all directions) Pump Requirements: ft. TDH vs. _ GPM Trench Spacing: 'c) Feet on Center Soil Cover: ~ - ) inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: ~1 ptrr>_ 1~ ,~G M,»,; l Arno M S p-SsL S ~5s~t„~ C inches below pipe Q inches above pipe 1 inches total elf applicable: / understand the ryrtem type specified it dih`erent lrom the type rpeci6ed on the app/ication. / accept the .rpecificationr of thic permit Owner/legal Representative Signature: Date: This Construction Authorization is su I ovation if the site plan, 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 Authorzation is subject to complianceth v f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: ~i. Con ction Authorization Expiration Date: . HTE# 10 -S -D3(,yS Permit # ~L-5"C7--7 n.-ti-f ett County Depallinellt of Public neaw, Site slietell PROPERTY LOCATON: kL-vINE ISSUED T0: " rv CU co 1 nT 65 SUBDIVISION S u Mm LOT # _ Zi Ll Authorized State Agent Q C- (0I-wEXL -TOL-x-,00 ~ Date: a L} ib a1 ,cK 5 "-4,3% QL A v > > M~2,ylN t= O(L v9 Of EmAmomerlt Health and Natural Resources sheet: Division Of Enmhanm l Health On-Site Wastewater SeWm Property ID: Lot N: SOWSITZ ZVALUATION File it: for ON-qiTS WAg Code: TZWATZA SYSTZM Owner. AWicauL- Address: Date Evaluated: a 13 ) ) o Pmposad Location dS~ibe~ I c~GD~ E Ply R~ded: ~b 4 Ptopetty Siu: Wata SxV& ❑ Individual ❑ Well Evahrad= Method; Aqw Boring ❑ pit cut ❑ sping ❑ other Type Of Wes' Sewage ❑ del Pl+ocesa M kod R O P 1 .1940 WM MORMWLOOY L L~ Haim .1941 8 Powdad mope % .1941 .1941 sk"oftw CamMm L s TSXNN ~Y w o-40 s Q~ ~ M-Lt,~~ Yt= n. ~s1 ~4 N ~xl c ~ M Wft@W site C1aniQW='(.19ai) 5 Odwo t 1 .1943 I .19li .1944 rmft ftw C!r 1laft & LTA Is ,4 S"? S.y