IPACHTE# ►o- -a3~3CA Harnett County Department of Public Health 25876
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ISSUED TO: cc:, WE~r,vG-2 Qt=cc:, . 1NL SUBDIVISION sst~~ ~fpG~ LOT # _aO_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: x30
Proposed Wastewater System Type: C-4, N v E,-J- LO N P.L
Projected Daily Flow: 300 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes I No
Pump Required: ❑Yes 11 No X May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public El Well Distance from well l Ud feet Permit valid for Five years
Permit conditions: El No expiration
Authorized State Agent:: RE-N-6 Date: ~ O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ance of other 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 taws 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: ~Ec> O~J ~NC, PROPERTY LOCATION:
SUBDIVISION G ,NS~~ R..)LOT # 2~.O
Facility Type: New 11 Expansion ❑ Repair
Basement? El Yes X No Basement Fixtures? El Yes No
Type of Wastewater System' Ca Tv4-4 av-'~ ~ 0 tit A'_ (Initial) Wastewater Flow: 3. ,O _ GPD
(See note below, if applicable
CO ~ J tYr.rS lG N AL" (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ► d b o gallons Exact length of each trench _ S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. Y.a- inches
Maximum Trench Depth of: av+- 1o 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: \JA E2 L-~ N M J5 C 1 p 2p rr, N 6„ `Z-) ysc M 1 inches total
*If applicable: /understand the system type specified is different from the type specified on the application. / accept the rpecipcations of this permit.
Owner/legal Representative Signature:
This Construction Authorization is subject to revocation if the
Construction Authorization is subiett w comnlianro- w' o~
Authorized State Agent:
Improvement Permit
A building permit cannot be issued with only an Improvement Perr I
PROPERTY LOCATION: j
Date:
plat, or the intended use changes. The Construction Authonzatlon shall not be transferred when there is a change in ownership of the site. This
laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: Z
u'ttion Authorization Expiration Date: _
HTE# Permit #
Harnett County 1)epartnlent of Public Health
Site Sketch
PROPERTY LOCATON: 6 e-N Ra
ISSUED TO: \Jt=.fl vejp- v , N SUBDIVISION Sv w&cz 9- LOT # ~-O
Authorized State Agent: 9-9--,As 61-146a -Soy- ooc5 Date:
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DeprartmeW of Emironmaa, Health and Natural Resounm Sheet:
Division of Environmenw Health
On-Site Wastewater Sefto Pop" ID:
Lot
SOWSM EVALUATION File :
for ON-Qnv wAa Code:
TLWA Am 01[9TEM
Addnse: DW EvaW ted; 1) 3)) O
Proposed Faplity; 3 IR E :-U-Og~~
Location d Site: Y~ Prop" Size:
Water Sup A ❑ WMdual it 17 Weu ❑ spring ❑ older
Evahredaa Method;
'T`ype of Wastewater: ❑ Industrial Proceaa 8 Olt
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