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IPACHTE# ►~~~3s Harnett County Department of Public Health 2 5 8 7 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: F~Yrc~~jc-s~so ISSUED TO: ~PZl +G - ci ~C SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Mello, , ^60 Proposed Wastewater System Type: C.o v re,4-c\ cs rr 4,,%- Projected Daily Flow: 3 O GPD Number of bedrooms: Number of Occupants: Co max Basement ❑Yes F~ No Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >Q Public ❑ Well Distance from well V© O feet Permit valid tor: ~ Five years Permit conditions: ` ❑ No expiration Authorized State Agent:: OE~1S Qate: 5 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o 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 it shat( 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, with the attached system layout 1956, .1951, .1958. and _1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance ISSUED TO: V4 e y N `~Q Eo a . c,~ PROPERTY LOCATION: 'V-L N Sn tv Facility Type: Ms~N,+ Ao r,E~6 New SUBDIVISION LOT # ❑ Expansion ❑ Repair Basement? El Yes ~ No Basement Fixtures? ❑ Yes ~No Type of Wastewater System** C-..o ev v t=r ,«o nr o,t (Initial) Wastewater flow: -4C) GPD (See note below, if applicable Co \.a r4 p, L- Installation Requirements/Conditions Septic Tank Size ~oe~o gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. pair) Number of trenches .-4- Exact length of each trench feet Trenches shall be installed on contour at a Maximum Trench Depth of. L1 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil (over: a inches (Maximum soil cover shall not exceed 36" above the trench bottom) Conditions: \,J P,-r -%s, )1-1 r+ L M. ~s ti lC'~ N::ao n, gC~ " C Aggregate Depth: inches below pipe a inches above pipe t inches total **If applicable: /understand the system type specified if different from the type specified on the app/ication. /accept the rpecidcationr of thin permit. Owner/legal Representative Si nature: Date: This Construction Authorization is subject to revoca the s n, plat, or the intended use changes. The fonstruction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliant t r of Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Q C Date: a S s Constr * Authorization Expiration Date: HTE# 1 0 -S - a.~~3s Permit # Harnett County Depal-tnjellt of _Ptlblic Health wife sketch PROPERTY LOCATON:_ '~cQ~, oN ISSUED T0: ~ AyN~ SUBDIVISION LOT # Authorized State Agent: '0. s5 6 L,v fC4 7o,. Ks Date: a S 1 i'8S D 2 ' L- ~ O FLyry N ~G~~~SLSd t Dqm tmem of F,aviroamat, Health and Natmai Re m,= Sheet: Divisioq of EwAroameaW HeaM Ply ID: On-Site Wastewater sect cot S0HJSfflC RVALUATION File #1: for ON-STTt WASTLWATIR SYSTIM Coco: owner. AWicaot; Addreo: Data Evadmted: D Location of SI~ 3 ~p ~ (.1949): U Otl~ Property Size: P`'°per`y Reoordeck wales soppy: Evahladon Mdhod: =Aq" 0 Pit weu CIA 0 sera L7 odw Type of Wadowater, ❑ washial Process 8 mbw R O F t L B F I 3_ LA. SOIL MORMIOWOY .1910 .1911 Powdow ~ % ~ 1911 SNUDWW Caen Taft" Ls a~b-ro r o s v~~Ir~c y1 P r> Of PRAFII.B FAC .1942 SON 1913 WMmrI Sw 19M .1904 beft Raw Lhr • LTA O-4K` 5 ~sl~P 5 O-3Y~ G .3' vR~ xs P M C>-J4% Cc> 5 'yR~ N3) tl e I -S = site clams c 1948x 5 Euh*W By cr,~ - Odws hen* -~.`1 S, ~a- -o"t