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IPACHTE# Harnett County Department of Public Health 26019 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: \,4-jNkf C on~TCZy L'(fDN SUBDIVISION II ciE r s LOT # NEW REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 ic)) ,3 C, 6 Proposed Wastewater System Type: Pvc~R`~ `°/a RUC.-s,pr t Sys r~rr. Projected Daily flow: ~l © GPD Number of bedrooms: 3 Number of Occupants: ~o max Basement ❑Yes -MNo Pump Required: Oyes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1 e)O feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: t j IS-) I SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss nce 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 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, .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: \A-IrcN Ccs ~sicl vc~~d~ PROPERTY LOCATION: a -1~J SUBDIVISION ~\r.sc tv von r-3-\ LOT # I) Facility Type: S c ~sb'~ L0)\ X New ❑ Expansion ❑ Repair Basement? ❑ Yes M, No Basement Fixtures? ❑ Yes ~k No Type of Wastewater System" PvtYie~a ~S%~ v~ fON S t-\ (Initial) Wastewater Flow: 3C0 GPD (See note below, if applicable P\J -,C> a t0N 'ZZ>,,szC0`, (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size ~o gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size t~t5 gallons Trenches shall be installed on contour at a Soil Cover: 1 a inches Maximum Trench Depth of: QIL 4 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 A regate Depth: inches above pipe Conditions: ~a\T~a ~ie+~~~s ~~csr, Srt tc Sys;.~o~f~\~S inches total \aL,osL Q~PP.\ciF~ ~N ~En~t^.~ ~P.SED ©v QaeeosAc_rn v ~t`c 1 >C C~c3~J --10 \ L- ~CJ\ ✓N1 l`-:l \ . **If applicable: /understand the system type rpeciTed it different from the type specified on the app/icatiom / accept the rpeci6cationr of this permit Owner/Legal Representative Signature: Date: ~v,;.~-.,- „ > auuo a me ate Flail, pia4 or me mtenaea use changes. ine Lonstrucnon Autnornatmn snail not be transferred when there is a change in ownership of the site. This Construction Authorization is subj tt to,~ompliance with t `sion the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: y 1S ~O Construction Authorization Expiration Date: 1 S HTE# 10- S- aH} 3a, Permit # `~d1'1 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: yJ ISSUED T0: yc~~ Co Ns-,cLvC~-, \,0 is SUBDIVISION LOT # V~>_ Authorized State Agent: Q CC) Date: x\15 AN 0 r 0 0 0 3 u~ ~,y<5 0 M A NA Q (t-AU L Department of Environment, Health and Natural Resources Shed: Division of Environmental Health Property 1D: On-Site Wastewater Section Lot Cam: SOIIJSITZ EVALUATION File for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Addrew. Date Evaluated: Proposed Facility: Design Flow (.1949): 3c Property Size: Location of Site: Property Recorded: Water Supply- fic ❑ Individual ❑ Well ❑ Spring 1 Au ❑ Other Method: e r Bonn 0 pit cut g Type of Wastewater: . Se age ❑ Industrial Process mixed P R O P SOIL MORPHOLOGY OTHER 1 L .1940 .1941 PROFILE PACTOR3 9 N Poem Slops K .1941 DV* .1941 .1941 Soil .1943 00 Stru w h .1956 .1944 Proft c 3e Considen" Wafted Soil Tee has Min,nlo Cola IN. S"M Redr Clan Hail ChM A LIAR !.S e5 - S a X5 5 . Dewri "00 Rep.ir Systm Other Factors (.1946k AvWfabla s .1945 S It Site Classification (.1948k ?S ~s r , v S' Att Others Presen t C a~