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IPACHTE# t o-s- Harnett County Department of Public Health 2 6 0 2 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NC-'a~`cA ISSUED T0: C vc-,<3ECLti or~p ~n,t S G SUBDIVISION t" *_e Z:1,tza11Nt;A LOT # SO NEV~ REPAIR ❑ ESI;ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F X35 'tom a Proposed Wastewater System Type: C-,z r-4 `b r! c, 1.. Projected Daily Flow: 3 O GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No A May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well kC3 C) feet Permit valid for. 'Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 4 C~1ti SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder is resp nsible 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 Improve nt 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: Cut.,[ u-P,aD ~~10c~iS 1c~a~. PROPERTY LOCATION: NC:a~I`~I s SUBDIVISION MscL& 16V-F NOS LOT # 5_ Facility Type: SF ~J %L~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No Type of Wastewater System** C-o N ~~e bhp ryA~-- (See note below, if applicable Cor.,-~ C~:- b r4 At... (Repair) Installation Requirements/Conditions Number of trenches C, Septic Tank Size I ©C7 gallons Exact length of each trench <:n ® feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of- a y inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: ~ P,c 7- -NG C`\ u5 ` ~ S E-P'ss e- `3 s-TLC , ~ 6 QceS?.,(L- G, inches below pipe e Depth: Z inches above pipe )-NN145 N 1 inches total **If applicable: /understand the system type speciled is different from the type speciled on the app/ication. / accept the specilcationr of this permit. Owner/legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site Dlan, olat, or the intended use changes The (nnctnv6nn enehn ,~rV~o <hA opt ho 1.,,, re..ea -L- A...:. Construction Authorization 11~1 tt to com ce wi~ie provisignsns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit (Initial) Wastewater Flow: 3(-0 GPD Trench Spacing: Feet on Center Soil Cover \ inches (Maximum soil cover shall not exceed 36" above the trench bottom) bSEE ATTACHED SITE SKETCH Authorized State Agent: Date: No Lon uction Authorization Expiration Date: H HTE# tiINW1 Permit # Harnett County Department of Mtblic .Health Site Sketch PROPERTY LOCATON: t~1C;a)M ISSUED TO: C-v C^a h ~p ~<vC. SUBDIVISION LOT # SO Authorized State Agent: G G Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSPPE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address; Date Evaluated: 4 )Z3~d Proposed FaCilitr. 3 E Desiga Flow (.1949): Location of SItr Property Recorded: Water ft*. :public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit Type of Wastewater Sewage ❑ Industrial Process Shed: Property ED: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F 1 1940 OUL MORPHOL.OOY OTHER .1941 PROFLLS FA('fOR3 L S p L.endswp Position! slope K 1-15 Horizon .1941 Depth .1941 .1941 son 00 StruCftW Conidd q wdnew Test mb"fo Cola G' 3(~ G 5 Vin 7 NV 1S}43 .1916 soil SWO 1N. Clna .1944 Retr Horis. PloAb CGM RLT,4R 21e ~,js~P ~ ©-125 G S VC's. rYy~N(~ t~3-~ 5~3>c sct. F~ s~s(~ "I-r- ayaem Luc Factors (.1946k 3- °~01 - Site Classification (.1948r 0,5 Ce 4 ~ Evaluated By o, c 1 j Others Present