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IPACHTE# lo-5-a2-i1"1 Lr~ Harnett County Department of Public Health 2 61 0 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit ISSUED T0: V GH X14 a-C s Ul -O ~g PROPERTY LOCATION: S-ayvctErc, ~7 NEW SUBDIVISION LOT # .5 REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type if tructure: 5Z-`0 Proposed Wastewater System Type: C.o Projected Daily flow: 2>Co'5 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 'U Public ❑ Well Distance from well Q Permit conditions. feet Permit valid for ive years ~ ❑ No expiration Authorized State Agent:: rJ Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of o elmits. The permit holder is responsilife 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 Pe '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: ~io 6-\n V ¢ ~ y ~t fl PROPERTY LOCATION: ~ '6C Facility Type: S6~ C': ;-7 SUBDIVISION 7:::~; G Oz>t,flc~ LOT # Basement? ❑ Yes No Basement Fixtures? " ❑ Ye New ❑o Expansion ❑ Repair Irv Type of Wastewater System** y(~~` (See note below, if applicable (Initial) Wastewater Flow: 3ZO GPD Cp (Repair) Installation Requireme is/Co itions Number of trenches 3 Septic Tank Size L ©C7 gallons Exact length of each trench ~ © D Pump Tank Size gallons feet Trench Spacing: ~ Feet on Center g Trenches shall be installed on contour at a Soil Cover: )i Inches Maximum Trench Depth of: 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 6 inches below pipe Conditions: ~Esz L\ 1"~ v Aggregate Depth:- inches above pipe - Imo, inches total **If applicable: / understand the .ryrtem type .rpeciled is different from the type .rpeciled on the app/ication. /accept the rpeciFications of this permit Owner/Legal Representative Si This Construction Authorization is subject to revocation if the n, p Date: the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is s e o compliance wi rov ' o ws ules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~~"N -5 Date: 5 L0 Construction orization Expiration Date: 5 a4 fS HTE# ~O'S•~..tayy.(a Permit # a'610A Harnett Connty Department of ll~ blic Health Site Sketch 2) U PROPERTY LOCATON: -ASAP ErZ ~Zp ISSUED T0: V Sv21-c5 „Ae(Lg SUBDIVISION ~G Qw MS LOT # Authorized State Agent: L .-701-Y-s9 Date: _ 5'~Ld LASAT62, 07D Department of Emiroament, Health and Natural Resourm Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot a: SOUJSITg EVALUATION File M: for ON-SITIC w LuvvwArwg aw Code: Owner Applicant: Address Date Evaluated: Proposed Facility: Design FIOw (.1949r 3 6 a c~ Location of Sites ~ roperh► Recorded: pmperh' Size: Water3upptj p Individual ❑ Well Evduadon Mdhod: Auger Boring pit cut ❑ 51 8 Type of Wastewater. ge El Industri~~~ a1 Process mixed P R O F 30Q, MORPHOLOGY 1 .1940 .1941 O'1'M L 1 UWm Horimm PROFSB FACTOR PolddoW II 91opo'A `tom d 1941 • 1941 .1941 . 30l .I~ st uc td Conaldem Webmw Soil Texinn Mtaarab Color C3-~3 ss3y~ ~L S )hp . , 6 0. V, 0- Grp vGa ~ ~~L Sz- VCS, uy~ ❑ Other 1916 ,1944 PtoAle Raab Clan 7w Hods A LTA . pe" ~Ivlj lJrnQ Factors (.1946k ~ Site Claui$cadon (.19482 PS tad By c r --a--- others R"9*