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IPACHTE# C-S-at-~3`11 Harnett Lounty Department of Public Health 26106 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N C 2~~ W ISSUED TO: Gu r ~2~EcZ,t P~.-► D SUBDIVISION LOT # NEW,( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S FU (5L' ' L G Proposed Wastewater System Type: 2i S 7. 126cg u c,:-~ 10 Y'J Projected Daily Flow: ~b 4t, (D GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes ❑ No "KMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well tbO feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: ¢ b~S Date: 5 I~< < 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in i way guarantees the issuan her permits. The permit holder is resp Bible 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 Improvemen 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, .I9S2, .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: Gv r~flE~i~ ossv o ~0 r,LS PROPERTY LOCATION: N C~' ~^t SUBDIVISION 1"1~cz~ grz,o, LOT # '35 Facility Type: 5~fl x t'►~J New ❑ Expansion -0 Repair Basement? ❑ Yes No Basement fixtures? ❑ Yes '~->KNo Type of Wastewater System** Za 'P\Foy crN 0 N Sys ~E rc~ (Initial) Wastewater flow: 34,0 GPD (See note below, if applicable 2~S°ld 1P\C--13 u c--S, ri >3 Svs -1 Etr (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size I OK!) a gallons Exact length of each trench X 00 feet Pump Tank Size gallons Trenches shalt be installed on contour at a Maximum Trench Depth of. Y?, inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: 7) Feet on Center Soil Cover: C. inches r""`MGM (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: M Nx,v.v Ca,rF~t \~i £of'o d via ~~a.~N r,~Lcy aYF.~ _~s r+ YY1 0'5"C P- 1 Fc1AM SEP -~\C- S~rS~ can ct v (lL\'C\-rS ~P7 inches below pipe inches above pipe inches total ins c~tzoo,nJ, ~ 1 N ,-s 10% L- Oct. Q rZ~ cz_ **If applicable: / understand the ryrtem type rpeci6ed it different from the type rpecired on the app&,vion. / accept the .rpecillcatianr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a rhanue in awn-hin of tha cite Thi, Construction Authorization is subject to com ce tfter ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 91&~A5 Date: 5k struction Authorization Expiration Date: 5 HTE# Permit # a6 t~G Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Gal , r ISSUED T0: CvrY, 2.PwP MC.~ SUBDIVISION LOT # 45 Authorized State Agent: ~S~buvF~z-~oLYSpO~ Date: S i~~114 1aSi 00 1 ~sa►o ~ A 4S R I E W 1-7S Department of Environment, Health and Na-` 1 Resources Division of Environmental; Health On-Site Wastewater Section SOMSITE EVALUATION for OM-SITE WASTEWATER SYST1eM Owner. Applicant Addrtsic Data Evaluated: Proposed F=WtY: ; © 6k)m a - Design Mow (.1949y S ~ o Location of Slw Propddr Recorded: Watt#tt SupptYt )!~Public ❑ Individual ❑ Well Evahradon Me&od: ❑ Auger Boring ❑ Pit ❑ Type of Wastewater: ❑ Sewage ❑ Industrial pmCem Shed Property ID: Lot File Cade: Property Sizes. ❑ Spring ❑ Other cut mixed P R O P 301. ItORPHOLMY OTHER .1940 ,1941 PROFR$ pgC-fOR ~ a Harizom 1942 9 Poei DqA .1941 .1941 son 1 Mkt 1916 1944 Ptofla N slope (1m) . 3hvoturel Conelnmp Webmw soil sq" Realr Cho Texh" M' hwalo Color IN Cler Harts. A LTAX ry ^1S NQ 1 . 3 L i'5 ~6 ~ ~53~ sC:~ FrL s~~ 14~jCL~l~3.~ P L, \Jv- Derai 004 Av.ibbb 9 ea .1941 is Site LT.Ut lnitW Repair 9ydeoe Other Factors (.1946k s steer Site Cluftation (.19482 -P`i L10-TYRO. Evahated Br. cN « Others Prey