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IPACHTE# X0_5-3~Z Harnett County Department of Public Health 2 6 1 1 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: C v r ^ ©C-ru-~• ~9 A~ o ~ SUBDIVISION y b~~ oy~ LOT # NEW REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 FS> S D'~''+~1' Proposed Wastewater System Type: Cczs-.v S ~r S o rr A V Projected Daily Flow: 4 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes N0 Pump Required: ❑Yes 'A No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well lC~ feet Permit valid for. Five years Permit conditions: ` M ❑ No expiration Authorized State Agent:: C--A5 Date: \ SEE ATTACHED SITE SKETCH -9 (7 The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is sponsible 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, .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 TO: C-ycn cz, ,,.tc) N~ptrFs PROPERTY LOCATION: C ~32ot1 ~i t SUBDIVISION yaaSH,c Q~.~A-Cpl LOT # Facility Type: rJV-D (50 New ❑ Expansion ❑ Repair Basement? El Yes >rN No Basement Fixtures? 11 Yes .No Type of Wastewater System" Cots-J (Initial) Wastewater Flow: GPD (See note below, if applicable Z-S°/o ~.r V0 1-4 +s-rEm (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size l c'roo gallons Exact length of each trench 3dC) feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 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 C inches below pipe 18 Aggregate Depth: a inches above pipe Conditions: t62 L arses gS ~jc~ V`~ ~c~~js-5~ a inches total s L ti v M~ ~ccun -~c.~\ ~+v \ht ~'C ~(~U O~ ~ PmtC~ *If applicable: l understand the system type specified is different from the type specified on the app/ication. / accept the spec&cations of thin 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 n A-e 6,, .{.e T6{. Construction Authorization is subject to complian th prov of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: - Date: 10 truction Authorization Expiration Date: 6 HTE# 1 O -5- aLi 3~~1 P n611$ ISSUED TO: Authorized State Agent: ermit # Harnett County Department of 11iiblic Health Site Sketch PROPERTY LOCATON:-A~Ex2~,,, -SUBDIVISION `(ocz~s~~~c ~,~P ,-s44D„~a~► LOT # 12.E Date: 23 l 1 D C,,o c~v ~ ~ ~ ~ rs P 14~-i~ Department of Envimnnxnk Health and Natural Resoumsy Sheet: Division of Environments! Health Property ID: On-Site Wastewater Section Lot K: SOMSM &VALUATION File N: for ON-SITZ WASTEWATCR SYSTM Code: Owner. Applicant: Addnt= Proposed Fmfitr. Location of Sitx Wata Supply; Evaluation A4dbA : Type of Wastewater. P it O P Date Evaluated: 6 h) N o Design Flow (.1949j: A~r , Property Size: NoOddy Recorded: U'Pubile ❑ Individual ❑ Well ❑ Sprig ❑ Other Auger Boring ❑ Pit cut Sewage ❑ Industrial Process Mixed -tl SOM MOMOLOOY 1 L .1940 L W .1941 a IV" Horizam E Posidoal DqA .1941 .1941 if 91opa % (1e.) Struamw colwda " Ta#aM %WWO G~ atHER P. FAMRR .1941 _ SON .1943 .1936 Wa4~eiaf _ soil 32pre Mar Factors (.1946X Site Claasiftdou (.1948) ,P'-) Evaluated By: ~C Others hew* .1944 Pt ft Rsair 10M r I'S .