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IPACHTE# Harnett County Department of Public Health 26122 Improvement Permit PROPERTY LOCATION: N VS ccz P,~S P_11~ ISSUED TO: Cr)a.2 ~cLc*~Qv SUBDIVISION S A S P.r,-E LOT # NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Ch P+ht K tsc •,E Q100- Proposed Wastewater System Type: CLezr-4 -4E~ N 1s Projected Daily Flow: (>C~) © GPD Number of bedrooms: 5 Number of Occupants: L~ max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ,K Public ❑ Well Distance from well _ 100 feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 6 t b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuaNn,,~,th,,pennit,. The permit holder is res onsible 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 Iermit 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, ASS, .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: C-H~ti S ~2v+NC ~C~ PROPERTY LOCATION• T,~ v-<6n.A5s RX-N Facility Type: Nowt . uymf- Cfby x1S0 X New Basement? ❑ Yes 'N No Basement Fixtures? ❑ Yes Type of Wastewater System" C-0 F-t4;\0r ta.t_ (See note below, if applicable Co"-4 &r'r;. u N Pht. (Repair) Installation Requirements/Conditions Number of trenches `A Septic Tank Size 1 x.50 gallons Exact length of each trench tOQ feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 30 inches (Trench bottoms shall be level to +/-1/4" in all directions) A building permit cannot be issued with only an Improvement Permit SUBDIVISION Z N 'T UL E~ LOT # I. ❑ Expansion ❑ Repair XNo Pump Requirements: _ft. TDH vs. GPM Conditions: taS L, n U:1 1 L T t C-s Ay EX4 " 1;6 r- 1~) (Initial) Wastewater Flow: GPD Trench Spacing: Feet on Center Soil Cover: ►a lI inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe regate Depth: inches above pipe 0 1 4- inches total **If applicable: / understand the system type specified is different from the type spec/fled on the app/ication. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: This construction Authnriratinn is mhiort to --ti.. If the ae „i,,, .,i, . : .._JJ _ r - a„~ „uu,muauun viau nor ue rransterrea when there is a change in ownership of the site. This Construction Authorization is su 'ea to compliance wit t e of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~)ys Date: 6 0 a Construction orization Expiration Date: 6 a HTE # a) L sad. Permit # ~L-(6 1'. Harnett County Department of 1-~lbhc Health Site Sketeb ISSUED TO: Authorized State Agent: PROPERTY LOCATON: N c~cz a,55 RD - SUBDIVISION S6rt C_s~ LOT # J- %6"5 W""-16rz- `-yOLysZt)c- \ - Date: 10 I y~ (gyp C, 10~~ D IZ I V E 3o~x~a" (3v~~~y~~ Department of Environment, Health and Natural Resources Sheet Division of Environmental Health Property ID: On-Site Wastewater Seodon Lot Property SOILSI'TE &VALUATION File a: for OK Code: ~RIT& WASTMATER SYSTEM Owner. Applicant: t r Address Date Evaluated: c) `'t v Proposed Facility: DeApPow (.1949}; 6n 0 Property Size: Locadon oft SlbK Property Recorded: Water Sup lk ❑ Lldividual ❑ Well ❑ Spring Evalu don Mid: Auger Boring ❑ Pit Type o! wdstmter: S Cut ewage ❑ lydustrial Process Mixed P R O F SOIL IIORPHOLOOY t 1948 OTHE 8 . .1941 Horisoo P~~ g p Tt B Podtlaetl D"h .1941 .1941 M S1op~'A 00 st 1941 Sod .t~ uaf w Comldeom Wd=W Solt TOM" % lomalo Color IN. L°-~ C7 a°I ~l`1 2 53x` c- V s5 i5? 0-3, G s v1~ )mc 9 d °r•`•o War Facton (.1946k Site Clasai8cadon (.1948) p-, ca N L r. Evaluated By b Othm Ph=* ~L ❑ other 1936 .1944 I pt ft Reatr ctm ,S p15s