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IPACHTE# 1o- 5- -7 3,--7 Harnett County Department of Public Health 26149 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Mc,RQ:Mt-rut1., 9.0 ISSUED TO: c-S-ryr< Goo~2,E~ SUBDIVISION i-o- av arP" LOT # NEW REPAIR E'ISION ❑ Type of Structure: S fir' fl fit- 14', Proposed Wastewater System T pe: C- w'J E-rc. o rr ONI- Projected Daily Flow: 30 GPD Number of bedrooms: 3 Number of Occupants: G max Basement ❑Yes No Pump Required: ❑Yes --F~ No ❑ May be required based on final location and elevations of facilities Type of Water Supply- ❑ Community Public ❑ Well Distance from well LOd feet Permit conditions: Site Improvements required prior to Construction Authorization Issuance: Permit valid for Five years ❑ No expiration Authorized State Agent:: 5 Q.E7th Date: 7~ N3 ~b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc permits. The permit holder is responsible 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 Improveme Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the taws 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 i nto this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: PROPERTY LOCATION: ')(-f-b SUBDIVISION t- o- a~ L~aN LOT # Facilit T e: y yp New ❑ Expansion ❑ Repair Basement? ❑ Yes ~5< \ No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** Cd N„E"*c . p N P>, L- (Initial) Wastewater Flow: 366 GPD (See note below, if applicable PO me \ o CoNyC-- sepi p" I-- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size I C>Q)O gallons Exact length of each trench I L Q) feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 'Q- inches Maximum Trench Depth of:inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-114" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Conditions: \4 PscE-x,L, L cnvss $E Aggregate Depth: inches above pipe 10 F'2o,.,S ,c, Sys;Ern U-1 r+~Cs .s 1 inches total r`'1 F'!J N 6< c,CLOo, L" ©a 1 a c, L In- 9-fe P,,Cl - 'Ng450.51 **If applicable: /understand the r,r m type . 111'ed it different [Tom the type ,rpecifled ofl the application. / accept the rpecilcatianr of thi permit. Owner/Legal Representative Signature: Date: This rnn,tnuYinn duth-mti- is -hi- t~ .e,,,...I;- tr d,,..:.,, .•1- r•-,., r•_, - .,,1 ^ -11.1. a„n uouon -t11V[tzauun snap not ue transterrea wren mere is a change in ownership of the site. This Construction Authorization is s~ugj~ct to ianc 'th tb~re ons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: pr-.*S Date: on Authorization Expiration Date: HTE# 40 -5--W-A -l Y-) Permit # 'Z~'g V Harnett County I pailinellt of 1'til~lis Health bite Sletc~ll PROPERTY LOCATON: `Mc.Prt.c~i~n. ISSUED TO: SUBDIVISION ~ r~ ~uG~p~J LOT # Authorized State Agent: ,+s ouv~ la~~cs~ot~ Date: ~3~ 10 Q~l Q t.~e.'C 1~1 U2 (Z. Depaiiment of Environment, Health and Natural Resources Sheep: Division of Environmental Health Property On-Site Wastewater Section Lot Property SOEUSM EVALUATION File * ror ON-81TE WASTZWATEB SYST1eM Code: Owner. Applicant: qSo Address Date Evaluatej- Proposed Facility: 3 Qa)Qo 0m DCAPFIOw (.1949): 36-) Property Size: Location of Site: Prop" Recorded: Watett 3upw, b Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: M Auger Boring ❑ pit E cut Type oP Wastewater: '13 ScmV 11 Industrial Process Mixect R 0 F SOQ, Mu"HOLOGY OT>~ 1 L .1940 L-dam H i .1941 R P MA FACTORS 9 M p Political Slops K or zon Depth (1n) .1941 St r .1941 ud 1943 191ti 194+ Prottl• raahu Text" COIIIiMmq M1wnb Web," Cola Sod S~° D Raw CIA" L5 iVO. 1N, Cl+w Horis. E LTAI ~S < ~ K SGT bra ~ 1 L 4- h Ss J~~ E5Y- 36-LP War Factors (.1946) Site Claui8cation (.1948) Evalwted By:6% Others Prexnt-._