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IPACHTE# 10- S-aat} Harnett County Department of Public Health Improvement_Permit 26222 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Pa rNa &_Q fts p, ISSUED T0: Cyt~ REPAIR .?,wss? ~or,E~ SUBDIVISION CPA20L)"e, Sit, mac, LOT # NEW REPAIR ❑ Type of Structure: SVNSION E3 Site Improvements required prior to Construction Authorization Issuance: C~ Proposed Wastewater System Type: _ o a vE rt L- Projected Daily Flow: 3C GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 C)U feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees t e iss site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: --Nlo SEE ATTACHED SITE SKETCH other permits. The permit hot er i responsible for checking with appropriate governing bodies in meeting their requirements. This nnN Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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: PROPERTY LOCATION: poNU SA, SUBDIVISION C.P,2o1_.1 r11h Sc~or45 LOT # ~?a Facility Type: 5F p ( 5C>' L,0" )Xj New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No Type of Wastewater System** C-0N 4t A-n%6 VAt_ (Initial) Wastewater Flow: GPD (See note below, if applicable Vu t+ lQ y a Q `4 E y") N P,L- (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size f da © gallons Exact length of each trench s feet Pump Tank Size I o0o gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 3C, inches (Trench bottoms shall be level to +/-1/4- in all directions) Pump Requirements: ft. TDH vs. _ GPM Conditions: Trench Spacing: Feet on Center Soil Cover. a q inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the system type speciled it different from the type speciled on the application. / accept the specilcatioas of this permit. Owner/Legal Representative Signature: This Construction Authorization is subject to on if the site Construction Authorization is subject* compliance wit Authorized State Agent: Date: _ plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a flaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Date: `8 13)l 10 a in ownership of the site. This SEE ATTACHED SITE SKETCH Authorization Expiration Date: F HTE# I O -v` -'~~4a.Ll Permit # Iar•~lett ('01111t`;- De ~~c~•tjl~eYlt of liblic Health bite Shetcll PROPERTY LOCATON: PoNpsa ISSUED T0: o G SUBDIVISION Ca~~,L~n~ S~soNS LOT # 4-.k Authorized State Agent: Rk~ ~pLwfs~ o Ly-Z Date: lt~ $O aoo 5Pp-iNG 5=LowL25 O(L- Depaltment of Eavimnmm#, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot M: SOIUSITE (VALUATION File M: for ON-SITZ WA3T1EWATZR SVST>CIVh Code: Owner: Applicant: Address Date Evaluated: -Z) PrcpWW FacWt)r DeAP MOW (.1949Y 3b4 W~ Pmp" Location o[ Site: Size Ptapedy Suppij Pub! Recorded: Watot dp Method: ❑ Individual [I Well El Spring El Other Auger Hering ❑ p4t cut Type of Wastewater: Sewage ❑ Industrial Process Mixed R O F I L a SOIL moRyHOLOOy .1940 Ap r Hark= .1941 OTHER pROFILd PAC polidew 91op~'lti t~~ 1941 .1941 1941 308 .ice Tex Conddem Mlanb Wryer Coto Soi! , `s IN. Site CWt i8cation-(.1948k s c cv~ Ele AA o~ .1956 .1944 AV& 9rprp RAW Cm CIA" Harts. ALTAR Sz