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IPACHTE# /D -.5^ a y Us Harnett County Department of Public Health 2 6 0 6 7 Improvement Permit A building permit cannot be issued with only an Improvement Permit ISSUED ~T D fj ~l ~~lj PROPERTY LOCATION: NEW Lt7 SUBDIVISION 8/ly~ LOT # S REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: DW ✓ u" Proposed Wastewater System Type: ZS"/„ l7. 4U4-TL43%,Js Projected Daily Flow: 60n GPD Number of bedrooms: _ 5' Number of Occupants: 16 max Basement ❑Yes~ ©No Pump Required: Yes ❑ LZ~V--6 ired based on final location and elevations of facilities Type of Water Supply: ❑ Co❑ Well Distance from well Permit conditions: _ feet _ Permit valid for: Ld Five years 5 zi-"Z "eh ❑ No expiration Authorized State Age Date: 6 - 6 - I'D The issuance of this permit b health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governingSEE bodies in meeting Sheir egETements. This site is subject to revocation i 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 T0: - dhd Ile A-0 PROPERTY LOCATION: S S SUBDIVISION LOT # -S Facility Type: i.>>►y New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes C No Type of Wastewater System** IZ!5 r6 UU-t.07~--~_-SU;P, (Initial) Wastewater flow: 600 GPD (See note below, if applicable *pir) Installation Requirements/Conditions Num er of enches ~ Septic Tank Size 5 0 gallons Exact length of each trench D Pum Tank Size ~QUCa feet Trench Spacing: I~ feet on Center P gallons Trenches shall be installed on contour at a Soil Cover. -_6_ inches Maximum Trench Depth of -Z/ 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 Conditions: inches below pipe Aggregate Depth: Z inches above pipe Z- inches total **If applicable / undecrtand the rystem type x)oeciled is different from the type speciled on the application. / accept the fpec111w1ons of this permit. Owner/Legal Representative Signature: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use cha~Th struction Authori zaton shall not btransferred whn tDheare is a change in ownersp of the siteThis Cnstruct on Authoon uhjed to complance th the povisions of the Laws and Rules for Sewt and Disposal and to the condns of this permit SEE ATTACHED SITE SKETCH Authorized State Age Date: Construction Authorization Expiration Date: HTE# - S - 2y`7( Permit # 6v (b -7 Harnett County Depai[linent of l-'t blic Health Site Sketch PROPERTY LO[ATON: S ISSUED T0: SUBDIVISION LOT # S Authorized State ~ Cam,,-~~z~~` 'r''.' ~«--r v.~s~;i' .~s►~-//. i~ Des LC r-t l A~~t-,2 H1.1y SS CAS Department of Emrunment, Health and Natural Resourep Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot M: SOUJSrM EVALUATION File /P: for ON-SITE WASTRWATZR SyST1CM- Code: Owner. Applicant: ZK7G -7 - Addresi Date Evaluatod:J6 Z 3- y Proposed Facwtr: DtoYh4 Design Flow (.1949): Location of Site: vscm~,P, M04Ay Recorded: Pik Size: Watft Suppijt ❑ Individual ❑ Well Evaluado~n Meth ; Boring ❑ Pit f7l cut ❑ S1?~g ❑ Other Type of Wastewater; ❑ Industrial Process mixed P it O F 301L btORPHOLOOY 1 .1940 .1941 OTHER L ape Horizon PRO PAGTORa 9 pos ~ 1941 .1943 1941 Sol 1$49 .1936 Strnauw Corwds n 1944 Ptotf>. _ To MGnnto Co soil 3~pra' Re* Ctus I L 3'~ p _ ~8 5L ~ CT Hats. iLTA11 s.cn titt:± n s v-tZ 1L h'3f. cv 3a ~ y y etc_ C. r$- ~z K `1Z- 1.1, . 31>- VEna h'actors (.1946) v Site Clatsifhdou (.1948) En ueoed W. q~- Othm Premt