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IPACHTE# 10 -5 x1433 Harnett County Department of Public Health Improvement Permit 2 6 2 5 2 A building permit cannot be issued with only an Improvement Permit , PROPERTY LOCATION: A "A ISSUED TO: Iri ~ C10 rlS'SCLV C--'y t b0 SUBDIVISION 7-1 v6E t t Qo-s N TE LOT # NEW'X REPAIR ❑ €X ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5'PD Proposed Wastewater System ,T~pe: Qu me`yo oJVG'SS d sJ Projected Daily Flow: 3`0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes vNo Pump Required:'~es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well S Q feet Permit valid for. Five years 1>11 Permit conditions: ❑ No expiration Authorized State Agent.: Date: 'g Z-- 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit hold r is re 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 Improvement rmit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Caws 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 i nto this permit and shall be met Systems shall be installed in accordance with the attached system layout ISSUED TO: `J r~ co oN PROPERTY LOCATION: SUBDIVISION S t N G6- j o s N E LOT # \l~ Facility Type: S Wd New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'E~ No Type of Wastewater System** 2G-a V L, S\ 0 W (Initial) Wastewater Flow: 34>G GPD (See note below, if applicable ~VMP ~GOvvCt (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t cD s5-(n gallons Exact length of each trench ~S feet Trench Spacing: Feet on Center Pump Tank Size t O (7) 0 gallons Trenches shall be installed on conto r 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 inches below pipe Aregate Depth: inches above pipe Conditions: 1 ~.~y esECLs+~~~g~56D ©N Q. Qs,npoSX ono, ~QSS ~oinches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR R EPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /under tand the sy tem type specified is different from the type specired on the app/kaftan. / accept the rpeci6cationr of thin permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan,'p or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is s0414-0 compliances tthe of the'~Aw~and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: l' -~V -Q&L 5 Date: ~ 1?~ 1) ConstruvAuthorization Expiration Date: HTE# tQ - 5-x.1 } Permit # ~~,2•'S H.-Cll•Tlett County Dept l-fillellt of I1,11blic He(alt 1 bite Sketch PROPERTY LOCATON: D-71 ',v4 ISSUED T0: N ~ a-vC.c NON SUBDIVISION Authorized State Agent: ~o Lw 6n`'Ca~ Date: `g ~a3~1d 1 bib T 3 ci l.3af ( ll~ I ~nxSC)~ ~ ~ 2~Io CL~~ . ~ O C'~~`a P` 0q--"4& Departrnent of EwAmnmenk Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOMME IYALUATION for ON-SITE WASTEWATER SYSTE Owner: Applicant: Addrem Date Evaluated: Proposed Facility: 3 ca GYWO V-, Design Flow (.1949y 36 oz Location of Sites; F P h Recorded: Sheet: Property ID: Lot 0: File N: Cade: Property Size: Watex 3upptj pub1fC ❑ Individual ❑ Well ❑ Sprig Evahratlon Method: 4Auger Boring ❑ Pit Type of Wastewater: aSewage ❑ Industrial Process Mixed. ❑ other P R O P SOIL NORPHOLOOY OTHER 1 .1940 .1941 PROI?ILa itACTOR3 L Luwsm" Hansom 1943 9 ✓f Poeidaw Slgm % D"dY (k) .1941 .1941 st " Sou .1943 .1916 .1944 be& ud Cotnddme walnut sou Swe Rena elan Ted Mirmlo Color IN, CIA" A LTAX Haig l ~S s°~, G G LS ~c,L 13) N,) . G as G ys 1~'z'~o S$ Y ~Z !'R 3SX;Cp L' wf r":1Nc c::4 -35-)~e Site CfauiBcadun (.1948 Evahated By: 0~ Others Prem* :,.N,