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IPACHTE# 10-9`131 Harnett County Department of Public Health Improvement Permit 26251 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1-1 y 2 `1 ISSUED TO: ~1 "t C c? ~~2U C.-C 0 N SUBDIVISION ~H G r~ Qn rJ S LOT # -710 NEWX REPAIR ❑ E NSION Ell Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~ 0 '~6Q' Proposed Wastewater System Type: 90 c,-)Q " 0 e Y-,zQOTT Q tJ Projected Daily Flow: 3(- 0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required~es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 06 feet Permit valid for. Five years Permit conditions: ~ ❑ No expiration Authorized State Agent: Date: `6 1`4-3 110 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o r permits. The permit holder is respons le 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 mit 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 TO: \1 ^r ~ r4t"t 2v s o r1 PROPERTY LOCATION: \A `t~y S ~ ~~o X41 SUBDIVISION G ~a Facility Type: J A New ❑ Expansion ❑ Repair Basement? ❑ Yes, No Basement Fixtures? ❑ Yes V o Type of Wastewater System** P V m Q7 a e 9 y C.-~ \ 0 >J (See note below, if applicable PO M9-TO /o VLOV C~`i0,J (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 1 0(5 CD gallons Exact length of each trench 18d feet Pump Tank Sized gallons Trenches shall be installed on contour at a Maximum Trench Depth of. S'~ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions ~ ~~s ~F17 r~~~ gI;,Z)C--O ©tJ ~ ~(20965N L_ y((20 m ~QQt'\ C-X "Jy inches total So-, " SC-'\ -5-\ . WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specified is different from the type ,rpeciled on the application. / accept the soec&cationr of this permit. Owner/Legal Representative Signature: Date: IRIS tonstruamn numonzauon is suDlect to I it the site plan, it or the intended use changes. me lonstruchon Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is sucsto compliances ns nf~t sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH rJ-,T-- LOT # 1 b (Initial) Wastewater Flow: '~4 0 GPD Trench Spacing: Feet on Center Soil Cover inches (Maximum soil cover shall not exceed 36" above the trench bottom) Authorized State Agent: : ' QL-1\., Date: Construct Authorization Expiration Date: HTE# Permit # 1 ISSUED TO: W yck Authorized State Agent: r ~ 0,0e ;~o T \ o ~ E Harnett County Department of Miblic flee lth 1.4i to Sketch PROPERTY LOCATON:_ F~l eay 3.'1.1 s~ _U C-~\0 av _ SUBDIVISION ~1» 6~~ o~ vT~ LOT # 1 D Date: g I c3I1O Aso' 0 n p, K ov-\-r L Department of Environment, Health and Natural Resources Sheet: Division of ErMronmental Health Property ID: On-Site Wastewater Section Lot r!: File a: S0IUSITZ &VALUATION Code: for ON-SITZ WASTZWATZRSySTI I t Owner: Applicant: Addren: Date Evaluated: PIO-- FWWty: ~5 c, Qoo~ Desip Flow (.1949r Property Size: Location of SUM groper Recorded- Want sup*, -,Publlc ❑ Ia Mdual ❑ Wet! ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process Mixed P R 0 P SOM MORMOL00Y OTHER t .1940 ,1941 PROFIT E 1•A~f.'fOAJ L L xbmpe Harizae 1942 9 4 Poeitiow Depth 910pe'14 (110 .1941 .1941 st d" Sod .1043 .1916 .1944 hof)!t u ConeidOM Wda" sod 3we Re* CGM Texh" MInnb Coto piydam) Cler Haas. A LTAJj I 1- ~ ~c J b Lj ~FCL N~ ~NQ w-W Sg yZ s c rn s fiP it, 11 *0A4 3$ at SCL L ss~ - r 9 0 eeepur 3YMM Other Factors (.1946 Available s ew .1941 Site C1a+aiHcatton (.1948) P S S Am a P v 1"W aG p 1 r+V c Evehated By. 0'( Others Present: Sit. LT.~ dmr~