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IPACHTE# Lo-ob Harnett County Department of Public Health Improvement Permit 2 6 2 5 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Po N flues A 1 r0 ISSUED TO: CU cr+P 2LA~ Np ~kO cry~~ SUBDIVISION C-,aao E~'60 LOT # a NEW)< REPAIR EX SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~ \~a ac ~1 Proposed Wastewater System Type: u MP N4 Cc N,,Ly ttt sN pNi Projected Daily Flow: :I(. C3 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Require :Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '4K Public ❑ Well Distance from well COO feet Permit valid for. Five years Permit conditions: o expiration Authorized State Agent:: 77'~--- Q~U-" Date: 'S ::),,No SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc er permits. The permit hol er 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 Improvement it 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, .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: Cy M~62tPNQ V -oM&S PROPERTY LOCATION: Pb N © SA _ SUBDIVISION Cc-nAS.--\rat t S~a.soa,~ LOT # et D Facility Type: -O New ❑ Expansion ❑ Repair Basement? ❑ Yes rN, v No Basement Fixtures? ❑ Yes "I;~ No Type of Wastewater System'`* P u rn P To Co N 1 vd N NL (Initial) Wastewater Flow: d GPD (See note below, if applicable Q u i p a (ZN-v6 r.K Vo N kL- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size V bc~ (a gallons Exact length of each trench S6 feet Trench Spacing: Feet on Center Pump Tank Size 1 O<7 t)0 gallons Trenches shall be installed on contour 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 Conditions: Aggregate Depth: a inches above pipe 13- inches total 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 rpecifed it different from the type specified on the application. / accept the apecificationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject te,-rerocat un if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershiu of the site. This Construction Authorization is subjec~to complian - ith the pray laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: a- Constructlo Authorization Expiration Date: 'Z HTE# ` SaL~ Permit # 2b-~-6$ Harnett County Dept rtment of Publ icy lfie(altfi Site sketch PROPERTY LOCATON: o"Q aos ISSUED TO: P~~z l cn SUBDIVISION GA~o S ~ c~,s o NS LOT # 90 Authorized State Agent: 4,C S ~P 1-1li6 -~rn-u,5ao Date: Q \~6 t a. - W daCJ ED ~2LD, N c " O P L t tz ~4 ~.CL- PyO_i; fl• S a. x yam' 4~ r c P a N a Ef2,a5 -t~ ~ Q A\ it Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lod File SOMME EVALUATION Code: for ON-SITZ WASTZWATZR SySTIM` Owner. Applicant; Addrem Date Evaluatod: Prapvsed Fadfitr- Desigp Mow (.1949r -5 boq~ Property Size: Location of 9itd Proper(, Recorded- Watdt Sn P* Pubilo C1 Individual El Well ❑ Spring C1 other Evaiuatim Whoo& 11 Auger Boring ❑ Pit Cut Type of Wasfavvater: Sewage C1 Industrial Prod [C1 AIxed P R O F 1 L 9 M .1940 Landum" PoeltioW Slope F--S e Hain DqA (In.) 4 ;y SOQ, NORPHOLOOY .1941 .1941 .1941 .1941 Sod Strmmw Colwatems webmw Temn Minrsb Coto G s yr n ss1P OTHER PROF7L6 FACTOR 1443 .1936 .1944 soil Sal" Raw !N Cfaso Haig. el t CAN A LTAR ry O 346 [G S v rrs~f z~ 5 De'aiPdoa Avsibbb 3 p .1943 s dm • She LTAA WW Rapsk System Other Factors (.1946) Sligo Siff ClawiBcadon (.1948) 2) V Un. o v Evehmtad By b , 2 - Others Present g m