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IPACHTE# Harnett County Department of Public Health Improvement Permit 2 6 2 7 5 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED T0: _ ► e~~~c r+ Get ~v tom, - rv c SUBDIVISION S v r.t LOT NEW REPAIR ❑ ESION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SiFO ( 6©' xS-Cf Proposed Wastewater System Type: a5°/o ~kE.o tic:-,; i o tv SygTE~ Projected Daily Flow: ANC GPD Number of bedrooms: LA Number of Occupants: max Basement ❑Yes, No Pump Required: ❑Yes ;~5 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '~R, Public ❑ Well Distance from well ~-Od feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: Qj~5 Date: k-1 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance t r permits. The permit holder 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 T0: gt ~+c_ -wc-rLt 0cf;,5 ~ "C, PROPERTY LOCATION: SUBDIVISION S u r- r, V-\ LOT # $-1 Facility Type: 5'~`D(64 }c50'~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes, No Type of Wastewater System** ~s°la Skh.Ov C::~ \ o N SysT c.~ (Initial) Wastewater Flow: Li: 2Q GPD (See note below, if applicable 'D la t S_y<Z. S'1 d N S -/'5-v r-eii (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size looc) gallons Exact length of each trench ~O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of 3~, - ) 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: C,,- 1H inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe 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 specified it different from the type specified on the app/ic,?#on. / accept the specilcatio#s of this permit Owner/Legal Representative Signature: Date: This Construction Authonzation is subject to revocation if a 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 Authonzation is s!k9scompliance with NrovSos Law d Rules oewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: S Date: 9 q onstruct) Exp ~~thorization iration late: HTE# Permit # a6a`~~ Harnett County Department of Public Health T Site Sketch ISSUED TO: Authorized State Agent: 1 Sd~ PROPERTY LOCATON: - SUBDIVISION v m rr LOT Date: 5twi~l0 t10~ t '..5"l o '0.S:ov L~ ~ o N~ t So' x mad' 36 , d 0 Department of EwAmnment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOarsrM &VALUATION for ON-SITE WASTMATER SYSTFM Owner: Applicant: Address` Date Evaluatod:9~~S~ U Proposed Facility; I-, laa'0-0,ex, Design Flaw (.1949): LiCQ Location of Site: Fropaty Amrded: Sheet Property ID: M: Lot File M: Code: Pmperty size: watts Snppt 't~pftalk ❑ Individual ❑ Well ❑ Spring Evahration Md bA- Auger Boring ❑ Pit ❑ Cut Type or wastewater: sewage ❑ Industrial Process Mud ❑ Other P R O P l 1940 OIL MORPHOLOGY .1941 THEX PI~FtLJI< FACTORS L 9 9 Lang Wo" Poddeal 310" A Haeizaa Depth (le.) .1941 SttuotmW Texton .1941 Coraidwe Mlmnlo 1941 son Wetauae! Color 1046 Sao IN. .1976 SEPM Clan .1944 Re* Hails. hoft ctm A LTAX ! L- mil, c7-y`b C, cy 'A SA Fa f ~ or46 M wRapar syana OthaFctors (.1946) Available 9 ce .194! Site Cla"i&adon (.1948) S s atera a 5 o e~ as , p E"h ated By O l Sib LTAQ Others Preset - -~6