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IPACHTE# 10-5, Harnett County Department of Public Health Improvement Permit 2 6 2 8 8 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: MA~1aZS r2 ISSUED T0: M Pay ~1=v , l~L G SUBDIVISION LOT # \)i NEW)< REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure. '~L161 Proposed Wastewater System Type: 2.5~ a ~L OUCr~ t o pt Sy5sE,.C' Projected Daily Flow: -~5 GPD Number of bedrooms: ~3 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes El No ,May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well VOO feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.:Date: BOA )SIN 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu of other 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 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, .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: M^CN PROPERTY LOCATION: MA2-4s I2D SF D ~S3'«a 6~ SUBDIVISION P, -5 q, q-0 LOT # 1 _ r Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes '~4 No Basement Fixtures? ❑ Yes X No Type of Wastewater System** `~S"1o v c.~ n N Sy ~t~ (Initial) Wastewater Flow: S6 4 GPD (See note below, if applicable P\E pv<,'S )p,J Sy s(Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size t coo o gallons Exact length of each trench Seo feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. Sa a~ 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: inches above pipe inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. ""If applicable: / nnderrtand the system type specified is different from the type specified on the app/ication. /accept the specifications of this permit. Owner/legal Representative Sign re: Date: This Construction Authorization is subject to revocation if Ian, 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 s 141 t~mpliance writ e pi`evyr o and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: vx-_v Date: I Construc ' Authorization Expiration Date: HTE# I b - s'- a'~3Li j Permit # a~~'A Harnett County Depahtment of Public Health Site Sketch PROPERTY LOCATON: ~ ~<5 ISSUED TO: ~Cf1P c. LLC, SUBDIVISION l~~j~,Ec "CZD LOT # Authorized State Agent: %t S (UL\ vRc `COLY.,`~~gf Date: 144 0 J r 2s% ~ a.EAC, c'S' j i 1 t 1 , 3 t. '~iEA2oOM ),A 0Sf- D 1 C" 1~0 wyNNGATQ 0l" Department of Environment, Health and Natural Resotma Division of Environmental Health On-Site Wastewater Section soarsrm &YALUATioN for ON-S1TZ WASTMATEASYSTr1 t Sheet: Property IR Lot 0: File N: Code: Owner: Applicant: Addrem Date &*ated: Purposed F3cillty; 3 &Qz, r, DesIp Maw (.1949p. 3613 yew Property Size: Location of Sitar Ppey l(eCarded: Water jr' PubIk ❑ Individual ❑ Well ❑ song ❑ met Evaluadot Athot ` Auger Boring ❑ Pit ❑ Cut TYPO of WasWwater: Sewage ❑ Industrial Process Mb" P R O P 1 1940 OM luo t W AOY .1941 TM PROMIA FACTORS L 9 N Ladsupe Hoaizom Position/ DqA Slop. % 00 .1941 .1941 stuawd Con"'In r TeXh" 'Uhmak 1941 Soo webmw Color .1443 .1936 sod Snpre (IN.) Clan .1944 Re* Hods. PMoQI• OW A LTAt L5 5 --1 tv o O'~o c. 36 ©_31" ~ vin r ~s~raP 3)-~0G 5 L vFn. ~~lNY SIC L-V S ~Fr~ r~S~N nw Repdr sysdem Other Factors (.19462 't- site CIA'Weadon (.1940 --75 Enhated By e- Othe rs pm ft