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IPACHTE# Harnett County Department of Public Health Improvement Permit 26296. A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: COQ o U Gs ISSUED TO: AN C-0N'S'1I-&V C-: 10 114 ~ ^J C SUBDIVISION ~ V t~C-,(l ) i.. LOT # NEW'X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: G C(' 6 x~ Proposed Wastewater System Type: Projected Daily flow. , GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required:Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community R Public ❑ Well Distance from well )0 feet Permit valid for. ❑ Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: 4 } 4 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 resp Bible 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 Improv nt 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 TO: `f H ~'l Co r,f 2vCN- t 0 ~"J r t G. PROPERTY LOCATION: V\ C'o 0 U G -L-0 SUBDIVISION S v NN m~,z. "A t t LOT # 3 1 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** P'i n? 1 cs Co Nv F- f ON DAL" (Initial) Wastewater Flow: 0 GPD (See note below, if applicable r,. a,, N-4 C-- N) farvp,,l, (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size l C 0 gallons Exact length of each trench ` O feet Trench Spacing: Feet on (enter Pump Tank Size ` O C 0 gallons Trenches shall be installed on contour at a Soil (over. - 1`y inches Maximum Trench Depth of: l`~ 3 0 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-114" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM C- inches below pipe Aggregate Depth: a inches above pipe Conditions: S a 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 is different from the type specified on the application. / accept the specilcationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to rer tattop„tf`the site ` lat 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 i to comph rth 4~Ips 00" ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Const `tknn Authorization Expiration Date: HTE# {O- S-a53o-5_ Permit # a9 Harnett Connty Department of Plrblic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LO(ATON: M~ v6 Q-Z _ SUBDIVISION LOT # 3 l (o~i~L2SoLKSC~ott~ Date: _!k 14 P AMP ~d as X~, C.dNV GN'S ~ 0 ~J p~ LK x ' 5 3 a 40, I' v W E ©P.V- 1--En.F 0 CLrvG Depaftment of Environment, Health and Natural Resourm Division of Emironmentd Health On-Site Wastewater Section SOQJSITE EVALUATION for 0141-SITZ WASTXWATER 3YSTL4 Sheet: Property ID: Lot M: File 11: Code: Owner. Applicant Address Date Bvduatod: PrOPOW FUMY* ~ cow Desip Ftow (,1949Y 3 6 a Property Size: Locatdow of Sits Ftbperttr Recorded: water fpph PubilC ❑ Individual ❑ Well ❑ spins ❑ other Evaluadon Method Auger Boring ❑ Pit Cat Type of Wastewater: Sewage ❑ hwhial Process Mud P R O F SOIL MORPHOLOGY OTHER 1 L .1940 L d .1941 PROFtLd PAiG"fOA3 a w" Horkm 1944 9 N Posidoal 91op~ K Dqd (1a) .1941 st d" .1941 SON 1 1 .1916 .1941 he& u Tartar coaddaea utaarab webmw Color soil SWO R * CIM s jgjgo IN, C1ar Hail. i LTAIII U- /r ~ G C '45CL Qn X4 > F C c ~ Mar Factors (.1946) r Site Claasidcadou (.19485 Evaluated By:ol Others Pm mt -5