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IPACHTE# ' o -s-D:- OLA Harnett County Department of Public Health Improvement Permit 2 6 2 9 5 A building permit cannot be issued with only an Improvj~ent Permit PROPERTY LOCATION: ~ C~L1 C, t r 6 N=D ks) ISSUED TO: \44 WA rl Ck-1 iy-Y<l U e SUBDIVISION ~S U M m _(L r L~ LOT # d NEW REPAIR ❑ E% NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 ~Q CLAD ~ 1~ Proposed Wastewater System Type: ~~lo Es~UG~ 10 'N SY5 Projected Daily Flow: -1>6 Q GPD Number of bedrooms: _-3_ Number of Occupants: max Basement Dyes 'K No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: El Community \9 May Public ❑ Well Distance from well C) feet Permit valid for --Five years Permit conditions: ❑ No expiration Authorized State Agent.: ~ S Date: d 2„S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan her permits. The permit holder is responsi 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 Improvemen Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the taws 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, AM, .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 y~A %-,i 1t4-s%,1 UC.;Cvd Tv PROPERTY LOCATION: M CO cs U G .L © ZO SUBDIVISION '6 U 2 1~\ 1Li- LOT # 3 Facility Type: x Co X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement fixtures? ❑ Yes -N„No Type of Wastewater System** 575'&~ (Initial) Wastewater Flow:, GPD (See note below, if applicable N F~ 1C, y`JU c~tGt y5 G h(Repair) Installation Re uirements/Conditions Number of trenches Septic Tank Size gallons Exact length of each trench L! 4 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: W 36 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacin_ Feet on Center Soil Cover 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 ryrtem type .rpecifled it different from the type specified on the app/ication. / accept the rpecilcationr of this permit. Owner/Legal Representative Signature: This Construction Authorization is subject to revocation if the site Construction Authorization is subioct to comnlianrAwirh'71R.u ; Authorized State Agent: Date: plat, or the intended use changes. The (onstructioo Authorization shall not be transterred when there is a change in ownership of the site. This Lt taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH S; Date: ( t 0 tr on Authorization Expiration Date: ()aS HTE# ~~S-a.S3Oy Permit # U-a. 5 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: M coo ISSUED TO: i.I N S~ v LS ~0 N SUBDIVISION ..Sy cnr-N6sX_ it LOT # 3a Authorized State Agent: t w 'COLYsovc~ Date: -,wq 0 T alga GLEQU CGT id rv 2EPn,~c,. P~2~R ~-lOsc ~0r5'.3 D ~o R O p~1 L-6-01,F O CL-11/6 DePastnent of Emmironmenk Health and Natural Resources Division of Environmmtai Health Shed: On-Site Wastewater Section Property ID: L ot Lot SOIUSITE EVALUATION File H: for OK- 3ITp Code: + WAW'TI&WATgB SY9Tfm Owner: Applicant: Address: Date B`valu". \ ProPWW FXWtr, 2J5~ ~r" 5 DCdP MOW (.1949r 36a Pmperfij, Size: Loca lon of Site; FtoPU* Recorded: Water 3upw Pttblk ❑ Individual ❑ Well ❑ Spring Evduadoa Medltad-. Auger Boring ❑ Pit cut, Type of Wa rater: Sewage ❑ Indushial Process Wired P R O f+ SOIL MORPHOLOGY t 1940 .1941 L Apr Hariz0=4 OTHER ROF1La P FACR B Posidoel Depth .1941 .1941 .1943 1043 N stood % ALI Sol QUMQ"Wd TOM" Considatm WeEpeaaf sod INirnnk Color QV. U-aa G ~ v~ NS1~e L - - " Site CI&Wcadou (.1948 f j Evehisted By: Othe rs Ptemt `Y ❑ Other 1916 .1944 bef>It Re* Cl" Halt. ALTAJI P P~ ~