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IPACHTE#16'5 tiO3Lj� Harnett County Department of Public Health 29134 Improvement Permit A building permit cannot be issued with only an Improvement Permit \ -1 r PROPERTY LOCATION: NvSss t�D ISSUED TO: "LLLr cS SUBDIVISION "� r N LU.Kfi LOT # NEWX REPAIR ❑ EXP ON 0 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5�fl �L�S �2 c1, Proposed Wastewater System Type: 2S o 'PC -0 tz„ t nN S 5—,<_w\ Projected Daily flow: L-I�EXI GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes e< No Pump Required: []Yes �5No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 (' Met Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: �� \fit;\ 'Vs -,i g Date: S 1 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health oepamnent in no way guaran t a nice of other permits. The permit holder is respon ible for checking with appropriate gmeming bodies in meeting their requirements. This site is subject to revocation if the site plan, plat or the intended use changes. The ImprLeement 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 .1958, .1951, .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: c1.S�\U c)4S �NG PROPERTY LOCATION: N\)CLS&V Zo SUBDIVISION Fj.0o6 D L(S LOT # 6 Facility Type: Sip `Li5 "a `i New El Expansion ❑ Repair Basement? ❑ Yes -'*M< No Basement Fixtures? ❑ Yes �SZ No Type of Wastewater System** al!-:�/ % SL�- D kJS i U lv � / ; Er^ (Initial) Wastewater Flow: L)'SO GPD (See note below, if applicable ❑) (Repair) Installation Requirements/Conditions Number of trenches L -i Septic Tank Size V 0 © o gallons Exact length of each trench 70 feet Trench Spacing Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: i— )D-- inches Maximum Trench Depth of.. )`a a- 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: h. TDM vs. _ GPM Conditions: inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the tyrtem type spec/led is different from the type specified on the app/kation. / accept the rpecilcmions of this permit Owner/Legal Representative Signature: Date: This Construction Authoriaati no-�ct in memories if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there i. Constmnion Authmrizatiodc of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Authorized State Agent: 9153 Date: T ruction Authorization Expiration Date: SEE ATTACHED SITE SKETCH NTE# b " 5 -*-t pl4-}� Permit # a,�) Ili Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: �\NM&L� ISSUED T0: WC.. o ��2P�5o(Ls �,� SUBDIVISION N�onF L-A� Authorized State Agent: QL�)S �o�1VFJL iptSJo(� Date: ��I3tlhb i GPs�rnt��i t� 2EQ��2 to ops' �na� HUVgE � 5p� 9 2 i L46 4 C`7ft� ESs �Q'�C Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On -Site Wastewater Section Property ID: Lot #: SOUJSITE EVALUATION File #: for ON-SITE WASTEWATERS Code: STEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: ;;.. Design Flow (.1949):1 7}� �, Location of Site: "� f � Property Size: Water Supply PmPertY Recorded: Publico Individual ❑ Well Evaluation stewate' �pget uting O pit ❑Spring Type of Wastewater: j Sewage O Industrial Process Cut ❑ Mixed R O F I .1940 L Landscape Haizm E Posmont Depth # Slope % (in.) SOI, MORPHOLOGY .1941 ...1941 J941 Stn'cturu Consistence fli 5Q x 4 F rz ss �,�P IL4L six �z ss) yr J.P \Y ! [G Soil Wetness/ Site Classification (.1948):.P Evaluated By:;- Others Present: V�-2Q Q ❑ Other OTHER IB FACT 1943 Soil .1956 .1944 Profile Restr I class