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IPACHTE#10Harnett County Department of Public Health Improvement Permit 2 6 2 9 9 A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: Q-0 ISSUED TO: Yr~'Cz'%I ti ~ Vt-trOGaC pV tLp~ `N SUBDIVISION \4 P v ~ GagvE NEW REPAIR ❑ QXPANSION 13 LOT Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S C-U ~,CoO'xr ~ Proposed Wastewater System Type: !DlS% REs~y~> >u Sy3 ;tM Projected Daily Flow: 0 GPD Number of bedrooms: L~ Basement ❑Yes /N, No Pump Required: ❑Yes KNo Type of Water Supply: ❑ Community Permit conditions: Number of Occupants: max ❑ May be required based on final location and elevations of facilities Public ❑ Well Distance from well 10p feet Permit valid for. ~(Five years ❑ No expiration Authorized State Agent:: n Date: ~O SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in na way guarantees the issuance er permits. The permit holder is responst 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 Improvement ermit 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: 6u LLO C-4- $u"1-'0& -Z, 1N PROPERTY LOCATION: SUBDIVISION ~.t.t~ ~,-c Gcu~v G- LOT # -A Facility Type: S'PO(rcQ New ❑ Expansion ❑ Repair Basement? ❑ Yes >Q No Basement Fixtures? ❑ Yes No Type of Wastewater System" ~E0 \J 'Cs014 Sy5-TEt.r~ (Initial) Wastewater Flow: ! GPD (See note below, if applicable Pyme~a 'C)S/b '~LaJ, Syg . (Repair) Installation Requirements/Conditions Number of trenches E Septic Tank Size l cD ©O gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench t S'O feet Trenches shall be installed on contour at a Maximum Trench Depth of _ 'iNJIA_ inches (Trench bottoms shall be level to +1-114" in all directions) GPM Trench Spacing: 9 Feet on (enter Soil Cover 1'l1 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (IN(LUDING 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: / undeatand the rystem type specifed /s different from the type specified on the application. / accept the specifications of this permit Owner/Legal Representative ' ature: This Construction Authorization is subject to revoca f the a plan, plat, or the intended use changes. The Construction Authorization shall not be transferred whet Construction Authorization is to compli wit f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Authorized State Agent: RAH Date: Co ction Authorization Expiration Date: Date: there is a a in ownership of the site. Thu SEE ATTACHED SITE SKETCH HTE# I `~L5L}35 Permit # r 6-'4~ Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:_ LASPkl t ISSUED T0: Yr- YC1 ~u $vNL06Qb )NN SUBDIVISION ~nIAL~ t! r ~pyE. LOT # 16 Authorized State Agen ~ , OL,VL t dlx s4cs ate: O a / T P E 4~ p S E M E N W > >v c FxQ 'Puc3 Da- Depa>dment 4 Em mmnent, Health and Naft" Resources r Division of Bmironmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOWSITE &VALUATION File 0: for ON-Sin WASTmArn, sysi M Code: Owner. Applicant Address Date Bvalnated: ~ojaA . Q) proposed F"tr- cY.S DCAP Flaw (.1949}: 4-to ) L P y ocatids of 91te PmPedl► (tecorded: W r S mpmf Size: ate upply;. Publk ❑ Individual ❑ Well Evaluatlotl Method: Auger Boring ❑ Pit D Song ❑ Other Type of Wastewater: sewage ❑ Industrial Process cut mixed p Ft O P Som m"HOLMY 1 .1940 OTHER .1941 L ~p Horizon PRO FACTOR6 IRU E Position; DqA .1941 1941 .1941 3oU M slope st 1$41 ud" Cofwdmq To tilmu 1o W Color . .1936 .1941 909 39" Re* Pro(tN Claw G S vFn claw Haas. A LTAt ©-4.1 5 LAW vectors (.1946) Site C1aIk8cadcG(,1948) S Other, A"at - i 1 x\5a•~'4",%I