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IPACHTE# /d - s - zyz~a Harnett County Department of Public Health 2 6 0 8 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:-5C 14/2 A a.. AI. f71a ISSUED TO- C 6~►t SUBDIVISION For~ f F, NEW 47 REPAIR 11 EXPANSION [I z ~s LOT # / t Type of Structure: SFD Site Improvements required prior to Construction Authorization Issuance: Proposed Wastewater System Type: 2 Projected Daily Flow: 3 1627 Number of bedrooms: 3 Basement ❑Yes 1;TNo- Pump Required: ©Yes ❑ No Type of Water Supply: ❑ Community Permit conditions: f Permit valid for. li~ Five years ❑ No expiration Authorized State Age t. -15 Date: _ /U The issuance of this permit by eafth Department in no way guarantees the issuance of other permits. The e permit holder is SEE ATTACHED SITE SKETCH 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, ASS, .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: r> y~~ O PROPERTY LOCATION: y/Z Facility Type: SUBDIVISION LOT # S CD New q Expansion ❑ Repair Basement? ❑ Yes E~f No Basement Fixtures? ❑ Yes CT No Type of Wastewater System** hvmn In 61 fL~pDCt7U1~ S~,S~/-~ (See note below, if applicable / (Initial) Wastewater flow: 3~o GPD FF/3S [ ~mbk i- Cj A*e-, (Repair) Installation Requirements/Conditions Number of trenches _ I Septic Tank Size / o 0 o gallons Exact length of each trench 3 ) o feet Pump Tank Size / o o Cj gallons Trenches shall be installed on contour at a Maximum Trench Depth of.-,IL- 3P inches (Trench bottoms shall be level to +1-I14" in all directions) Pump Requirements: ft. TDN vs. GPM Conditions: v Trench Spacing: feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Z inches above pipe /Z- inches total **If applicable: /understand the system type pecified is different from the type specified an the app/ication. /accept the rpecipcationr o/thi permit. Owner/Legal Representative Signature: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when Daeeis a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Sy/,, - GPD Number of Occupants: max [~'MM be required based on final location and elevations of facilities 2 "Public ❑ Well Distance from well feet Authorized State Ag L' ~ Date: /b ~ 2S - ~o Construction Authorization Expiration Date: / o - Z5' - HTE # 16-5-- ZYZb a Permit # /O - : - ~2 w b Harnett County Department of Public Health Site Sketch ISSUED TO: Co r,~'o PROPERTY LOCATON 56/y/ZZ~._~t,t~;~, 'D' ES I SUBDIVISION _1ir + a4mjl , LOT # _y j Authorized State Agent Date: _ /O -f Y?-t V 44 C- -5 7~1 ~A) 7 dv esA&w.5 ? Cd)j77+C T ivk~ b~ h t < V -rT k `Zo y Q NZ"Krw 2 T Y~ Depagment of Environment, Health and Nature! Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot a: SOIUSITZ EVALUATION File /M: ror ON-,SITE WASTBWAT>ER SYSTIEW Cade: Owner: Applicant: Addresr Date Evaluated: Proposed F=W Sr--- . Locadon of Shm Desige Flow (.1949): , Property Size: Water sup* property Recorded: IT6 - ❑ Individual ❑ Well Evaluati M h ❑ S i on et a Type of Wastewater; ger Boring ❑ Pit Sewa e ❑ pr ng CIS ❑ Other g Industrial Protest Mixed p it O P SOIL btORMOLOOY 1 .1940 OTH .1941 p Hairizue ER PRORU FACTORS E Poet 1941 aP~ .1941 .1941 M Slops (Ia) So d s 1$43 uctmw CoaWdom bmw To Mtdnb Co Soil .1916 .1944 AVM S°prp Re* cim i L z o.~ Z L Ct°r Hoft A L fA~ .3 0-/0 'SL /0- 36 fC - r' 3 L L S tit t o ,5 1,5 L v u i~Pa Nk c b L ~i YD sG Yo -Y8 3« 9Y" T a-is L ,y AA-NoO ripdom ci fuillai 1 3 y Sol Repdr SYss Other Factors (.1946 abla s sa .1945 Site C1953ificstion (.194ax r~S T# othcsPt~ 0