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IPACHTE# 1O-5-a49'~71 arnc,c County Department of Public i.ealth Improvement Permit 2 6 2 4 0 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1-1~c~I J-Z`e-IC3'C ISSUED TO: J C cv'S-C d /V C.,-~ \ y N SUBDIVISION "71c~r6C-1~1 po LOT # r) NEW REPAIR ❑ ANSION El Site Improvements required prior to Construction Authorization Issuan e: Type of Structure: © Np,~o Ci Ec,,2 Q24,~N `ELO ~2 Ec,, S V p ~C,RST~r Proposed Wastewater System Type: ta'lo vCs~dN 1sTEnn Projected Daily Flow: 2:~ GPD ~ H C 2 oP OS I;h L- -Eta ~ ~ FC= i 2k ~ , - ~ GL Sl Number of bedrooms: 3 Number of Occupants: ~ max Basement ❑Yes XNo NL ~2Ot~ t_ ~cz R~j=\C , Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well ) C) C) feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: gpN5 Date: '~R I \6~ )10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the auan f other permits. The permit holder is 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 Improvers 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: N K CO N5'C~-UGC `0 a14 PROPERTY LOCATION: 1- 2CI \TJ G51 SUBDIVISION 77 a G E i o\ E. LOT # c1 S. Facility Type: S rU New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Q~s°) b QL~E O Q C.°e S o N S Y CAN (Initial) Wastewater Flow: 3~ O GPD (See note below, if applicable a.~'"lo S?$~-ou LAQ.K ~Z's~Est~ (Repair) Installation Requirements/Conditions Number of trenches i Septic Tank Size gallons Exact length of each trench a60 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~0 inches Maximum Trench Depth of 1a" 1'j 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: ft. TDH vs. GPM inches below pipe I Aggregate Depth: inches above pipe Conditions: Cpl, ty~m,,r, oI o-' CX)V W), N E &F)' s ca-q91, 4Q.D"\,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 specilcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to i! n if the site Ian, plat, 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 is to complia wit'`i tl~ sions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: % t~.~\)i 1v Conction Authorization Expiration Date: Permit # - HTE# jnt e artment of public Health Harnett CO y p site Sketch PROPERTY LOCATON: '4 Ra) LOT # ISSUED T0: ns~~ d SUBDIVISION N N (a.6a"s OL.AjEv~OLY.6POOP Date: Authorized State Agent: 151 1 l\ p~ v G \ cl, Department of Environment, Heal" and Natural Resources Division of Environmental HealtL On-Site Wastewater Section SOIRJSYTE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot 1!: File 11: Code: Owner. Applicant: Address: Date Evaluated: -3,) N d Proposed Facility: 35 L( a Desip Flow (.1949): 34051111 Property Size: Location of Site: Propedy Recorded: Water Suppiy; P0196 ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: "Auger Boring Pit . Cut Type of wastewater: Q Sewage ❑ Industrial Process Mixed P R O P SOIL 4tORPHOLOOY OTHER t L .1940 L d .1941 PRAFILB FACTORS an aape Haaizus .1941 E Posided Slope % DqA 00 .1941 st w .1941 soil 1943 .1956 .1944 14omi uem Taal cawdeaa Mlmnlo wewnw Soil Cola sapre Re* CIA" j LS M. Clan Hods. R LTAR c ~ ~ ~tiR ,y l ~ 'I I a V a Site CluSiEE 1948X40 83"0\ Others Presentt.