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IPAC RHTE# \ Harnett County Department of Public Health Improvement Permit 2 6 3 8 0 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Cos~ES 9-kv ISSUED TO: ~dC"5~.2s ~GSS~--L. SUBDIVISION LOT # NEW'X REPAIR ❑ EXPANSION ❑ Type of Structure: Ca-~ y2C-`-1 Proposed Wastewater System Type: 2.s°!o R~fl v c,~ Zd't g Js ~rty.rN Projected Daily Flow: CasnC> GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes X No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ,2~No ❑ May be required based on final location and elevations of facilities Type of Water Su I : ❑ Community X Public ❑ Well Distance from well O Gb feet Permit conditions: Authorized State Agent:: 1 i2rw~ The issuance of this permit by the Health Department in no way guarantees th ' s ce site is subject to revocation if the site plan, plat, or the intended use changes. The Ti1o the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. ,S Date: MA'!,tllco SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .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: Po ~Gn s N F..ss6.2-- C» y a PROPERTY LOCATION: C0 A~ s 'F-D SUBDIVISION LOT # Facility Type: C,~-N ct c.,-1 New ❑ Expansion ❑ Repair Basement? ❑ Yes \5< No Basement `F'~ixtures? ❑ Yes No Type of Wastewater System** 2,S,3le kf-~ 0 U C~ 10 r,t S `I s-~ a r r\ (Initial) Wastewater Flow: C. C5 Q GPD (See note below, if applicable 9 U re"~d DS 01- 'P, &c) U~-S~ o rt ~ Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size N S 00 gallons Exact length of each trench 156 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: ~o inches ~~+.~x.~E~-a~►.P ®®cti ~Y.l"or5 Maximum Trench Depth of. 1'y 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 Aggregate Depth: inches above pipe Conditions: w ~~a P~>J~ Q v r s ~o ra Qr~ 1otL~P, 1~ S gL~ 10 inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 speciped on the application. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is s revocation if the site plan, 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 sttb~to wrnplianl%v visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Permit valid for: XFive years ❑ No expiration Authorized State Agent: JAS Date: 1-43 i 11 Co ction Authorization Expiration Date: ya H T E # 10--D ate 4g (2, Permit # S() Harnett County Department of Public Health Site Sketch PROPERTY LOCATION: CPC, E s ISSUED TO: as SUBDIVISION LOT # Authorized State Agent: iaS~ptiv~tz`ao1-~,SDOsT~ Date: t 0 2E65 Sod r-O x"wL RCL,,~ G r 1 - -7 +-351 I Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOEUSITE EVALUATION for ON-SITE WASTEWATEI€SYSTEM. Owner. Applicant: Addtesa: Date Evaluated: Proposed Facility: ci , v©o, Desip Flow (.1949): 6100 Lomdon of SIte: t~,o Froperty }?=riled: water Suppf. Public' ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit Q Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot File * Code: Property Size: ❑ Spring ❑ Other cut Mixed P Ft O F t L 1940 t OI MO PHO 1941 OGY R THER OF112 FAG"1O 3 9 A ae Pos SI 6m" itiew 'ri H D a ep rsco th .1 9 41 .1 9 41 .1 s 94 oil 1 .1 9 43 .1956 .1944 rmmi