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IPACHTE# 11 5-ALA Harnett County Department of Public Health Improvement Permit 2 6 5 5 3 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: H) LLMoN Gtu-VCty ISSUED TO: SUBDIVISION LOT # NEW )4 REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Mwey . "OmC- Proposed Wastewater System T e: a5°~e -0uC. ',o,4 5y~'S~M Projected Daily Flow: t-_\ q© GPD Number of bedrooms: t-h Number of Occupants: max Basement ❑Yes 'D<No Pump Required: ❑Yes ❑ No X,May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well \OQ feet Permit valid for: Five years Permit conditions: `s ❑ No expiration Authorized State Agent:: QL ~5 Date: t3 1 ~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is r ponsible 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 Improvem t 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 .1 950, .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: -s~,Ac. PROPERTY LOCATION: r~.Lr~ac~1 GcLtve 9Z SUBDIVISION LOT # Facility Type: M+'►~r ~ocr.E \?ad New ❑ Expansion ❑ Repair Basement? ❑ Yes 15y No Basement Fixtures? ❑ Yes X No Type of Wastewater System** a s% ~~ovc ~tJ Sy~av (Initial) Wastewater Flow: 1-YtO GPD (See note below, if applicable ?UT19 -4 9FEO'U 1C)sJ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size o ood gallons Exact length of each trench feet Trench Spacing: 9 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 41 inches Maximum Trench Depth of: \'q inches N (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-1/4" MPS 36" above the trench bottom) in all directions) "'"'ter Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revo ' if the sit 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 su complian ith vis' aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ~G!\ Date: y A 1N Coon Authorization Expiration Date: N3 6 HTE# Permit # 3" 553 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ~'ll~tr~,a~-s2ovL ~,fl ISSUED TO: SUBDIVISION LOT # Authorized State Agent: ~+5 C)L) K iUL*:5 o)Date: M~/ k )',LSwom GAG c--,Av L)~ CD Department of Emrironment, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot 0: SOIL ISM EVALUATION File ror ON-$ITE Wggv~yAnmg SYSTEM Code: Owner. Applicant: Address: Date Evaluated L Proposed Facility: to gl~x> m~, D9APF10w (.1949): e qo Property Size: Lacadctf atP Site: Prop-arty Recorded: Water SupptJ+-13 Public ❑ Individual ❑ Wen Evaluadc' MOU& Auger Boring ❑ Pit ❑ Spnng ~ cut- Type of Wasrtetvater: Sewage ❑ Industrial Pnocesa Mixed. P it O F SOIL MORPHOLOGY O THM .1940 .1941 E Pori" Horizon 1194' PROFtLB FACTOR.' Depth M Slope 9U ( .1941 .1941 Soil .1~41 Sauemw canddem webmd sou Taxk n Miainta Ca[or QY. L S=?"%d ~"c~,~, 4s s tires CZ-r . ~:36 Se, K. SC1- i s5 ~-,P k 'lam `t)~(~ ~r ,x v Site C19Wcadon (.1948X''5 Evaluated By: ox Others present: ❑ Other 1936 .1941 livl>ti ;lm ResEr Ct~N :f . g 3n)0O~-