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IPACHTE#1 1-5r~'~J o Harnett County Department of Public Health Improvement Permit 2 6 5 6 0 A building permit cannot be issued with only an Improvement Permit ` PROPERTY LOCATION: ` c,60 U coe%tA Q_D ISSUED TO: W liNfir C4T4,~;-N QNJCsK kO,,t SUBDIVISION SvMt" &ct_,.'NN -1 Lt_ LOT # NEW REPAIR ❑ EnNISION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S fl C~6 " Proposed Wastewater System Type: Q)-`G'16 Q®U~~c1 ~~t5-rE,cr~ Projected Daily Flow: `5G C GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes "No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~9 Public ❑ Well Distance from well 1' 0 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 4; -5 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance s r permits. The permit holder is respon ible 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 't 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: tv a.r N~SCZuc,-S d N PROPERTY LOCATION: CZ 000SaLQ SUBDIVISION Syr^r"G i- LOT # Facility Type: J New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes _XNo Type of Wastewater System** '14Z"0/0 yljer3vc _11%15 f S 3s-7 artl (Initial) Wastewater Flow: 360 GPD (See note below, if applicable 2sls, (ZrzR2C-,,01 5~,5 ;G (Repair) Installation Requirements/Conditions Number of trenches 1__4 Septic Tank Size X.®© 0 gallons Exact length of each trench 'f S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G - 1 O inches Maximum Trench Depth of: 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: 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 specified on the application. / accept the specifications of this permit. Owner/Legal Repreunritative- i nature: Date: This Construction Authorization is subject to revo i 'f the si 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 sob oimpliance the M, ' aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: H Construe n Authorization Expiration Date: L'+ HTE# IZ) Permit # -65J~o Harnett County ]Department of Public Health Site Sketch PROPERTY LOCATON: nc,C~c,UGta~o ISSUED TO: K v Gxz l d, SUBDIVISION S U ~G2 l~..a LOT # a°1 Authorized State Agent:S Date: LS~b Department of Environment, Health and Natural Resources Sheet: Division of ErMfonmental Health On-Site Wastewater Section Property ID: Lot 0: SOIIJSITZ EVALUATION File ll: for ON-SITE WA,a Code: TEWATElI9YSTEM Owner. Applicant: Address: Date Evaluated: Proposcd Facility; Dedp Flow (.1949): se prope/ty Size: LocadotE Site: Pfoperty Recorded: WatetSuppCji 96 0 Lldividual ❑ Well rang ❑ Evaluadoa Method: ..Auger Boring ❑ pit Type of Wastawatm s Sp Q4 ewage ❑ Industrial Process Mixed P R O F t 1940 SOIL MORPHoLOOY 07 12 . w Harizaa .1941 PRO FU FAtaORa .1941 E Posi~ 4 91op~ 7ti • 1941 .1941 3011 sa te t 443 u Candkem Wdan / Taxmm Mf mfo Color sou s C L- liVL r rte- ~.s P ca ~G FO'P' C Site Classit3cadon (.1948k ~ 5 Evacuated By: 0; Others Present: P r,-, ❑ Other .1946 3epro Claw .1944 I Piolq~ Re* CAN !rte= Ai LIM P'« 5_ C