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IPACHTE# ® -5y° zb(oq s" Harnett County Department of Public Health Improvement Permit 2 6 5 0 6 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATIO /Vg ISSUED Ty,;5 cx:/ Zafc SUBDIVISION 6 LOT # 5 NEW F/ REPAIR ❑ EXPANSION ❑ Site Improvem required prior to Construction Authorization Issuance: Type of Structure: : Proposed Wastewater System Type: 2Sd/a i2JSbcJZiU2) Projected Daily flow: GPD Number of bedrooms: Number of Occupants: L max Basement ❑Yes No Pump Required: es ❑ No ❑ MMa required based on final location and elevations of facilities Type of Water Supply: ❑ Community 2 "'Public ❑ Well Distance from well feet Permit valid for: 2- ive years Permit conditions: ❑ No expiration Authorized State Ag ° Y Date: ?2J - r SEE ATTACHED SITE SKETCH The issuance of this permit b each Department in no way guarantees the issuance of 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 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, .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 T0: S r ,t/Drye6 PROPERTY LOCATION: D Co SUBDIVISION ? LOT # -'575- Facility Type: I New ~ ' Expansion ❑ Rep Basement? ❑ Yes lid No Basement Fixtures? ❑Yes I~ No Type of Wastewater System** Li- (Initial) Wastewater Flow: 3(00 GPD (See note below, if applicable 70 ^ I ~ epair) Installation Requirements/Conditions Number of trenches - I_ Septic Tank Size j60 0 gallons Exact length of each trench 60 feet Trench Spacing: Feet on Center Pump Tank Size 00 0 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 7 q d 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 Conditions: Aggregate Depth: inches below pipe 'Z- inches above pipe /1_ 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 spedfled is different from the type specired on the application. / accept the specipcations of this permit. Owner/Legal Representative Signature: Date: 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 there is 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 nd Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State A t• Date: Construction Authorization Expiration Date: ° 3-f HTE# Permit # Harnett County Department of Public ealth Site Sketch PROPERTY LOCATON; ISSUED T0: _ % ;rJ 131)VAC-45 ;gJC. SUBDIVISION Authorized State LOT # 55 Date: 1 4. t 4 10 0 96 P c,e s,k~g Y P -,tk- c, Department of Emtmnmenk Health and Natwal Resources Divisioa of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIIJSTT$ EVALUATION File M: for ON-SITE WASTEWATER SYSTE W Code: Owner. Applicant: Address: Date Evaluated: s ZG` ri f Proposed Facility: Design A& (.1949): Property Size: LacadolE Site: prot*rtY Recorded: Watdt 9uppCp< flC Q hldividual ❑ Well ® Spring Evaluadon Method: Auger Boring ❑ P$ f7l. cat Type of Wastewater:` ❑'Sewage ❑ Irdustriat Process mixed P A O _ F SOIL MORPHOLOGY 1 .1940 .1941 DER L La wmeaps Haizim 941 PRONLR FACTC 1 A 91ope'1i .1941 .1941 SW ~ ou stucftw CCIWMeaet Wemew 9oH Toxd~n Mtara[a © Cater IN. 2q 3a ~=-c, ISC i- . c, 3 C ~"5 H7. c C..- -.v, 10- q 0 f I-- ❑ Other .1956 .1941 Pirolq® , SLiI--m Rew CAN AIt' Hats, ,LT F,.,,1. .3 q~" P- qq ;t t j- Ic q 4- Z - Evahated By 4. 5 Aen vend Factors (.1946) ' - Site CWWficadou(,1948)