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IPACHTE# fie- ]q? Harnett County Department of Public Health Improvement Permit 2 6 61 8 A building permit cannot be issued with only an Improvement ermit p PROPERTY LOCATIO : ISSUED TQ;~e" SUBDIVISION r~ E F •~scc, ~~,t::~1" LOT # NEW C~' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S`d Proposed Wastewater System Type: 5-_ ec~~s Projected Daily Flow: d e? GPD Number of bedrooms: t Number of Occupants: max Basement ❑Yes No / Pump Required: ❑Yes ❑ No ©M be required based on final location and elevations of facilities ^ Type of Water Supply: ❑ Community d Public ❑ Well Distance from well U feet Permit valid for: E~Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: `711A-,,1 SEE ATTACHED SITE SKETCH The issuance of this permit by t~ Health ~Department~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:.~a~^ ~eo ~c ~,e~zf PROPERTY LOCATION: Gce•L „J/p (jam) aJ 6H4f ~/yh SUBDIVISION ( C.- cc.4' f LOT facility Type: t~ FrNew ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fix ures? ❑ Yes ❑ No Type of Wastewater System** Aed uc4vii (Initial) Wastewater Flow: GIRD (See note below, if applicable oV-7, -4tf,4,. (Repair) Installation Requirements/Conditions Number of trenches ;r f ~ Septic Tank Size gallons Exact length of each trench -0J ~V / feet Trench Spacing:_ Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /o,'/e 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 Conditions: Aggregate Depth: inches below pipe inches above pipe 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: l understand the system type specified is different from the type specifed on the application. / accept the specilcations 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 and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: zl~- Date: d f/ Construction Authorization Expiration Date: sV r HTE # /Z 5-- R 5 V-7 Permit # cR~, k 1 b Harnett County Department of iblic Health Site Sketch / PROPERTY LOCATON: GrcR-^. t-,,A kf . ISSUED T0: l a SUBDIVISION ux ~~v ~~J~ y LOT # GS' Authorized State Agent: Date: 1Z s rat f r~ Department of Environment, Health and Natural Resources Sheet: Division of EuAronmental Health On-Site Wastewater Section Property ID: Lot 0: SOJIJSITE EVALUATION File M: for ON-SITE WASTEWATER SYSTEM Code: Owner. Applicant: Addmn,- . Date Evaluated:( ~ PrUPOW Facility: Design FIOW (.1949): Ptopertr Siz Lat dotE of 3Ite: PmpertY itecorded: e: Watdt 3b"I : M tic ❑ Individual ❑ Well u ❑ Spring Evaluation ethod: Type of Wastewater ❑~A ger Boring ❑ Pit p s ~ , ewage ❑ Industrial Process [ Mlxett P R O F 1 1940 Som MORFHOLWY OnMR . L p 1lonhos .1941 FROM FACTO 9 A Slope % 00 .1942 .1941 .1941 9611 Sft w 19 4 chu Coedit~me WCMC&d Texture Minrrlo Color Soil iN y G . ❑ Other .1956 .1941 I Avmi Smpm Ctaxi Clam Hail. _ i LTA1 Other Factor, (.194 ) Sita Classification (,1948x Evaluated By.. Others Present: f~ E