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IPACHTEO I Harnett County Department of Public Health hDrovement Permit 26594 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N ISSUED TO: C, t>~ Y1avCGS'S ~--~~fl SUBDIVISION 9+0 g~cr.c~ssc LOT NEW, REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5~Q (5Sf 3 Proposed Wastewater System Type: 'aso/o ~scs~vcx~ a" Sys ;tzrl Projected Daily Flow: 4>O GPD Number of bedrooms: Number of Occupants: Amax Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Sapp ❑ Community X Public ❑ Well Distance from well I feet Permit valid for: Five years Permit conditions: ` c ❑ No expiration Authorized State Agent:: ~ Date: -11-71%) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department inno way rantees the i of other permits. The permit holder is res nsible 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 Imp sent 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 TO: CPV)-ate --~.Nt~ ye- Facility Type: S'FSJ(55s 3 t- Basement? ❑ Yes X No Basement Fixtures? PROPERTY LOCATION: y~ty SUBDIVISION ~ast.r; LOT # X New ❑ Expansion ❑ Repair ❑ Yes XNo Type of Wastewater System** o 9-A c, 10,E S y 5-s a,-N (See note below, if applicable REOv t 0 N y 5 i t~ T n (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 O © d gallons Exact length of each trench ® feet Pump Tank Size gallons Trenches shall be installed on contour a Maximum Trench Depth of: ®z inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Su&~~Ts~ vJ1Y~,~ (Initial) Wastewater flow: 3<=O GPD Trench Spacing: Feet on Center Soil Cover: 1,, inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe \QQLN Cssri,) 0 ~ inches total Cr n .J C-Cuu ot~a~ `P. H tFbsz®0M } 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 specifled on the application. / accept the .specifications of this permit. Owner/Legal Representative ture: Date: This Construction Authorization is subject to revocati the s Ian, 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 AuthorizationLI*44~ject to complia ith a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ' ecN Date: -7 - 11 Cons ion Authorization Expiration Date: `7 b HTE# `1 Permit # a~5'1 H Harnett County Department of iblic Health Site Sketch ~LCK ~ Poi. I Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot o File 0: SOIUSTTE EVALUATION C : ror ON-SITE WASTEWATER SYSTEM: Code: Owner: Applicant: Address; . Date Evaluated: PMPOW Facility: 3 ZZ)Q (,N Deslgp Flow (.1949):'3(,(D Pr%" Size: LocatiOII o(S1te: . Property Recorded: Wateut 9upp' ilC ❑ itldividual ❑ Well ❑ Spring Evahradan Method: Type of wastewater: uger Boring ❑ Pit ❑ 0 cut. ewage Wustdal Process Mixed P R O F 1 1940 SOIL MORPHOL.OOY tT77LER . L ~ Horizon .1941 P ROFRE FACT( 9 Faei~ DPo N 91opo'K (1a) .1941 .1941 .1941 Soil Str d jBLtj atfor Cond~tanee Wetn"d Tomm Miatnlo Color Boil N tl C c) mt, . ❑ Other .1956 ,194 pb~p j Soles Reatr Cfui . Ctw Hons. ALTAR ,S 5 . j, ' site C1mmCadou (.19482 S 'lo Evaluated By: ~ Others Prams: GS n