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IPACHTE# 1Harnett County Department of Public Health 1 P 't 26658 myrovement erml A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 0 ISSUED TO: -CXZ'0s5 "C' SUBDIVISION 9-<10 =s'~-- CAW1,52 LOT # NEWX REPAIR ❑ -RPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5NQ Cr'~0.~ C> Proposed Wastewater System Type: Q- 10 uG> L 0>J S`1o rr\ Projected Daily Flow: GPD Number of bedrooms: k-1 Number of Occupants: K8 max Basement ❑Yes No Pump Required: ❑Yes t'Z No El May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1.® O feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~C`'~~~st\ S Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the ~ce 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 Imp~vement 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: S ,-davr.CAZoSS I_ LC. PROPERTY LOCATION: 0y ~i-, -,4-3 SUBDIVISION %-7a rt-CA1045 LOT # t0'% Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ~1& No Basement {F-ix^ytures? ❑ Yes AND Type of Wastewater System** 0 e Y" 5-0L)C--7\ O')S--';~Et~ (Initial) Wastewater Flow: ® GPD (See note below, if applicable 06 C,D0N S'~!5"Z%i\ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 1®W gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 05-0 feet Trenches shall be installed on contour at a Maximum Trench Depth of. 11° aA inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: n feet on Center Soil Cover: G-)2~ inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe i 2- 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 speciTed is different from the type speciTed on the application. / accept the specifications of this permit. Owner/Legal Represen a . nature: Date: This Construction Authorization is subject to revoca' 'f 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 subjec4~to L"V1iance with er o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: `1 Authorization Expiration Date: I 1 O`~? HTE# e 1Permit # a'~- C51 Harnett (county Department of Public Health Site Sketch PROPERTY LOCATON: C~yE2~~tit-~-5 ISSUED TO: S-,ate L. SUBDIVISION ~;dNEGt~SS LOT # 1a Authorized State Agent: 4 G\~ ~~-~vC~L ioLxSt~c~(Us Date: } 1 G T 00-4 ~vc-5I O~L,» ))15 s ~S Department of Em mnmenk Health and Natural Resourm Division of Environmental Health Shed: On-Site Wastewater Section Property ID: Lot SOE,/STT$ EVALUATION File 0: for ON-SITE WASTEWATER SYSTEM Code: Owner Applicant: Address: _ Date Evaluated: Propmsod Facilityr: L~ C'~Oc r. Deslga FLOW (.1949): d JA Pmpertlr Size: Location of Site: Propertyr Ptecorded: Wateit SuppCp I~C ® DuNdual ❑ W n e Evatuadon Method: Auger Boring ❑ Pit f7f. Type of Wastewater: -IkS ~ ❑ Spdng cut. ❑ Other e mge ❑ industrial Process D mixed, P R - O P SOIL MORPHOLOGY I 1940 OTHER . .1941 LPe Horizoe PROFILE FtUCTrORR 9 Posidad 194' DQP~ .1941 .1941 Soil a 91op~% (to) stuemw Condataaco Wdomw 1!143 .1956 .1941 pmme Teadan Mla~nta Corot s ~t .~1 9oi1 38Pro Re* clue . an a U.0 Ct Haan. Atha Factory (.Iw) Site Classi$cadon (,1948X Evaluated BXA Others PremL.