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IPACHTE# Oc? -5cV-- ai Vq Harnett County Department of Public Health 2 5 2 3 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit ) PROPERTY LOCATION: NC $3`7 _ ISSUED TO: Hr~1 CISMA SUBDIVISION&15ma fAin i) A4,+,1 LOT # NEW ~-o" REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: iV Type of Structure: 5 Fx Z ~2 Proposed Wastewater System Type: C 2 Projected Daily Flow: a'~ 't O GPD Number of bedrooms:- Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community P blic W$II Distance from well ~j PC) - fey Permit conditions: Mte-'f ©f1a1r+ Z- ;Ji~~l ~SUItc 2.4wL'4 M'a it (Permit valid for. ,Five years j~T3ACkS ❑ No expiration .mac Sk2~0r\ 0--"Ao' 12'L 'r nr-d no AN, A sro-L~'TA~ It- Se c Air. r`^ M luc 171A f Authorized` tate Agent:: 4-- ~ Date: Q,2 - 03- C) ~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Heal epartment 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, ASS, .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: Le5\'c ~\St`nA PROPERTY LOCATION: PC S7 SUBDIVISION IS(~A fpm ton LOT # Z Facility Type: Sr~) - 2d)~30 - .2 G(t- `ZI. New ❑ Expansion ❑ Repair p~%o Cn < Basement? ❑ Yes -0 No Basement Fixtures? ❑ Yes 15~ No Type of Wastewater System** (Initial) Wastewater Flow: 3 VO GPD (See note below, if applicable nn i - S',, 1led, (11- S (Repair) Installation Requirements/Conditions Number o renches 3 Septic Tank Size (cyc": gallons Exact length of each trench ~ D feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 18 M A inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: c feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe Z inches total **If applicable: / understand the ryttem type specified is different from the type specified on the application. l accept the ,specifications of this permit. Owner/legal Representative Signature: Date: This Construction Authorization is subiect to revocation if the sits nlan nlat or tha intPndad m< hanoo< The room ion a th-mt; - hA - ha r.,-f.-a wheo A... , .I,, o ; u r .ti. Tti,. Construction Authorization is subject to Authorized State Agent: with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: 0 3 T D ~ Construction Authorization Expiration Date:0 2 - 0 1 t,10 ~ ~ HTE# Permit # 25 233 Munett County IDepartment of Public nealth Site Sketch / PROPERTY LOCATON: w 9 7 ISSUED T0: ~-eSl ► X ~)!Y~ SUBDIVISION e Pi-a r rac LOT # _ Authorized State Agent: - Date: 02-0 3-0 I 1Cc ~/11~ !'wP SVE( Ls4 - ~1'~ ~/1J Trr 4s L' n « loa ear 4 akt:~ or- 44 /(jT<<~ R)L, FIA~s ~n 1 Ma,,~ rn ens G1uc `IA~S '(w ,3-(ru a D~~+ h skip, I low, f14 Ye0L,0J /--v, I dr- g ~c W~wrz skown. 0 DD 0,1 0(2,v r- Dc- CN4 oc\ scefig s k1 c, JV _tfi C_ s~ t ~ ~o` r • r~.~ Lj ll ( g S te ` ~~~.d MP 4,w 0 Se 1 -qAc k, s d(( 9,nJ (?ty( 7-- - - S~ ID ~{'lZ I ~ , 3`~ 2ati ►a ~ Asti y 7F I J~ P"), Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM 5-00- 0~ ~ X Owner: Applicant: Address: Date Evaluated: Proposed Facility: 511-0 Design Flow (.1949): Property Size: Location of Site: IV( ~ -7 Property Recorded: Water Supply: Public [ J Individual [ ]Well Spring Evaluation Method: Auger Boring (J Pit [ J Cut Type of Wastewater: (pSewage [ J Industrial Process (J Mixed [ J Other P p o F SOIL MORPHOLOGY 1941 OTHER PROFILE FACTORS 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (IN.) 1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class 1944 Restr Horiz Prole: Class- & 4TAR Y~ z '7 3 5 : r J ~ ! 7_0 i iU 2 E 3 G S~J1 Z_ ~l ZyJ~ f )J/ Description Initial System Repair System Available Space (.1945) System Type(s) Site LTAR Other Factors (.1946): Site Classification (.1948): Evaluated By: gV-11 Others Present: I