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IPACHTE# o~,-~-ass s3 Harnett County Department of Public Health 2 51 7 7 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: V ISSUED TO: ~s )A0(" V~N t, ~toGct:> SUBDIVISION v,4 y; C,mvE LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S D (--,o * 'S-O- 2 Proposed Wastewater System Type: C-o -i ary a t__ Projected Daily Flow: GPO Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes 8,No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 9~ Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions ❑ No expiration Authorized State Agent:: 1-1 2 Date: f6I coo- SEE ATTACHED SITE SKETCH The issuance of this permit by the Health 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, .1957, .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: 0-- 5 )iAo oC2~, PROPERTY LOCATION: L ►~~G2 SUBDIVISION Ati rv y Grp c>>r E LOT # Facility Type: 7fl C o~ ; r New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes )4 No Type of Wastewater System** C-0 (Initial) Wastewater Flow: ?b O GPD (See note below, If applicable Co r v~ t r~\ U r'4 A (Repair) Installation Requirements/Conditions Number of trenches G Septic Tank Size tcoC) gallons Exact length of each trench 50 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. -~C> inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. ► d - )~3 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth inches below pipe a inches above pipe ~a inches total **If applicable: / understand the system type specified is different from the type specified on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: , - .1-U-11 „u -l-luu IN >uufai w 'muLlu'l it me Nile piau, praS or me mtenueu use changes. me construction Authorization span not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to comp) ai c ~ the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: M~'R" Date: Authorization Expiration Date: a H T E # Cog - 'j - )~,-S3 Permit # aSl`l`} Harnett County Department of 1- ~-tblie Health Site Sketch PROPERTY LOCATON: ISSUED TO: SUBDIVISION WraL~v~ GaE yr . LOT # r r Authorized State Agent ~4v}V~t "Sa~XSC~o Date: 4~: y' T© 6LUN c N Tv ~ 5 H 61~ ueparunentoi cnvuuiuneni, nCGnii, 011U 14-Wal Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: ~ Proposed Facility: a ibC2 X, Ai)~j Design Flow (.1949 ):3(~C^ Location of Site: Water Supply: Public Individual [ j Well Evaluation Method: Auger Boring [ ] Pit Type of Wastewater: Sewage [ ] Industrial Process Date Evaluated: A Property Size: 111 Property Recorded: [ J Spring [ ] Other (J Cut [ ] Mixed P , R p F SOIL MORPHOLOGY 1941 OTHER PROFILE FACTORS L E # .1940 Landscape Position/ Slope% Horizon Depth (IN.) 1941 Structure/ Texture 1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) 1956 Saprv Class .1944 Restr' Horiz Profile Class & LTAR ` L-9 , VS ~v~GU f 5 C, 4-11 C" L-5 Y CYO, rte' 0 3 J'~-a "Y~~ d 1 ' ) Description Initial System Repair System Available Space (.1945} System Type(s) C c` r4 Cc Site LTAR L1\ Other Factors (.1946):_ Site Classification (.1948): y' Evaluated By: Others Present: