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IPACHTE# Qc4 a~ G\ (D Harnett County Department of Public Health 2 51 g 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: B)'~Zz ISSUED TO: ° F Sea,, s Lt` See SUBDIVISION LOT # NEW'tZ REPAIR ❑ EXPANSION ❑ ~ Type of Structure: Q~s, L Proposed Wastewater System Type: Cc_ r ~asQ t Projected Daily Flow: 100 GPD Number of bedrooms: - Number of Occupants: max Basement ❑Yes 'No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public Well Distance from well 1(7)O feet Permit valid for. >~ive years Permit conditions: E'ios-s 1~3 6 ❑ No expiration Authorized State Agent:: 2 Date: 311+09 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees issuance of other permits. The permit holder is esponsible 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: f ~L PROPERTY LOCATION: ~yrz0 SUBDIVISION LOT # Facility Type: t ,~~r t c HS New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑Yes No 'Xf Type of Wastewater System' C,11 0 r-A (Initial) Wastewater Flow: 100 GPD (See note below, if applicable C- (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size T eOd gallons Exact length of each trench SO feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: a`~ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: q_ Feet on Center Soil Cover: td, ) (c, inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: VAS ~ ~s~~~A ©v--tvat, ~ inches below pipe inches above pipe 1 inches total **If applicable: / undeatand the syrtem type speciTed is different from the type roecifed on the application. / accept the tpeci6cationr 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 Authorntinn shall not ho tranaforod whon thoro k a rhanan in Awn-hi a at A, it, Thar Construction Authorization is subject to comps ith\thry>rovisi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: pate. 3 ~ 0~[ ction Authorization Expiration Date: 3 `-t 11 HTE# Permit # &SY18 i Harnett County Department of 1- r blic Health Site Sketch PROPERTY LOCATON: ~yp ISSUED T0: S~cZ ~1L~ S2 SUBDIVISION LOT # Authorized State Agent: Q~ (6-12b:'- ToL-~0c57 Date: 3~~ ►1 "1 C~ZSV, A~1e o, t ~ EX 5 ~ 1 ate, °i"p Qy G~,O ~ 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: Design Flow(. 1949): 'tC c VA" E. cr`~~a.L'f•;~L S`. Location of Site: Z s ( Water Supply: [ J Public Individual Well Evaluation Method: f4,Auger Boring [ J Pit Type of Wastewater: 1"pewage [ J Industrial Process Date Evaluated: 3~ C Property Size: Property Recorded: [ I Spring [ J Other [ J Cut [ J Mixed P R o F SOIL MORPHOLOGY •1941 OTHER PROFILE FACTORS 1 L' E' # 1940 Landscape Position/ . Slope% Horkon Depth (IN.)' 1941' , Structure/ Texture .1941 Consistence Mineralogy ` .1942 Soil : Wetness/- Color .1943 Soil Depth (IN.) .1956 Saps` Class .1944 ! Restr Horia Profile , Class & LIAR 1j~ r . ~1 Description Initial System Repair System Available Space (.1945) i System Type(s) ! ISite LTAR Other Factors (.1946): _ Site Classification (.1948): S Evaluated By: C57 Others Present: ~ZA ~a`~"