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IPACHTE# J~- at tv(o Harnett County Department of Public Health 2 5 3 6 5 Imarovement Permit A building permit cannot be issued with only an Improvement Permit } ! C~ PROPERTY LOCATION: I l2 Y_ ~ ISSUED TO: I 1 ~l1~CS SUBDIVISION Qo-->c S k, !2 t LOT # (8 Z NEW 14 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S rO ay 3C. - 14 8 A- Proposed Wastewater S ystem Type: 1 1. ~c( .~~t S. s Projected Daily flow: k4 a GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes F3 No Pump Required: ❑Yes ❑ No -;X-May be required based on final location and elevations of facilities Type of Water Supply: ❑ C mmunity ~ Public ❑ Well Distance from well f '3~ feet W ( Permit valid f r. ~ Five years Permit conditions: O(7 lr , r vra rA,h1,1 s4 J fTC ❑ No expiration _ ~f6 (ft - 'It e _ UAbI10.f-AAIf 1otj .4-f e'-' ' h,,ek r,4-)4,, Authorized State Agent: ( 1, (,nkn _ Date: t / J --:'>'7 SEE ATTACHED SITE SKETCH The issuance of this permit by the alth 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, .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: zS PROPERTY LOCATION: LIZ r SUBDIVISION i rt c LOT # J~ Z Facility Type: &t:2 X 31, 3t2 c>4 New ❑ Expansion ❑ Repair Basement? ❑ Yes 2~-No Basement Fixtures? ❑ Yes N Type of Wastewater System** ZF7 (Initial) Wastewater Flow: -Ir J GPD (See note below, if applicably Oil,,-C-1 el,,k (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size IOD gallons Exact length of each trench Q`4 J feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 14 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:_ inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total **If applicable: l understand the system type speciTed is different from the type specired on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: rots tonstructton Autnonzanon is subject to revocation it 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 subject to feNliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: t"_ Date: `U ~3 ` 3 Construction Authorization Expiration Date: 3- d HTE# 0 Permit #2536 r Harnett County Department of ll ~iblic Health Site S ketch PROPERTY LOCATON: ISSUED TO: aJ~ LJ'A( woly el SUBDIVISION Gtl ✓Lc LOT # Ie2 Authorized State Agent: Date: © 3 `t -A~ 7 M"ej Do3s-k pA» inrvA 1~ 5J31-rAl A 4 atal< 2J71 ~0014 uepartment u) CIIVIIUIIIIIt:11L, nt:d1u), d11U IVdwi'm rcubuuluda 0111! at. Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: n r~ Date Evaluated: Proposed Facility: Design Flow (.1949): S Property Size: Location of Site: I I L) Property Recorded: Water Supply: Public Individual [ J Well Spring Evaluation Method: uger Boring [ J Pit (J Cut Type of Wastewater: ,Sewage [ ] Industrial Process [ ] Mixed t [ ] Other P R o F SOIL MORPHOLOGY - .1941 OTHER PROFILE' FACTORS 1 L- E # .1940 Landscape Position Slope /a Horizon Depth (IN.) .1941 Structure/ Texture 1941 Consistence Mineralogy .1942 Soil Wetness! Color .1943 Soil Depth IN.) 1956 Sapra Class 1944' i Restr, Horiz Profile~ Class & LTAIR 00~ G n- J~- V 1,;' -30A.- ja Z 6L r A ~ i G-t J~ lam j L Vpt- J~ t)IL) G L Description Initial System Repair System Available Space (.1945) System Type(s) nn Che c )v~' Site LTAR a Other Factors (.1946): Site Classification (.1948): 11., Evaluated By: `I Others Present: