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IPACHTE#D9 -s- 0, (690 Harnett County Department of Public Health 2 4 5 9 6 0?y 5 Aloy Improvement Permit A building permit cannot be issued with only an Improvement Peymit PROPERTY LOCATION: , .27 ISSUED-TO' 3o.^,V' d +.?.4c.._ A~-d n SUBDIVISION C /1? ot',~;fC4^ LOT # NEW l~ REPAIR ❑ , EXPANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 76 130, Proposed Wastewater System Ty e: c cAVO_4 #~~tqj- Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes f►~N~o~ Pump Required: ❑Yes L~I'No ❑ May be required b ed on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public Well Distance from well feet Permit valid for. ©Five years Permit conditions: ❑ No expiration Authorized State Agent: ~~.c c,z.~ /yam 4 _ Date: 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 attach syste layout. / ISSUED TO: T1 cf,t~~t f~: o R Abue-, PROPERTY LOCATION: J SUBDIVISION d~lovv.,,Scv~ LOT # / Facility Type: /1? /7 [/New ❑ Expansion ❑ Repair Basement? ❑ Yes Q"No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" Co tU~•~~ (Initial) Wastewater Flow. GPD (See note below, if applicable p 1 v~p ~a a~7o /42,e.-t - 4 (Repair) InstaNV= %giramints/Condi6ons SX $ 6 - pr~Tc Septic Tank Size Z600 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench IX `700 feet Trenches shall be installed on contour at a Maximum Trench Depth of. _ 15-4q inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM 57, Qua cal` -~c c S~ .1g S1 Trench Spacing. 9 Feet on (enter Soil Cover. (.-12- inches (Maximum soil cover shall not exceed 36" above the trench bottom) G inches below pipe A regate Depth: - inches above pipe rIew. l R. inches total "If applicable: l undeatand the ryrtem type .rpeciled it different from the type rpeciled on the application. l accept the .rpecilcationr 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 Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorizati subject to compliance with the rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent Date: 3 2 -0,o f Construction Authorization Expiration Date: .7 ZG f c/ HTE# U9~S-oZ/~ 9 3 09-5-~~1~q Permit # d `t r/ 6 Harnett ('aunty Department of Public Health Site Sketch / PROPERTY LOCATON: w a 12-7 ISSUED TO: ~wk~t IAN- l~orSl~~ SUBDIVISION C.'lgrr;r- LOT # Authorized State Agent 0.-. f Dater N n- s \ i t 3I b I i S t i t +JI t ~hJ iy ' t Ala E .4 Ste. (C- ueparuttunlut =nvIl-1111C11t, nt:dlill, dllu IVdtuldl Rubuul tlb Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: JI lut7i. Property ID: Lot File Code: Applicant: Design Flow (.1949): [ ] Public [ ] Individual [ ~u er Boring [ Sewage rf-well [ )Pit [ ] Industrial Process Date Evaluated: Property Size: Property Recorded: [ J Spring [ J Other [ ] Cut [ ] Mixed P R p F SOIL MORPHOLOGY .1941 - OTHER PROFILE FACTORS 1 L E # .1940 Landscape RositioN . Slope% Horizon Depth (IN.) - 1941 Structure! Texture 1941 Consistence Mineralogy .1942 Soil Wetness/ Color 1943 Soil Depth (IN.) 1956 Sapror' Class 1944 Restr Horiz Profile Class.. & LTAR V-4- -2(- G- A"' _7(- rS~~ _ C,- 7- ,2-(-& CrJ~C fC/ 6fS`' 95- rrf~ P~ ~l 2V" Pr L ] EE Description Initial System Repair System Available Space (.1945) System Type(s) Site LTAR Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: