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IPACHTE# 0`1-SI-1 r13!~_ Harnett County Department of Public Health 25198 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: C1.-vL4_ Vc ,ES SUBDIVISION Pt~~o "tS Qo~ is LOT # lD NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Projected Daily Flow: 3(aa GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes 'KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well 1,00 feet Permit conditions: Permit valid for: Five years ❑ No expiration Authorized State Agent:: Date: - 3 ~--a 4~ G~1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees .ante of other permits. The permit holder is respo Bible 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: ua PROPERTY LOCATION: SUBDIVISION `)>PcCtoNs ~oIN I LOT # LO Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ~Eq No Basement Fixtures? ❑ Yes X No Type of Wastewater System" C.I.NNb, ~ N -nN (Initial) Wastewater Flow: 3~0 GPD (See note below, if applicable Cr,Nv ~\octet`-.,L, (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size loo© gallons Exact length of each trench S feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. clIA-3 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. la a14 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe Id, inches total **If applicable: / understand the system type specihed /s different from the type specified on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction AuthOriMinn is athinrt to rpvnrvtinn if the ;t, h., t,t - A. 1..,...A.A L---- . n. r. r r ...-..6~.....~ p.. nv, vc L-0 "cu vireo were n a mange in ownersnip of the site. ins Construction Authorization is subject to compliance witr~the pr,' s oNLws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: v]~ as Date: 3 Construe uthorization Expiration Date: _ HTE# O `N Permit # '.519S Harnett County DepaAnlellt of v-tmic Health Site Sketch PROPERTY LO(ATON: `T-.,er~,, Q-D ISSUED TO: t z c`~ES SUBDIVISION "V)AMo rv5 ~2o\n4-i LOT # k_ Authorized State Agent: , ,-46LTOX-` 0000- Date: ? Jq 1(y)r 141 6 i 5-,Q,*\ v- E 7-- ac~-P- 00 Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: \ Proposed Facility: 3 g,Ap. E Design Flow (.1949): 3(, ) Location of Site: w ~cca. Property ID: Lot File Code: Applicant: Water Supply: Public [ ] Individual [ ] Well Evaluation Method: -PlAuger Boring [ ] Pit Type of Wastewater: ;Sewage [ ] Industrial Process Date Evaluated: 31aS~~ Property Size: Property Recorded: (J Spring Other [ ] Cut Mixed P R o F SOIL MORPHOLOGY .1941 OTHER PR©FILEFACTORS ' L E # 1940 Landscape Position/ Slope% Horizon Depth IN.) 1941 Structure/ . Texture 1941 ' Consistence Mineral ogy .1942 ; Soil . Wetness/' Color 1943 Soh ; . Depth (IN.) .1956 , Saps Class 11 Rests; horiz' Profile i Class . & I.TAR C, S Description Initial Sys' tem R air System Available Space (.1945) System Type(s) C ° ca H Site LTAR d Other Factors (.1946): Site Classification (.1948): S Evaluated By: U'"~ Others Present: f>n