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IPACHTE# Q~)~ Harnett County Department of Public Health 2 5 3 0 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~rxsar_~ Q-n ISSUED TO: Ar4 yn Co~~ • ~~sG SUBDIVISION Pro~E- ~=p2crs LOT # ~ NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SVL~-> ( Proposed Wastewater System Type: REovc.-c\o~s Projected Daily Flow: 3 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes A No 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 1CO feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: \1 Z _ Date: 4 ~Cq SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan f 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 T0: PROPERTY LOCATION: G~ C,Uex-V--D - SUBDIVISION ECn V,r~5 LOT # Facility Type: S~--o L3 x4cy New ❑ Expansion ❑ Repair Basement? ❑ Yes --~4 No Basement Fixtures? ❑ Yes No Type of Wastewater System*" ~LQ,, R EZUC-~~a,; ~ Y5 ~Em (Initial) Wastewater Flow:- GPD (See note below, if applicable Zj.Sc7o ~~y c,~ l o ~ ~yS~C-cam (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size V b © 0 gallons Exact length of each trench -10 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: _N_ 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: / understand the system type specified is different from the type specified on the app/ration. / accept the speci6cationr 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 chanee in ownership of the site. This Construction Authorization is subject to compliant ovisions Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 41, o Co c Authorization Expiration Date: HTE # 0) a A 1 Permit # ~ 53Oti Harnett County Department of Public Health Site Sketch ISSUED T0: \~,l yCA Authorized State Agent: PROPERTY LOCATON: f~ C) crtoC_Y, _ SUBDIVISION Q~ocku Fp2r, LOT # Date: [sb►` Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: \ Proposed Facility: ~nctiE• Design Flow (.1949): _1 Location of Site: Property ID: Lot File Code: Applicant: Water Supply: Public Individual [ J Well Evaluation Method: Auger Boring [ j Pit Type of Wastewater: ewage [ ] Industrial Process Date Evaluated: Property Size: Property Recorded: f I Spring f ] Other ( ] Cut ( ] Mixed P R o F SOIL MORPHOLOGY .1941 ~OTHER ' PROFILE FACTORS ' i • L E E 1940 Landscape Slope Positio n/ N Horizon De IN.) pth .1941 Texture-Structure/. 1941' Mineralogy .1942." Sod Wetness/' otor 1943 SoN Clepth(IN.) .156 Sapbt.` Class i, 1944` Restr'' Horitz Profile Ctasx: d~ LTAR L_ 0 G s ('FrL HMI rc4 e5 b ~~7c sc t_ Pn- Ss e j or-Iim G S Y~c, ti S `J f 1; a~ ~1c Sc.L Fn- 5s~P • 35 •Y ~1 M C, 17 CQ, VF 2 n~ tv{1 SGz. FCL sS~SP ~'1 x 'P Cn Description Initial Sy tern R air System Available Space (.1945) System Type(s) 7SblcQ~ "►o `2&D Site LIAR 3 ~ L.4 "-'10' (e`v2" Other Factors (.1946): Site Classification (.1948): 4 5 Evaluated By: Q r\ Others Present: vycgt~St'~~1yC4 ,,r 9-GoJt1\ ,Cz-