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IPAC RHTE# 7-5po- -';ii ~ 73,,~ Harnett County Department of Public Health 2 3 5 9 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: SUBDIVISION F~Mzc)7 or, k< S LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: - Yf 1, 1, 9 Proposed Wastewater System Type: '?JJ It A Projected Daily Flow: 3 GPD Number of bedrooms: L> fhraX Number of Occupants: Cn max Basement ❑Yes No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community blic Well Distance from well i o ' feet Permit valid for. ;K five years Permit conditions: ~eZ4 o.6-f (yk1 j ❑ No expiration x&13 ©l,q{ }'1 r 0 1 ~Yf~fiIrSi 3-~ C^~_.r3tsY1 ~Ct/L ~i i.ike, r-Lc~L', Authorized State Agent: Date: - °t SEE ATTACHED SITE SKETCH The issuance of this permit by th 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 s ect 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 accordanfe with the attached system layout. ISSUED TO: 9 /-f PROPERTY LOCATION: /121- SUBDIVISION F(411 7 t~A f=I LOT # facility Type: S_ (_Q t=f /X L11 - 3 B(L dj New ❑ Expansion ❑ Repair Basement? ❑ Yes 6 No Basemen Fixtures//? ❑ Yes JtW No Type of Wastewater System**5~~c(~ . tt»- rj. (Initial) Wastewater flow: f, J GPD (See note below, if applicable %V) n r t E: 1 ~5 I s (k (Repair) Instalkitmn Requimmillts/Conditions Septic Tank Size _ gallons Exact length of each trench ~h feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: NO 0 inls (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/ication. / accept the rpecifkavonr of this permit Owner/Legal Representative Signature: Date: n115 wmuaUon xuutuWattun is subect to revocation it me site plan, plat, or the mtenaea use changes. the Lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authori ' n is subject to compliance 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: Date: Vy - o~ Construction Authorization Expiration Date: Q4- GL42 'ko1 HTE# Permit # 35 ~ Li naxnett Ciounty Depc linent of I-'iiblic Health Site '_y ketch PROPERTY LOfATON: kQ s ISSUED TO: ¢ n SUBDIVISION 7 LOT # (a Authorized State Agent: Date: .7~4 0-fi 0 Oc~~ ~~er c .i 10cs Nolo,, gI(',c4 Vin, ~A 1 \ 1$ 2r LLZ LOA ueparrnlentol cnvliUllinelil, rlCdilll, d11U NdlUldl r%C5UU1l:CJ JIICCI. Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: J Proposed Facty: Design Flow (.1949): Location of Site: 1 l Water Supply: ublic [ ] Individual [ ] Well Evaluation Method: Auger Boring [ ] Pit Type of Wastewater: [ ewage Industrial Process r Date Evaluated: Property Size: Property Recorded: [ j Spring [ ] Other [ J Cut [ J Mixed P R o F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS t L E 1940 Landscape PositioN . Slope% Horizon Depth, (IN.) .1941 Structure/ Texture 1941 Consistence Mineralogy 1942: Soil Wetness/- " Color 1943. Soil Depth (IN.) .1956 Sapra Class .1944 Restr Horix Profile Class; & LTAR i V/~ J S L01 v~ 6 Description Initial System Repair System Available Space (.1945) System Type(s) Site LTAR t j Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: