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IPACHTE# Q'vt . Harnett County Department of Public Health 2 5 31 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1-c~~CL R.p ISSUED TO: cam,a0E- SUBDIVISION LOT # NEW REPAIR ❑ E~fPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Q~rne~ o a8 % QEouctso tf Projected Daily Flow: 3Cob GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑Yes ~K No Pump Required:)6s ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well t bo feet Permit valid for. X Five years Permit conditions: ❑ No expiration Authorized State Agent:: 11 t1 -131 p°i Date: Q SEE ATTACHED SITE SKETCH The issuance of this permit by the HeAth Dep rtment in no way guarantees the issuance of other permits. The permit holder is responsible for checking wi robodies in meeting their requirements. This site is subject to revocation if the site plan, pla4 or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. pt subject to compliance with the provisions of the taws 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: C IPNUp~- ©cL~'~0t,1 PROPERTY LOCATION: -P~~.SErL SUBDIVISION LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ~ Yes ❑ No Basement Fixtures? XYes ❑ No Type of Wastewater System** J Mq \ 11 S"/6 ~,~-s t n 14 - (Initial) Wastewater Flow: GPD (See note below, if applicable U r-P )io a- o hZl p~crT 0 iy (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size 1 o© O gallons Exact length of each trench (;,0 feet Trench Spacing: ri Feet on Center Pump Tank Sae %000 gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of: S~ inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: ~J s -s y0 ra,QI ~rPQZ_-,K, UQPHE, X5C1+4 0 Qtp'~- inches total **If applicable: /understand the ryrtem type specilled is different from the type specilled on the application. / accept the spec&cVt X 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 rhanuc in nwnarchin nr he <„e Tti< Construction Authorization is subject to compliance, Ak~ pr f the nd Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Q S Date: Constructf uthorization Expiration Date: HTE# O°1' 5-',).tS'4-7 Permit # X531 `b Harnett county Depa lment of I'nbli c Health Site Sketch Q_p PROPERTY LOCATON: L--P s ~.-v C--Q_ ISSUED T0: ~0' ~ •,r' '4 SUBDIVISION LOT # Authorized State Agent Q0 1 ivE2 'COLK~PO Date: LO -)31 CR a~- I r L_RSAS( (-O UeparllIIUIIt UI CI IVIIUIItIICIIt, rlCdIUI, d11U IVdlUtsl, MubUUILCJ Division of Environmental Health JIICCI-" Property ID On-site Wastewater Secti on Lot SOIUSITE EVALUATION File for ON-SITE WASTEWATER SYSTE Code: M Owner: Applicant: Address: Proposed Facility: Design Flow (.1949): ~ 3GO Date Evaluated: C~~'~ - " Property Size: Locatlon of Site: v Property Recorded: Water Supply: Publlc [ J Individual (j Well [ J Spring [ J Other Evaluation Method: Auger Boring (j Pit [ j Cut Type of Wastewater PJ'Sewage (j Industrial Process (J Mixed P R O SOIL MORPHOLOGY OTHER F .1941 PROFILE FACTORS 1 .1940 .1942 L E Landscape Position/ Horizon Depth 1941 Structure/ .1941 Consistence Son/ Wetne d' .1943 19313 1944 ProAis Slope% IN.) 11 Texture Mineralogy - a Color D SON; epth IN.) Sapra' Class t Restr Class Nona if LTAR 0 4 C L-5 VF/L, c-31. a`. C iv ~,ti 1~P ps ~~S ~ 5~Y 1_ ~<Z s~~~ tC,_ 3G'. Q 7 b C# L5 v c n- N~ PS $'`~6 8 K S C~ Z 5,3 a 3~" sg~c ~cL rj7 ss) 10 2 3 r°S Li , . C1~~ G t~ VR-t "3lNp io Stx.suL r-z ssl-,~ lC~ a -l , d G LS VFra N 1 IP r6-'~> " s~6<, SQL ~2 ss o a' ` C L5 Description MInitialSy Rep System Other Factors (.1946): Available Space (.1945) Site Classification (.1948): System Type(s) Evaluated By: Site LTAR 1 Others Present: C-v5~ OM E2 fZC.Qu~5,fr1J l Ac~C2 57ib~j,:n`1