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IPACHTE#Harnett County Department of Public Health 2 5 4 9 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: '-n ~1Sy~.l ISSUED TO: S'sM~~~ar ~v~LSat ~t~+L SUBDIVISION ass Mc-V-, F Qa,p,L LOT# NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~p S Proposed Wastewater System Type: o c-z ~t 'rr-- , c} c t t Projected Daily Flow: G© GPD Number of bedrooms: Basement ❑Yes No Pump Required: ❑Yes ❑ No Type of Water Supply: ❑ Community Permit conditions: Number of Occupants: rl:--~' max May be required based on final location and elevations of facilities Public ❑ Well Distance from well \0 0 feet Permit valid for. XFive years ❑ No expiration Authorized State Agent:: - _ Date: G~ O~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holder is esponsible 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: ~aM~~ t~~ ~vt~pES2.5 ~u PROPERTY LOCATION: SUBDIVISION Ram, V),-,Z64 eay,C- LOT # N 6 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System' C-p N v~ r 0 tic (Initial) Wastewater Flow: 0 GPD (See note below, if applicable (--0 " -"r [ t t ~~clrJ Pit,- (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size L000 gallons Exact length of each trench tb0 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover 6 inches Maximum Trench Depth of: t ~ 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: inches total **If applicable: / underrtand the system type fpecided i1 different from the type fpecided on the appliwion / accept the rpecill'wianr of thin permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoca the to 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 Authorization is s ct~to complianctht~ rye the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent. 4~5 Date: (,~3 on Authorization Expiration Date: HTE# Permit # Harnett County Depailment of Miblic Health Site Sketch PROPERTY LOCATON: 0 ISSUED T0: SUBDIVISION 'mssoA~- ecw:,~ LOT Authorized State Agent: Date: 5~, 50 P~~~E. ate.. v D n , v Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: 3 f iCc,QcvxvN%AQ \~C-pesign Flow (1949): _N11 Location of Site: W t v. Property ID: Lot File Code: Applicant: a er Supply. Public (j Individual (J Well 4IN Evaluation Method: ~Imuger Boring Pit Type of Wastewater: Sewage [ j Industrial Process Date Evaluated: 6W(~~y Property Size: Property Recorded: f j Spring [ j Other ( j Cut (j Mixed P R O F ' 1 SOIL MORPHOLOGY .1941 ~OTHER~ PROFILE' FACTQ 1 L E # . 940 Landscape Positiord. Slope% Horizon Depth IN.) ~ 1941 Structure/ Texture .1941 ' Consistence Mineralogy .1942 SoiF , Wetnesst Color 1943.. $ou Depth IN.) 1-5 _113 G 5 wo, ---by.- sc z_. F?L. 55)5e 3 C. G ~ v1~z +vS °v t, 3 Description Initial S stem Re it System Available Space (.1945) System Type(s) cc3 Site LTAR A ~l Other Factors (.1946): Site Classification (,1948): Evaluated By: Others Present: % ~,\a0 @, IN =Q E~'s~.iCL