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IPACHTE# ©~--=f"-aaa Harnett County Department of Public Health 2 5 4 9 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: C-)c'aC_~5 -e, GA ISSUED T0: C~ Tats ~'l~ SUBDIVISION ~cuv,\ E C~~C a LOT # NEW RE PA ❑ EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: xS~~ Proposed Wastewater System Type: C~~vv Erse o t~ Projected Daily Flow: ~~O GPD Number of bedrooms: LA Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Su ❑ Community Public ❑ Well Distance from well s4 C> feet Permit valid for .five years Permit conditions ❑ No expiration Authorized State Agent:: _ Q-11- The issuance of this permit by the Health Department in no way guarantees the site is subject to revocation if the site plan, plat. or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: C- Iti6I0 SEE ATTACHED SITE SKETCH of other permits. The permit holde'responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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.-H~~s Facility Type: New Basement? ❑ Yes "5A No Type of Wastewater System** _ (See note below, if applicable Basement Fixtures? ❑ Yes C_" "JC~s',0 ,1 "L_ PROPERTY LOCATION: CAP ash Citv2Gi\ (Zp SUBDIVISION ~QC-\, GSM 21 rt LOT # ❑ Expansion ❑ Repair No (Initial) Wastewater Flow: ~b GPD t'R (Repair) Installation Requirements/Conditions Number of trenches r Septic Tank Size lc_Jd gallons Exact length of each trench feet Pump Tank Size CK'7n gallons Trenches shall be installed on contour at a ~'F N eEOo Maximum Trench Depth of. >C 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: C inches below pipe _ inches above pipe inches total **If applicable: /understand the system type specified is different from the type specih'ed on the app/ication. / accept the rpecificationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revo f e ffi 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 su j ct to compliance whi' ire pct s a ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: (z, 'C, 69 Const ~ n Authorization Expiration Date: 16 w} HTE# Permit # ' Sly~j Harnett (bounty Depailinen t of Public Health Site Sketch ISSUED T0: ~~~~2~ ~5 K~C I Authorized State Agent: PROPERTY LOCATON: C-y cuss c"~,mc'A SUBDIVISION ,,\C-no u LOT # ',4- r, jE- 0QF Date: Oil Jew FILE # COMMENTS: LANDSCAPE POSITIONS R-RIDGE S-SHOULDER SLOPE L-LINEAR SLOPE FS-FOOT SLOPE N-NOSE SLOPE H-HEAD SLOPE CC-CONCLAVE SLOPE CV-CONVEX SLOPE T-TERRACE FP-FLOOD PLAN GROUP TEXTURES I S-SAND LS-LOAMY SAND II SL-SANDY LOAM L-LOAM III SI-SILT- SIL-SILT LOAM CL-CLAY LOAM SCLSANDY CLAY LOAM SICL-SILTY CLAY LOAM IV SIC-SILTY CLAY C-CLAY SC-SANDY CLAY .1955 LTAR CONSISTENCE MOIST WET 1.2-0.8 VFR-VERY FRIABLE NS-NON-STICKY FR-FRIABLE SS-SLIGHTLY STICKY 0.9-0.6 FI-FIRM S-STICKY VFI-VERY FIRM VS-VERY STICKY EFI-EXTREMELY FIRM NP-NON-PLASTIC 0.6-0.3 SP-SLIGHTLY STICKY P-PLASTIC VP-VERY PLASTIC STRUCTURE SG-SINGLE GRAIN M-MASSIVE CR-CRUMB GR-GRANULAR SBKSUBANGULAR BLOCKY ABK-ANGULAR BLOCKY PL-PLATY PR-PRISMATIC MINERALOGY SLIGHTLY EXPANSIVE EXPANSIVE 0.4-0.1 QL_ _Ri_ L---u--- -J -L_ U° S 5 _ - - - Or 16 3 a-3 t F. _ r ~ L I