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IPACHTE# C)'A-5-~-145 Harnett County Department of Public Health 2 5 3 3 1 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: \A tL~ L-l)C AS R~ ISSUED T0: RP.ch VE~JE~~?t'l N SUBDIVISION ~ LAN CJp„u LOT # ts4 NEW`K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5C'9(SC 1'36> Proposed Wastewater System Type: ~H~r~v: acs ss Q2, Projected Daily Flow: 34, 0 GPD Number of bedrooms: 3 Number of Occupants: fO max Basement ❑Yes No Pump Required: ❑Yes El No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community K Public El Well Distance from well 1~U feet Permit valid for. Five years Permit conditions:_ ❑ o expiration Authorized State Agent:: \y Date: 01 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t e i uance of 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, .1957, .1958. and .1959 are incorporated by references i nto this permit and shall be met Systems shall be installed in accordance with the attached system layout ISSUED TO: R ~M LE.rE~pcnE~s~ PROPERTY LOCATION: SUBDIVISION GACtpLI NA Facility Type: 5~9~ SC N ❑ E i ❑ QAK.S LOT # C0 ew xpans on Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 5%, No Type of Wastewater System** Co t-.rC-_ Pr ~ b N AFL.. (Initial) Wastewater Flow: 3 6 GPD (See note below, if applicable Co r+-/ E K ; 0 N >A_- (Repair) Installation Requirements/Conditions Number of trenches 4 Septic Tank Size gallons Exact length of each trench -1'b feet Trench Spacing: c1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 13, inches Maximum Trench Depth of: a24 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: a inches above pipe Conditions: 1 inches total **If applicable: / underrtand the system type specified is different from the type specified on the application. / accept the specipcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revo f the sit Ian, 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 subje to compliance w the " s the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: 2._5 Date: C Con ction Authorization Expiration Date: _ HTE# C~°t~5-23a~S Permit # x5331 Ha,rn ett ('ounty D partment of Public Health. ~ i tf -'Sketch PROPERTY LOCATON: ~Z-L- L-vc.ks ~ZD ISSUED TO: Re.~, ~-~€~CLC7Cr~G C SUBDIVISION CorcE,L~au. ©a.~ LOT # d Authorized State Agent: ~ ' ,S ~ot w E2 COI XSUx Date: 6 4 3o I Lcn, ~kia~N P~ ~ C E~,sCf~ ^r'C IS~ SE"S~AGu- Cfi1 t~{ V, ~ A2.F~ 1 ta:t~2 i 5C ~36~a r I ~ 3c ~ I c 19 C +'KLo L t N A, ~ q~,5 Ci.2GL~ ueparuntillt ul CIIV11U11111t;111, r1tidttll, d11U 14dtUldl Rt•JUUtt..CD JI It:"j. Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOILiSITE EVALUATION Code: for Obi-SITE WASTEWATER SYSTEM Owner: Applicant: Address: \ Proposed Facility: _3 13F~ cvc\ t,u-t Design Flow (.1949): 16v x a Location of Site: Water Supply: Public [ j Individual [ J Well Evaluation Method: uger Boring (j Pit Type of Wastewater: Sewage [ J Industrial Process Date Evaluated: Property Size: Property Recorded: Spring ( J Cut (J Mixed [ j Other P R o F SOIL MORPHOLOGY .11941 OTHER PROFILE FACTORS 1 L E .1940 Landscape Position/ SI % Horizon Depth IN.) .1941 Structute/ Texture .1941 Consistence Mineralogy .1942 _ Son/ Wetrow Color .1943 Soll Depth IN.) 1956 Sapra Class ; .1944; f Reste Horst Profile Class I& LTAR cS 43`)x. C yf:~ ..r , PS t - JO o'D4 sgvc se-L C2- -36)5e Q-1~ G 1-5 V ^~-51^~P -~s3 `,e- --L s C' G¢.. ~C L ~ l rv Description Initial S em Re air System Available Space (.1945) System Type(s) ' Site LTAR ~ Other Factors (,1946): Site Classification (.1948): Q5 Evaluated By: Others Present: