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IPACHTE# oel a a- Harnett County Department of Public Health 2 5 3 4 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NC.' 1 ISSUED TO: ~P,woy ~Cl",& SUBDIVISION LOT # _ NEW D< REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S IF 9 S,3n~Alw ) Proposed Wastewater System Type: U,-i"-,%,o,uAw (-.44E r)oN.,z- Projected Daily Flow: GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes ❑ No V,May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well EO O feet Permit valid for. Permit conditions: X Five years ❑ No expiration Authorized State Agent: `~Date: C~~g 101 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees ance 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 mprovement 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, .195& 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: PROPERTY LOCATION: NC..-aXl SUBDIVISION Facility Type: SFO L3q~~~~"~ New ❑ Expansion -El Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System"* ~1s-Tno~,Hoiip.v Cot.,vE~O~AL, (Initial) Wastewater Flow: (See note below, if applicable U`~n~e,,,oLwr,"!d.o~c~.oa S ~rSSGr~(Repair) Installation Requirements/Conditions Number of trenches L-t LOT # -14O GPD Septic Tank Size ► o oO gallons Exact length of each trench VQ) o feet Trench Spacing: c,.- Feet on Center Pump Tank Size Loo© gallons Trenches shall be installed on contour at a Soil Cover inches 1P Maximum Trench Depth of Sa 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 ~o inches below pipe Aggregate Depth: inches above pipe Conditions:4F ~J oc ocivsziz, N~EDF~ OLGQaaNt=yip l'QL- inches total **If applicable: l understand the system type spee--ed is different from the type specified on the application. / accept the specifications of this permit Owner/legal Representative Signature: Date: This Construction Authorization is subjec ion if the site 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 Authorizati to compliancthe ns he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Authorized State Agent: Date: d w Constrikfi n Authorization Expiration Date: 61 t'A SEE ATTACHED SITE SKETCH HTE# 09 -5-~ $a. Permit # a53L)o Harnett (bounty Department of 1' iblic Health ite ~-v ketch PROPERTY LOCATON: N ISSUED T0: SUBDIVISION LOT # Authorized State Agent 0~ w `TotiY Ot(S Date: ;A: 0 5 O~$ 53lj- I ueparunem ul CIIVIIUilllllilll, rltldllll, d11U 14dLWd1 r%VbUU1k1" Jnl7Gi. Division of Environmental Health Property ID: On-site Wastewater Section Lot File S01USITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM[ Owner: Applicant: Date Evaluated: Address: Proposed Facility: "5 4?7 ~or-6- Design Flow(. 1949): 3bd ~ Property Size: Location of Site: Property Recorded: Water Supply: -{.J Public (J Individual [ J Well [ ] Spring Evaluation Method: { uger Boring [ J Pit [ )Cut Type of Wastewater: Sewage Industrial Process [ ] Mixed [ I Other P R O F SOIL M ORPHOLOGY .1941 O PROFIL THER E FACTO S 1 L E .1940 Landscape Position/ S"% Horizon Depth IN.) .1941 Structure/ Texture .1941 Consistence Mineralogy 1942 So* Wetness/' Color .1943 SoN Depth IN.) 1956 Sapra' Class .19" Restr Horiz Profile , Class & LTAR i O. a ,1r % 2 -v-45 ~,f L~ C, b a ~ ~ ~ 5L s C;f p -~3 G 5 z Q y rs~v u3 7 ~ ~CZ ~n 5 5 f' C 1 0 L--5 qrr" lie d i t(f~ !`y r l ? S Description Initial ,System. pair System Available Space (.1945) System Type(s) ~'~b S5l~Q+~\ c:l„ 1 TAP vJ Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: Gf>