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IPACHTE#Hof? Harnett County Department of Public Health 2 5 2 g 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit ISSUED TO: C~ NEW V PROPERTY LOCATION: ~7 Uar--1 SUBDIVISION c.~sr!?. 1 a. (1 cy LOT # ~ REPAIR ❑ F Q EXPANSION ❑ Site Improvements require or to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: 0Q'M ,A -~c ~~~iU¢ ti , t A r- Projected Daily Flow: ll~ C GPD Number of bedrooms: Number of Occupants: L max Basement ❑Yes IVNo Pump Required: &es ❑ No Ma ❑ be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for B'-five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: J° 200J SEE ATTACHED SITE SKETCH Be issuance of this permit by t e Health Department in no way guarantees the issuance 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 into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: ( 7!:,c PROPERTY LOCATION: oZ~ SUBDIVISION ~„cy~a c~~~ey LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes CXf!lo Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" -~cs a~tk..~~ (Initial) Wastewater Flow: 6 GPD (See note below, if applicable E !yV kv -7-51"Z v- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size / W O gallons Exact length of each trench 1,3S-- feet Pump Tank Size Z W'o gallons Trenches shall be installed on contour at a Maximum Trench Depth of. _ ci?© _ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions710 .e ti--e. I, e ti ¢0,5 caw c- del~c;v~~ - JtiDs( v C.A.sz_ Fo Mfr Trench Spacing: 9 Feet on Center Soil Cover: 6 -inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggre ate Depth: inches above pipe inches total cep r el ez r, Jk 6-X 't V%c a A I IJ . *If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications 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 change in ownershiu of the site. This construction aumoozauon is subject to compliance with the provisions of the taws and ules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH C Authorized State Agent- Date: a o2~G Construction Authorization Expiration Date: Lo n2 HTE# Permit # o~ oZKy Harnett (bounty Depailinent of 1'iiblic Health Site Sketch / PROPERTY LOCATON: 7 ISSUED T0: Qr(~ ~r.ef SUBDIVISION L .v e V LOT # f. Authorized State Agent. Date: F If 3~ /j s) L I I C}a. ~1~~ 11r~,C Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow (.1949): Property Size: Location of Site: Property Recorded: Water Supply: [ I Public ( J Individual ( J Well (J Spring [ J Other Evaluation Method: [ J Auger Boring [ J Pit [ J Cut Type of Wastewater: ( ]Sewage [ J Industrial Process [ J Mixed P R O SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS, 1 L E # ,1940 Landscape Position/ Slope% Horizon Depth IN.) 1941 Structure!, Texture- 1941 • Consistence Mineral ogly 1942 Sod t Wetnessf ~ Color, 4 1943 .1938 , `J, SoH .-aplr~ Depth IN.) Class 1W- Rastc; ~ iioriz 1 Profile ~.r ~ • Class,`. 8LIAR , 6 V? 7// 3t<< Description Initial System. Repair System Available Space (.1945) System Type(s) ~7l C` Site LTAR 1 1 Other Factors (.1946): Site Classification (.1948): l Evaluated By: All- Others Present: 0 f ,n evaluated by a private soil consultant. I the "Laws and Rules for Sewage Treatment not have sufficient area for an initial septic ptic system and or repair area has been created. ent to lots. s of designated areas are subject to change upon ry at the time due to soil variability and topographic size.and septic system type size and location may be ,ogs and other grading ect.)occur. q~.~ t ti :9 t< C"i t5 53 e;~ `F . 1 . - o~ to ~ 57.nc _ •5 n ~n . g ~ - ,.n - o 94 . 6- ,Q4OC' 17 ~ - y 34.02' " C65 N 37.43'24 167.55' a at ci SO t . -U 176A7 20'D.E. u a 74 ► w ~ ~ 9Gp o 11 e p1105 T WE , . O ~ w m N 0.720ac. i O S S E . . . . 0 S 9.29'02'^M 97.3i r t0 192.10' ' 292. 10 - S15 `NE LAWS o\ m ti vN£ ILI 1 L•I 1 S,f i R 0 Og 69 I /J