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IPACHTE# 09 5 , zz07s- Harnett County Department of Public Health 2 5 41 6 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION 5s~/SAD ~i /E' J ISSUED Ty SUBDIVISION LOT # S NEW 5 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: EC S kt-)lJA H~ Proposed Wastewater System Type: Projected Daily Flow: 3L.a GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No ~ Z Pump Required: ❑Yes ❑ No LiJ Mae required based on final location and elevations of facilities Type of Water Supply: ❑ Community L~ Public ❑ Well Distance from well feet Permit conditions: Permit valid for. 2 Five years ❑ No expiration Authorized State Agent° y(, •a~~` 7thr 'Date:-7- f - 6 f SEE ATTACHED SITE SKETCH The issuance of this permit by t ealth Department in no way guarantees the issuance of rmits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if site plan, plat, or the intended use changes. The Improvement Permii 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: --7Y 7-dx,~~a-0 PROPERTY LOCATION: ;;&Z/5LO SUBDIVISION LOT Facility Type: .5 Z -'New ❑l Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes L?" Co Type of Wastewater System' C" de",77-v,J ,a4 (Initial) Wastewater flow: 3&6 GPD (See note below, if applicable t L ZY (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size iWD gallons Exact length of each trench 3.S© feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of//o nches (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) _ inches below pipe Aggregate Depth: Z inches above pipe /Z inches total `If applicable: /understand the system type speciped is different from the type specified on the app/ication. / accept the speciflcationr of this permit Owner/Legal Representative Signature: Date: 1-1 -11-11o.- -1- me aie plan, pray, ur me mzenueo use cnanges. ine tonstructton Autnoraahon shall not be transferred when there is a change in ownership of the site. This Lonstrucuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Ag f' Date: -Z--/ -07 Construction Authorization Expiration Date: 7- / -1Y HTE# U°l - S Z2,0-7'57- Permit # 27 5/./(0 Harnett County Department of f nblic Health Site Sketch PROPERTY LOCATON:-';Z15-613 4~65 ISSUED TO: SUBDIVISION LOT # _ Authorized State Age • Date: 7- 7 - O w I - ul 0 / 6/,f, 7tTT~' fls" ueparunem ul CI IVII U11111e1i1, rledlU 1, dI 1U IVdlUI dl r_%eJUUIteJ Division of Environmental Health On-site Wastewater Section SOILi'SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: Design Flow (.1949): blic [ J Individual ( Auger Boring [ (Sewage JI 1"Ut. Property ID: Lot File Code: Applicant: Date Evaluated: Property Size: Property Recorded: [ J Well [ 1 Spring [ J Pit [ ] Cut [ J Industrial Process (J Mixed [ J Other P R O F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E # .1940 Landscape Position/ Slope% Horizon Depth IN.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/' Color .1943 SON Depth (IN.) .1936 Sapra Class .1944 Restr Hodz Profile , Class & LTAR a -►S sc (rc- •t .),3"oP I o L y~,, ~.~yc LIZ A&Y g sL Ft... G ti N srJ Z L 'i e . pro 6 - c6- s . C~. 30 _tz3Z r• .3 3 0_ r z IsL l-~. ~a P Description Initial System Repair S tem Available Space (.1945) System Type(s) G~~ l P Site LTAR ~ j Other Factors (.1946): Site Classification (.1948): I J Evaluated By:,TI%A Others Present: