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IPAC RHTE# 09-s Harnett County Department of Public Health 25571 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N t Lti r~ati t Gac>- ISSUED TO: rP.s~r ~ ~d►ys Wu`5Tr4 C. SUBDIVISION - LOT # NEW V REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: T'ta c> Proposed Wastewater System Type: vr+tP 1o U~so~ ,~+aeaew ~~~s~NAL Projected Daily Flow: l"t $b GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required?~es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community il, Public ❑ Well Distance from well f b~ feet Permit valid for five years Permit conditions. _ ❑ No expiration Authorized State Agent:: `lbw Date: 713 )j Oct SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the ssuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED T0: P~OJP.~Ti~G~, ~t_US tLouSVNG PROPERTY LOCATION: ~A tLLr41AQ C,Rzr)y£ V.D SUBDIVISION LOT # o~ facility Type: NLoO L34' D X New ❑ Expansion ❑ Repair Basement? F-1 Yes , No Basement Fixtures? ❑Yes ~No Type of Wastewater System** j0vc- b yLSOPS~+~ w ~s '4Gw' ~oNAt_ (Initial) Wastewater Flow: "0$C GPD (See note below, if applicable ' e ,aW„ R~ m -eTo U~-cR-~,~ s - ~ (Repair) Installation Requirements/Conditions Number of trenches 5_ Septic Tank Size 15<D1:n gallons Exact length of each trench 1 fcp feet Trench Spacing: 9 Feet on Center Pump Tank Size V 50© gallons Trenches shall be installed on contour at a Soil Cover. (o inches Maximum Trench Depth of: V,) 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: MAN tMUrx Q)I~ 6 C) O V-- Co- yFF~ ~1&C-z Eo ( ierz- D2.P,aNt=+Eic) inches total **If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the rpecifcationr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoca site Iat, 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 isVed~compliance with rov ' ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: vJ~ ~5 Date: Con ction Authorization Expiration Date: HTE# C)9 Permit # S5 -1 1 Harnett County I)epartment of M-iblic Health 'Site Sketch PROPERTY LOCATON: H Lr,PN Ga o~G Q P ISSUED TO: P\ vA.~-cc~ 0-bv,3 G SUBDIVISION LOT # Authorized State Agent: Date: `731 ~PoSE.p D tZ V E To 1t~.MA ~~mP 'To U 1_"C[L~}~ A Lep W C.O ~ ~1VS ICi NCctr REf ~ to at~~ t00 1 GAi_L W\Cr\ Aws~l ~VE=s'CtONs PQ~\d (L i0 \V.SS',(ALLR(Ibhj uepartmetnw cirvuunits, it, ntsdun, dtiu ivdtuidt ncavuttaa Division of Environmental Health On-site Wastewater Section Owner: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: SOILiSITE EVALUATION for ON-SITE WASTEWATER SYSTEM[ OI IGH%. Property ID: Lot File Code: Applicant: L66Zq,,,j Design Flow (.1949): L}`~ 1t onfi V\ Public (j Individual [ J wen In-Auger Boring [ J Pit Sewage (J Industrial Process Date Evaluated: Property Size: Property Recorded: (J Spring (J Cut ( J Mixed [ j Other P R O F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS i L E .1940 Landscape Position/ S % Horizon Depth (IN.) .1941 Structure/ I Texture .1941 Consistence Mhs .1942 SoY Wetness!' color .1943 19m Sow Sal" Depth IN.) Gass ; .194 ' Re* (Ftoris Proflte ; Class & LTAR j L!5 b-iG'' r 3 VFW- aS~N~ 3 t~-a L s6K F, s~ , a~` A 0 -at4 LS Fa- V-I)L C "J' 1 A)e ~3o 6c3'~ ~ ~rcL ~1 Description Initial System Repair System Available Space (.1945) System Type(s) Site LTAR Other Factors (.1946): - Site Ciassillcation (.1048): P~ Evaluated By:d1 Others Present: