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IPACHTE#o9 -a -amass Harnett County Department of Public Health 2 5 5 7 4 Improvement Permit A building permit cannot be issued with only Improvement Permit PROPERTY LOCATION: a~ oEc~ oSt°•~n-R ISSUED TO: t Qaw-c1yEsZ~ UL C. SUBDIVISION C a~aoLS SE~.so aS LOT # 39 NEWA REPAID ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~r i7 ( L- Proposed Wastewater System T_Xpe: CvN,/ Projected Daily Flow: S-sr 6b GPD Number of bedrooms: _ i Number of Occupants: max Basement ❑Yes -KIN o Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well s(O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent::-3 Date: 3 '~q SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is res onsible 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 TO: M B '--Z-i✓ PROPERTY LOCATION: Po,.~a1rR~'S~~e,as v 5Ffl L5~ SUBDIVISION C-P~aD'-irr- S~a~a~aS LOT # 20 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'XNo Type of Wastewater System" C,,=, r4 Yet t 1,n r4 txt_ (Initial) Wastewater Flow: 480 GPD (See note below, if applicable p„ ri,P Q Ca~~cs~n~lw~ da Cr,NyEsr~~orYRh (Repair) Installation Requirements/Conditions Number of trenches a. Septic Tank Size 1Cz~G gallons Exact length of each trench S ©G feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. a4 -3© 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 Conditions: Aggregate Depth: inches above pipe inches total *If applicable: / understand the system type specified a diNerent Mom the type specified on the app/icatioo. /accept the rpecijcationa of thi permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to re t tf the site pla , lat, 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 subj~to~cQ~ pliance with et NNW,, and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ` RrS Date: 8 3 Const n Authorization Expiration Date: HTE# d`l~S x-51 Permit # aSS~~I Harnett, County Department of Il ~iblic Health Site ketch PROPERTY LOCATON: Po h+o C ~zo5 a~~ p,~ ISSUED T0: NL }--1 C- SUBDIVISION Go•nDL\y 5 yam, 5 LOT # '61 Authorized State Agent: \1 -2 -T 0Date: SP(2..~NG FLOVrEti.b JI RSnt. jeparutinnt ut ctrvuurniinnt, nnaiui, a11U watUldt nnauu1t na Property ID: )ivision of Environmental Health Lot On-site Wastewater Section File SOIUSITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Applicant: Owner: Address: Proposed Facility: Lt °CM Nate=-E- Design Flow (.1949): gtr Location of Site: Water Supply: Public individual I 1 Well Evaluation Method: 'JQAuger Boring ( ]Pit Type of Wastewater' Sewage [ j Industrial Process P Date Evaluated:-~~3~6o\ Property Size: Property Recorded: I j Spring (j Other (j Cut [ J Mixed R o SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS F .1942 . t .1940 1941 Soft 1943 i 93t3 .19" ' Profile , L E Landscape PosR1ood Hort" Depth .1941 Sbudwel Consistence Web>ew So IN ) Sam Claw Re* i Floria Ciaa a LTAR # S k"% IN, Texture MkV" Color . 5 I S O.N. 5 X51 _j • 1 - 3~- i e V S V rtY ~ ~C' 3 Q, 5 Description !Jyste air S stem Available Space (.1945) n S stm Type(s) 1 1-2 6 Other Factors (.1946): - Site Classification (.1948): Evaluated By: ll1Mn•e PracanN .G S.~ S~ S~