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IPAC RH T E # o~ Q- Harnett County Department of Public Health 2 5 5 7 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: V' ISSUED TO: u (11 el EcLi P A f) octi~s SUBDIVISION N51A C~'-bQ-n) LOT # -S I NEW)( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~fl ~SS ~ 1) Proposed Wastewater System Type: Yo-Qto Z6% GZ~~cf~~ y 5~~ Gm Projected Daily Elow: 36a GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes 9~ No Pump Required: 123Xes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 100 feet } Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent.:~~,.~ The issuance of this permit by the Health Department in no way guarantees uanct site is subject to revocation if the site plan, plat, or the intended use changes. The mpt the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: R I 1©I O"I SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 T0: ~m2~E2t~ws~ ~qcs PROPERTY LOCATION: SUBDIVISION ~5 ~~ct2b~ LOT 'S -7 _ Facility Type: s~Css, S -2!1, New ❑ Expansion ❑ Repair Basement? ❑ Yes "~K No Basement Fixtures? ❑ Yes No Type of Wastewater System" P~ me ti a (Initial) Wastewater Flow: '36 Q GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size ova gallons Exact length of each trench a S feet Trench Spacing: Feet on Center Pump Tank Size oa (-J gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 17 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: inches above pipe Conditions: ~H ~ m ~casGo a N ~ ~~L ~~N ~4e L c t , s so), inches total *If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of thin permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to re f e site p , IaG 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 su compliance wit r of the and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~N~ Date: -F I~ `1 Constructio thorization Expiration Date: 1 HTE# d`~6d Permit # `~55 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Mp24-5 vl~ll ISSUED TO: Cv fSW \-~0rhC5 SUBDIVISION iiM; G- "0QD LOT # Authorized State Agent: ilS pv~~F Date: 3a.~ 1414 p5r~c -~:A-N wNy Division of Environmental Health V - v v-VV V-v On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM SEE A`t~v"c%w 1PQ-Q-?C5KL- Owner: Address: Proposed Facility: 14v'_~L Design Flow (.1949): 3c~ Location of Site: Property ID: Lot File Code: Aar ~R,E`~Ot~c a6r+c•C~ Applicant: Water Supply: Public (J Individual [ ] Well Evaluation Method: Auger Boring [ J Pit Type of Wastewater. 'N Sewage Industrial Process k Date Evaluated: j Property Size: Property Recorded: [ J Spring [ j Other [ J Cut [ J Mixed P R o F SOIL MORPHOLOGY 1941 ° ; OTHER PROFIT FACTORS, L E # 1940 Landscape Position/ Slope% Horizon Depth tN.)' 1941 " structure/ Texture 1941 Consistence Mineral Ogly .11942" . SOO Wetness/ color ~ 1943 SoN' Depffi IN.) .1956 Saphrr` - Class .1944' (testy;. ~orii;, PPoflle r r, Class , de I:TAR 3-~ 'fe c- - 1 7 V~L C' Description Initial System Rep ' System Available Space (.1945) V I/ System Type(s) - P Vr'.F Site LTAR Other Factors (.1946): - Site Classification (.1948): Evaluated By: Others Present: t"~^~