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IPACHTE# C)9 -5-any-l Harnett County Department of Public Health 25581 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: R3v-a,c.~-y~rE}-a. SUBDIVISION LOT # 102 NEW REPAIR ❑ E~NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5'F fl kui^g Proposed Wastewater System Type: Qu r,ya`Tc) ~oc+JE~7:sdnrAL Projected Daily Flow: a~ O GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes A No Pump Required:AYes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well SAO feet" Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: I I-,, I SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua 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, AM, .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: V" o c -NES \ N C- Facility Type: SF' flLt'►~-XsS~ '~K New Basement? ❑ Yes ~Xl No Basement Fixtures? ❑ Yes Type of Wastewater System** Pv "-IQ > G Co "--J' (See note below, if applicable PROPERTY LOCATION: MP,2~s SUBDIVISION LOT # 1OrL ❑ Expansion ❑ Repair No PUtP 10 C-'J .dEnr(a0"t' _ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size ►©oo gallons Exact length of each trench 1 5b feet Pump Tank Size L oo 0 gallons Trenches shall be installed on contour at a Maximum Trench Depth of. IS inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: (Initial) Wastewater Flow: 3CO GPD Trench Spacing: c`1 Feet on Center Soil Cover ro inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth inches below pipe a inches above pipe inches total **If applicable: / anderrtand the ryrtem type Specified it different from the type specified on the app/ication. /accept the specifications of this permit Owner/Legal Representative Si Date: This Construction Authorization is subject to revocation if t e plat, 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 ea to compliance WkI the v s o ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: %11-S Constructs Authorization Expiration Date: Y NTE# C1-5=Permit # a5'~$ Harriett County Department of Public Health Site Sketch Q.~ PROPERTY LOCATON: Rte ISSUED T0: bL- LX SUBDIVISION prS~EFOQD LOT # Authorized State Agent (4tw U `1(3I-y-tno Date: N'C 5 / Pt1r~Ia COY-AE.0,rlN00 L t80 ~ p,4L`~n ~ / a~ L}-a„ x 55 36 v 0.s~GFOC~.O 4.~Ay jeparmium ul mim,W1111"111, r Ud1111, d11U 14d%U1d1 r%#dbUU1t.UZ0 )Ivision of Environmental Health On-site Wastewater Section SOILrSITE EVALUATION for OX-SITE WASTEWATER SYSTEM Owner: Address: P~~LoOs~ ~~t~r f Design Flow (.1949):3~x) Proposed Facility: I'S Location of Site: JI le"t. Property 10: Lot Ik File # Code: Applicant: Water Supply: Public I) Individual (I Well Evaluation hiethod: uger Boring (J Pit Type of Wastewater. Sewage O Industrial Process Date Evaluated: Property Size: Property Recorded: [ j String [ J Otter ( ) Cut [ J Mixed P R 0 F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E 9 .1940 Landscape Positiord S k"% Hatt= Depth IN. .1941 ShucWrel Tsxhus .1941 Consistence mirlerslaff .1942. Sol Webmw Color .1943 sag . Depth IN.) 1996 Sapnr. CIM t .19" Realm H«ls , Prolitt , Class a LTAR g G i `l fCz~. ~I ~ht? 5 Description Initial W tern Repair System Available Space (.1945) _ S stom Type(s) 0 0 77 75 v N C -C Sy Other Factors (.1946): Site Classification (.1948):_`; Evaluated By: