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IPACHTE# D") Harnett County Department of Public Health 2 5 5 9 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N ISSUED TO: C-v ~nBESi i-P,HC~ ~ot~+FS tvC, SUBDIVISION t'1 ~a E trap, t,~,~a LOT # NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5F0 Proposed Wastewater System Type: Qv Y* To C- o-4v vo,v ~-,L Projected Daily flow: 3C d GPD Number of bedrooms: :3 Basement ❑Yes No Pump Required: Yes ❑ No Type of Water Supply: ❑ Community Permit conditions: Number of Occupants: fc, max `S3 _ ❑ May be required based on final location and elevations of facilities Public ❑ Well Distance from well 1 by feet Permit valid for. Five years ❑ No expiration Authorized State Agent:: ?tc2 Date: ~ Lab1 n SEE ATTACHED SITE SKETCH Be issuance of this permit by the Health Department in no way guarantees the ii k le 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 taws 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, .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 TO: CV -GGC1',A,,4o NkrJ 114 G PROPERTY LOCATION: NG`l 114 SUBDIVISION M\QE. as-AtvG~ LOT # LV.1 Facility Type: S~fl~Sa xti,-l~ JX New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 19 No Type of Wastewater System** k'o mP 1"o Cort-4EN~, C) '4 NL- (Initial) Wastewater flow: ~b GPD (See note below, if applicable PumP7© 2I`~°lo REOVGst? t-i SyS~G-.rn (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size l.bG O gallons Exact length of each trench S O feet Trench Spacing: c1 Feet on Center Pump Tank Size toC)Q) gallons Trenches shall be installed on contour at a Soil Cover: Ia-A inches Maximum Trench Depth of. -%'tA 3O 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 C inches below pipe Aggregate Depth: d: inches above pipe Conditions: la inches total *`If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is ssuub~ject, to revocation ' e sit an, 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 subjepliance wit e p e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: as Date: B Con3INction Authorization Expiration Date: HTE# Permit # x-15596 Harnett ConntyT Department of I'ubli c Health Site Sketch PROPERTY LOCATON: M c;ZC7 rJ ISSUED T0: Cvc~tbKLLP~to f~Cic-.(,S ~NL SUBDIVISION Me-c- LOT # Authorized State Agent: tw -N oLx st)c Date: (n ►a.0~ 160 ~ ►6 ueparutire lUl cnvlluluueu/, rl"dltll, d11U NdWldl r\CJUU1k.Ub Division of Environmental Health On-site Wastewater Section SOILiSITE EVALUATION for 0N,-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: 3 Q tia'' ~'c'Ug~ Design Flow (.1949): 34-01), Location of Site: 131 RMI. Property ID: Lot File Code: Applicant: Water Supply: _ Public [ j Individual Well Evaluation Method: Auger Boring [ j Pit Type of Wastewater: '~be_sewage (j Industrial Process Date EvaluatedA 1-1 Property Size: Property Recorded: [ ] Spring [ J Other [ ] Cut ( ] Mixed P R 0 F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E 1e .1940 Landscape Positlord Slope% Horizon Depth IN.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 . Sao Wetnew Color .1943 Sam Depth IN.) 195e Sapra' Class ; .19" t Restr Horiz Profile ; Class & LTAR -57. Description Initial System Repair System Available Space (.1945) System Type(s) r-Y Site LTAR Other Factors (.1946): Site Classification (.1948): Evaluated By: a Others Present: ( 1 J