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IPACHTE# Harnett County Department of Public Health 25591 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: St_',D ISSUED TO: Sri 1 \ C J `$1, LV 0CO(1b \ G SUBDIVISION C=~a C s-c © o,*S LOT # S3~ NEWS( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 FC) Proposed Wastewater System Type: C an~r~ S.t o~ L Projected Daily Flow: 3 60 GPD Number of bedrooms: 3 Number of Occupants: _C,max Basement ❑Yes No Pump Required: ❑Yes ❑ No A May be required based on final location and elevations of j cilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for, Five years Permit coadittons _ ❑ No expiration Authorized State Agent:: Q The issuance of this permit by the Health Department in no way guarantees the issua site is subject to revocation if the site plan, plat, or the intended use changes. The Impt the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: I Oq SEE ATTACHED SITE SKETCH other permits. The permit holder s respo Bible for checking with appropriate governing bodies in meeting their requirements. This N"LlIermit 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, .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: V4-y" 2vc~ U2S \r s Facility Type: -D V0 (L New Basement? ❑ Yes '[:~K No Basement Fixtures? ❑ Yes Type of Wastewater System* C.c, 9,1.- (See note below, if applicable PROPERTY LOCATION: SUBDIVISION Fuss.-S:S (7 o.,cS LOT # n1i ❑ Expansion ❑ Repair ,)5~ No (Initial) Wastewater Flow: -5C0 GPD a5°~a R r~vC.~ t N S~'sSf<rc~ (Repair) Installation Requirements/conditions Number of trenches 3 Septic Tank Size l oab gallons Exact length of each trench SCE feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: r1 Feet on Center Soil Cover. 12= ~i 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: / understand the system type specifed is different from the type specified on the app/ication. / accept the speci6catianr of this permit. Owner/Legal Representati nature: Date: This Consvuction Authorization is subject to revocan a site Ian, 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 subject to compliant . h t o the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 4 a0 aq Const 'on Authorization Expiration Date: 8 2-r3 1~ HTE# Permit # as~91 Harnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent. PROPERTY LOCATON: L-emoej- - SUBDIVISION Fo2L-S-c O N-4-5 t LOT # \aL~ ~o LYSs Date: ko l 156 13 ~~kG : d A-,~- ~ Q' Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: 11 oy Proposed Facility: -5 e z~aocx~ Nov sign Flow (.1949): O Location of Site: Property Recorded: Water Supply: "ubfic ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater: `Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F 1 L 1940 OIL MORPHOLOGY •1941 THER PROFILE FACTORS E # Landscape Position/ Slope % 3.S Horizon Depth (IM) .1941 Structure/ Texture .1941 Consistence Mineralo .1942 Soil wetness/ Color .1943 Soil Depdi IN. .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR - F F T T - - I - uu1uu xepar system Other Factors (.1946): $ st°'n Site Classification (.1948): 5 Available $ ce .1943 $ StCm a Evaluated By: O Cu c.~ Site LTAR Odim Pteserlt: