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IPACHTE# og a ~gd Harnett County Department of Public Health 2 5 6 0 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit nn PROPERTY LOCATION:,". 1x{07 ISSUED TO: / ~-rc jr QC- rt~~ rL SUBDIVISION t--fff. -r -cc div. LOT # a NEW V' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -rF.0 q3 (76 Proposed Wastewater System Type: c O'~~ Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: t- max Basement ❑Yes [9'N_o_~^ Pump Required: ❑Yes F No ❑ May be required b ed on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public Well Distance from well /60 feet Permit valid for. lil ve years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 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 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, .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: / /tIrcUr LG 1-1 14`1k. c PROPERTY LOCATION: J-1- 7 SUBDIVISION L,14[, ! rre LOT # .Z Facility Type: 5-FJ) -?5- New ❑ Expansion ❑ Repair Basement? ❑ Yes 0"No Basement Fixtures? El Yes 1:1 No Type of Wastewater System** CC Ak/e o A cS (Initial) Wastewater Flow:( GPD (See note below, if applicable Co A Je14 1. o (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size JDPO gallons Exact length of each trench /00 feet Trench Spacing: q Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of: 2~ 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: 2~,rZ; r -A e 1' ~a © ' ti 0.~cr, o w 3 A 5-k~" inches total **If applicable: /understand the rystem type specified is different from the type speciled on the application. l accept the pecifications of this permit. Owner/legal Representative Signature: Date: rti:, r..........:,.. : - 11_,•1.,1.1..•..,, - '°^r.• -,,s.,„„ „ 1- F-1, F -ti ui we uunoueu use (umiges. me construction Authorization snau not tie traosterrett when there is a change in ownership of the site. This construction Authorization is subject to compha with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agen - Date: a f Construction Authorization Expiration Date: HTE# 0 2-JS- g. Q q 8 Permit # -2 5- ~ G.Z Harnett County Department of Miblic Health Site "ketch PROPERTY LOCATON: ~ a~ e tD 2 t~I or. sect . ISSUED T0: _ J a t C~ t , 41 • : e SUBDIVISION L- le Trc ~ ~ ~ d LOT # .Z Authorized State Agent: Date: /,ZS- q7-1 l Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: Date Evaluated: Design Flow (.1949): Property Recorded: ❑ Public ❑ Individual [j-,Well ❑ Ay8' Boring [ Pit ❑ [,Sevvage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Honzon Depth (In.) .1941 SSUWKUe/ TeaAU re .1941 Consistence Minmlo .1942 Soil wetness/ Color .1943 Soil Depth IN. .1936 Sal" Class .1944 Re& Horiz Profile Clw & LTAR ) ~ C, ky 7- o 041c 0, -.-rxr? Jr, Description Initial S stem Repair System Other Factors (.1946): Site Cla ifi ti 1948 1 Available Space .1943 ss ca on 3 System a « C ~ Evaluated By: O - Site LTAR 1 , J thers Present: a /n A t(t- 7