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IPACHTE# Harnett County Department of Public Health 2 5 6 0 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~)L? ,-'JeS4 -4 - C ISSUED TO: ry 5 * ~c SUBDIVISION 4 LOT # NEW P' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Author ization Issuance: Type of Structure: "F 0 s( y10 Proposed Wastewater System Type: t z'e4Q, ,CFdvr- `cr Projected Daily flow: .3(,c' GPD Number of bedrooms: 13 Number of Occupants: C, max Basement ❑Yes ©No Pump Required: OR 1'es ❑ No ❑ Maa be required based on final location and elevations of facilities Type of Water Supply: ❑ Community public ❑ Well Distance from well feet Permit valid for. F Five years Permit conditions: ❑ No expiration Authorized State Agent:: Z"~- 7W 41,4' l Date: if IA4 [Ur y 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, .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:... 1 ~.t C • e~ PROPERTY LOCATION: 7 .r SUBDIVISION LOT # ~2 Facility Type: -rF 0 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** arc. chL4-, t",x (Initial) Wastewater Flow: GPD (See note below, if applicable ,n t v T il~ •1~ . c,,, (Repair) Installation Requirements/Conditions Number of trenches / Septic Tank Size f VC~ (t gallons Exact length of each trench (z~ feet Pump Tank Size 10Q 0 gallons Trenches shall be installed on contour at a Maximum Trench Depth of. _ /8_ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: y Feet on Center Soil Cover h inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total **If applicable: / understand the system type specified is different from the type specified on the app/iwion. / accept the specipcations of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, 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 compliance 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 Agent: Date: - -2f' ~I Construction Authorization Expiration Date: J /J-ff- '2"" H T E # 0 - J-- LZ IQ,? Permit # LX' 3 ~ l q Harnett County Department of _I'liblic Health Site Sketch PROPERTY LOCATON: 7 met ISSUED T0: SUBDIVISION c ~•n c, LOT # J, - Authorized State Agent: Date: F 41 l ~ ICI Y 14 t ~ s J-l~ :/IQ -L~r` _ ✓ -,L viro Division of Environmenta l Health vi. Property ID: On-site Wastewater Sect ion lot File SOIL/SITE E VALUATION Code: for ON-SITE WASTEWATER SYSTENI Owner: Address: Applicant: / ` Z 2~L04~ Date E l Proposed Facility: Design Flow (.1949): va uated: Property Size: Location of Site: Property Recorded: Water Supply: Evaluation Method: Public [ & B i [ j Individual ( j Well [ j Spring [ J Other ger or ng [ j Pit [ j Cut Type of Wastewater: [ Sewage [ J Industrial Process [ J Mixed P R O SOIL M ORPHOLOGY OTHER F .1941 " PROFILE FACTORS, ' L Landscape Horizon 11941, E Positi / D th t 1941 " ~ .1942 a Sod i 1 X43 .1956 1944` i { 1peofile, ` r on , . ep # Slope' IN.)" . S ructure/ Texture Consistence , . Mineral i Wetness~;~ So~:s Sapta' Re*.- Co ; ` r Cla Lf !8 lZ- ogy lor . Depth' IN.) Class: iiorit & kTAR )fcl a- ~ zj Description Initial System Repair System Available Space (.1945) System Type(s) )Q ,-,C Site LTAR L~ Other Factors (.1946): - Site Classification (.1948):t-1f Evaluated By,,;1'-111- Others Present: