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IPACHTE# o°►-s-a,~a Harnett County Department of Public Health 2 5 6 5 7 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NwNa--1 ISSUED T0: 'Tr~oM~b S l_.~s~,~sECL SUBDIVISION T--Ax~ylr_, LOT a. NEW-X REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Vct, 4 , )ko"& Proposed Wastewater System Type: CrvvF.e-r-z \t# Pit Projected Daily Flow: 3~© GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ',Op feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: A~ >k- tl,& Date: "8 O°N SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is respoksible 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.. 11 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: THc»As PROPERTY LOCATION: Nwy SUBDIVISION L.n►~c66~~tD LOT # Facility Type: 1 flcr4 . NAOcn,~_ ~N r~ New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? 11 Yes N No Type of Wastewater System** Q_ v_, t~.cJ(Initial) Wastewater Flow: 3~0~7 GPD (See note below, if applicable rr vE~-, a (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size L 0 O C1 gallons Exact length of each trench 1 OCR feet Trench Spacing: °1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ~,-a inches Maximum Trench Depth of: 11-'a ~ 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 ro inches below pipe Aggregate Depth: 4 inches above pipe (onditions: ~c,SEtua.aE nus-c ge. \O~ T=ccjM 4~~, Qg~SS OF SEPIN4 5is-Sftqs inches total At a C?5 xEa. V s~ i E6 n ay N oj EN Uwo~ r O u R-) OF -119- S E_Q1 I c. S ys-t~>r5 **If applicable: / understand the r,rrtem type rpeci6ed it di/ferent /rom the type rpeci`ed on the application. /accept the rpecijcationr of thi permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to on _ th ite 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 su a to compliant si of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: a a. Date: _ Co ruction Authorization Expiration Date: HTE# O°►-5 4~1a. Permit # aSGS]i narnett County Depa lment of Public nealth Site Sketch PROPERTY LOCATON: ISSUED T0: N He -n P% S 1 _o~s EycL SUBDIVISION l- A. FAG t.~ LOT # Authorized State Agent: ~~Q-S \Otrw~ "rW-xSU ~ Date: -2 1 ( oc1 Lil-No" ZQJCq , Jt luu\. 3parununt ul ctrvltUlllnulN, n"dwl. drtU 1`4dWidt r%ebUU#%-"* Property 10: vision of Environmental Health Lot tl: n-site Wastewater Section File * Cods: SOIL,,SI'fE EVALUATION ror 0-4-SITE WASTEWATER SYSTE`I Applicant: Owner: Date Evaluated: Address: Oesign Flow i949): Property Size: Droposed Facility: Property Recorded: Location of Site: i t J Individual (1 well Spring ( (1 Other water supply: c [ J Publ , ~~t Cut Evaluation Method: Auger Boring Mixed O Industrial Process ( 1 Type of Wastewater. 14-iTovwage P R SOIL MORPHOLOGY OTHER PROFILE FACTORS 0 F 1941 .1942 1 .1940 L Land tape How .1941 1941 . 1943 i 9t3s .1941 Sod Soli Sapv. w 1 W Prof . CIS ' . E PosNbN Sbuct'XW Cons) om" Hoft Color Clan s LTAR M S % IN, Texb" sc ( o_J- Ts /7-3 X6 K /fi 1 - - - - ~ r' 77 17 3-36 AI of f IL KC 6 (a r S SP = I-- I (-38 kl s 57 Description Initial stem Repair System Other Factors (.1946): Available S ace (.1945) Site Classification (.1948): PS G0 rr Evaluated By: T n.._._. T..nnr e\