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IPAC RHTE# 0-) 6-11&-75tiQ Harnett County Department of Public Health 2 5 6 6 Q Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Z--mart- $t.-r,<,Y-9.0 ISSUED TO: kow EttL SUBDIVISION C acrE-N ES't LOT # &at NEW^ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 51FO ( 6o`-, ~C1 Proposed Wastewater System Type: ).5°/e Q,-,U<,l%aYA ryc1=M Projected Daily Flow: "307) GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes 'I!~ No Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 100 feet Permit valid for: ~ Five years Permit conditions: ❑ No expiration Authorized State Agent:: -1~- - The issuance of this permit by the Health Department in no way guarantees t nce site is subject to revocation if the site plan, plat, or the intended use changes. The Im the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: 9.1 31 Z~5 SEE ATTACHED SITE SKETCH of other permits. The permit holder is respo ible for checking with appropriate governing bodies in meeting their requirements. This Yemeni Permit 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, .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: o t L [ o~ r c~,os PROPERTY LOCATION: C-Ernv Ea.. ►-r~~~ Qrb SUBDIVISION LOT # 2)`1 Facility Type: 5Vfl LC-O'`L~Lo D New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes y No Type of Wastewater System** a-S °'/o V-o UCA Q-., 57s t (Initial) Wastewater Flow: _3~)_b _ GPD (See note below, if applicable RL-out-S tasv Sys ~irM (Repair) Installation Requirements/Conditions Number of trenches f Septic Tank Size t d© 0 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: `J g' 1--, 6- T1g.5-% P~1>6 - C3-r'+tS+.- 01 N L « Exact length of each trench 3~ feet Trench Spacing: Feet on Center Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of: 1q inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) GPM inches below pipe Aggregate Depth: inches above pipe S>p-~ 'C' inches total ~ p ► N~ y ~fZGAGG\ C~N ~Ny CFP'f 1c-- 5 ssF . ~nP► *If applicable: /under Land the rystem type specified is different from the type pecified on the app/ication. /accept the rpecidcations of chi permit. Owner/Legal Representative Signature: This Construction Authorization is subject to re Construction Authorization is suDie*tttu comolianc`e\ Authorized State Agent: Date: plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This !l laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Date: e13i Authorization Expiration Date: HTE# C51-5-t(~-75~{L Permit # 15C-,gyp Harnett County Department of llvblic Health Site, Sketch PROPERTY LOCATON: Lemut^L gvt~ -~p ISSUED T0: ~ow~wP, SUBDIVISION Ga,~,Es-f LOT # a5 Authorized State Agent: cts ~j~.wc~t -dot a0 Date: g l a l I b~1 2EOv~s►~Aj 1 ~pPOC 9L P2A1+1PCc A s E yo tv a -f , so 6d Cd' aaa: ~o n~a T D 2 v J1 o 1' CZ,~NNC.,v0 02 L)UPdIl1I ful It Ui CliVtI IH IIIICIit~ I "ZOM 1, d11U IVdlUldl M buulutjb JI ICt71. Division of Environmental Health Property ID: On-site Wastewater Section Lot SOIL/SITE EVALUATION File Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Proposed Facility: a v Design Flow (.1949): _36 Date Evaluated: Location of Site: Property Size: Water Supply: 'UPublic Individual [ j Well Property Recorded: Evaluation Method: Auger Boring (j Pit [ j Spring [ j Other Type of Wastewater. T9,Sewage [ J Cut (j Industrial Process [)Mixed P :SOIL MORPHOLOGY OTHER ti ( 194 1941. PROFILE FACTORS . , L Landscape Position/ Horizon Depth .1941 StructureL ` .1941 Consistence' .1942 Solt 1943' 1956 ; ' 1 gq¢. f r ? p ~ V i~ Slope% IN.)` Texture Mineralogy' Wetness/ Sofh Saprae L; Read Color D Cfri t epth (IN.) Class P Sax ~a st ) 3 s L;Z;~ Q5 3 EEH 1 -4:1 ;),LA' ( i7 uescnption Initial System Repair System Other Factors 1946): Available Space (.1945) Site Classification (.1948)/. f iystem Type(s) Evaluated By: 0 7' life LTAR / 7 Others Present: