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IPACHTE# Harnett County Department of Public Health 2 5 61 6 Improvement Permit A building permit cannot be issued with only an Improvement ,Permit © PROPERTY LOCATION: C rW j J`'pr.1 I I~ r ISSUED TO- a FL s-C (a 1; L SUBDIVISION NEW e REPAIR ❑ EXPANSION ❑ Type of Structure: M H Proposed Wastewater System Type: C oa ye- A . aA Projected Daily Flow: f~0 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes E?N; 0 Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes El-No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet Permit conditions: Permit valid for B'five years ❑ No expiration Authorized State Agent:: Date: 2 / Vz w `i SEE ATTACHED SITE SKETCH The issuance of this permit by e) a th Department in no wa ntees 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, .1 9S6, .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 T0: l V • ,1" ra •i-Gla PROPERTY LOCATION: Ccc%~ .1 of W4• sA- - SUBDIVISION .Pgfi-¢ Facility Type: 2 "'New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? No Type of Wastewater System** C o n, c/o- .1 (Initial) Wastewater Flow:- GPD (See note below, if applicable C o n Veet vf.~ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /000 gallons Exact length of each trench C7C} _ feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. _ a inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: A U-- % e- (sA~n,-~a t-'DOJ f- ;"tr /M-qr p Trench Spacing: 9 Feet on Center Soil Cover. f2 inches (Maximum soil cover shall not exceed 36" above the trench bottom) j Jj QQ Aggregate Depth fTCI►~Cfer Q•,r-l 1~~~ inches below pipe inches above pipe f~ inches total **If applicable: / understand the rvstem type specified is different from the type specified on the app/ication. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: TMi, r,..........:,... A...1....:._.::. " , , , . _ • .,..,r.,, - 11•„1,.11,.,, „ 1- Nall, 1`141, m u1c 21-11- me ulauges. me cooscrucmon autnonzanon snam not he transferred when there is a change in ownership of the site. This Lonstrucfion 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 Agen 1, - f Date: aoo _ Construction Authorization Expiration Date: HTE# U~-S~ao17 Permit # aT(, IG Harnett County Department of 1'nbli c Health site sketch PROPERTY LOCATON: ISSUED T0: ~~V'• f' FG • ^C'oT(i~ SUBDIVISION }gfi-# G Authorized State Agent r Date: 9l r 2 ~Q s 17 /~ec/ OA 7y ~)9 7~ JJw -10 ,TGCJIL Cda~1-, f All Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Ap Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: pllcant. 16` a~ 9 Date Evaluated: 9 Design Flow (.1949): Property Recorded: Public ❑ Individual ❑ Well ❑ er Boring Pit ❑ LS Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F I L 1940 a SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS E # pe Position/ Slope % Horizon Depth 00 .1941 stucWre/ Texture .1941 Comistmce mineralolly 1942 Soil wetn"d Color .1943 soil K .1936 Sapro Class .1944 Restr Horiz Profile Chas & LTAR -71, X on Initial Repair System Other Factory (.1946): 3 S stem Site Classification (.1948): 19f pj-i;~ Availab194 -cri stem a C G ti v Evaluated By: Site LTAR Others Present: Cr