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IPAC RHTE# QF - Harnett County Department of Public Health 2 5 6 6 6 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N ISSUED TO: cnB Z~s~.~ ',v\- o SUBDIVISION M i, Q F_ 6CLIK s CA LOT # NEW), REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S 'FQ> Proposed Wastewater System Type: Qo N-J , D n NI- Projected Daily Flow: 3+. d GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes X1 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'A Public ❑ Well Distance from well tod feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: _ ¢-5 _ Date: '%11'1 \ OA SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the i 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 Improvem 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, AN, .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: a m~C~ta,t?.ro NU m E:5 Facility Type: 5 1 x>~ 0, X New Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System' (__C2 r-; 'J E.r'r-i \C7 r4 (See note below, if applicable PROPERTY LOCATION: ~G %~l SUBDIVISION f4\ v%2- '6,ii- ,,4;y) LOT # ❑ Expansion ❑ Repair X No (Initial) Wastewater Flow: _%0 GPD P~ Me 1nyNCUyA'C~V E (Repair) Installation Requirements/Conditions Number of trenches i Septic Tank Size \.o© C7 gallons Exact length of each trench Q_ UN feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: \44 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: r-sNc. mw5r, ef- to"Faor% Aµy QPQ:~s c$~ No \6~ inches total M Pi E GQ pp~f y~ Q N 1 S 10~L ©Cl. Rr;:QU,'6J- L Q "*If applicable: l anderstand the rystem type specified is different from the type specified on the application. l accept the specifications of this permit Owner/legal Representative Signature: Date: ims construction Authorization is sue to revocation it the sit an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is sub compliance ns Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Trench Spacing: Feet on Center Soil Cover: ~nches (Maximum soil cover shall not exceed 36" above the trench bottom) Authorized State Agent: ~ M~!~ P-Av~ni Date: R S`7 oq uction Authorization Expiration Date: HTE# Permit # -1S bbb Harnett ("onnty I)epartment of 1- ~tblic Health Site sketch PROPERTY LOCATON: NC.a"1 ISSUED TO: C-vnne xlAPwA9 AomE6 SUBDIVISION LOT # Authorized State Agent: o~ ~vQ tL ;o1x9D0(~ Date: i IBO P v cne GONVENC"'NP.l. 1`T5 .D 4 i C 11,E ; 11, a0$ .5 v "Q.\D6E 06L~\/6- ueparollentu1 cimiV1111lelll, nedlu1, d11U Nd1Uld1 r1eJUU1Le, Jlicut. Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOILiSITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Proposed Facility: Design Flow (.1949): "Sco ~ Location of Site: Water Supply: Public O Individual [ J Well Evaluation Method: -[Auger Boring [ J Pit Type of Wastewater: -Ij Sewage [ J Industrial Process Date Evaluated: A3)01 Property Size: Property Recorded: [ ] Spring (j Other [ j Cut [ J Mixed P R O F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E 0 .1940 Landscape Positiond SI % Horizon Depth IN. .1941 Structure/ Texture .1941 Consists" Mlnen .1942 _ SoN Wetness!' Color .1943 Sol IN.) 1959 Sapnt Class .19" r Reek Horiz PMMS Class a LTAR Ls a G L vo "6 t. ~s 1 c~ s V'~a. Ysslrv~' QS ~ ~ G Z~ ~4L r~ S~ { S , C_ Off- ~ S h Yom- ~ 5l 5 ~~rr JJk C_ rq-- pp fv\ v P 4 L- - f Description Initial System epair System Available Space (.1945) System Type(s) G~'r P 044W Site LTAR ~ •3 Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: 04- 34" ~gk ;z PS rr?~~~`~ •S