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IPACHTE#oJ-5-a=y Harnett County Department of Public Health 2 5 6 7 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED T0: Cv r'%06;g"Pa^t0 'Aoc•,C.s \rt c_ SUBDIVISION N1 ~2E $R.fa,, u LOT # NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 ';r OG '-1`S Proposed Wastewater System Type: 36°/o. P-~~UC,-c~oa Synfr•, Projected Daily Flow: GPD (Number of bedrooms: 3) Number of Occupants: lc max Basement ❑Yes XNo 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 kb0 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agenc: Date: e!' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t ante of other permits. The permit holler is re onsible 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, .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: Cunt za.+o Nomge, \r c_ PROPERTY LOCATION. V13 C,,)--7'4 SUBDIVISION n ,e.tr e a pw'o\ LOT # -(,-5 Facility Type: SFp Lct9~'~S 0 X New ❑ Expansion ❑ Repair Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes V-" No Type of Wastewater System**°/ouccsoc., SyS i~M (Initial) Wastewater Flow: 'A0 GPD (See note below, if applicable U~cnosN.~ur.. 1~..oycCcweSys +r•~ Pune (Repair) Installation Requirements/Conditions Number of trenches L~ Septic Tank Size 10ocJ gallons Exact length of each trench 5O feet Trench Spacing: feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: ti<? 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 inches below pipe Aggregate Depth: inches above pipe Conditions: \,44V--*- t-a N E pl 85- 6z 10r ay~-- s ws~,T te- 5,115'rf- n o t L, s cep ~f inches total C.~Gf2..UD.~y OK `N ~-v 1P.L 00'--. earr.+~(Z **It applicable: / understand the system type specified it dill A 7 from the type rpeciCed on the app/ication. / accept the tpeci,rcationr of thin permit Owner/Legal Representative Signature: Date: Thi, r...-&i.. dnrh..~,~rl,.~ i. L_ - - _ - -1-1 -11 r-, r- - - -411g- ..r Lon,uucuon numonzanon snan not oe transferred when there is a change in ownership of the site. This Construction Authorization is subject to complian ray of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Ns Date: 9 2 a, 01 Construction Authorization Expiration Date: " as l HTE# ISSUED T0: C Authorized State Agent: Permit # ~5(,,71 3 County Department of 11~ blic Health Site Sketch PROPERTY LOCATON: NGaOW SUBDIVISION LOT # 65 NM -YOLY-SQO Date: 1%1 i ~ P U r,p "CO 3s°(e t2ED0C,~oN`` Q.F4R\2 I D L15 E 60, SUNK.\UG~ pn..\`I E, n5, Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: 1177~C Address: Date Evaluated: ~ Proposed F3cWty'3 Design Flow (.1949): 314 Etc) Location of Site: Property Recorded: Water Supply: 6~)ublic ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F I L 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS E # ~ Lampe Position/ Slope % s `t°td Horizon Depth (In.) d~ L-1 .1941 Structure/ Texture 6 5 .1941 Consistence minors lo V F~ N 3~ ^tQ .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1936 Sapro Class .1944 Restr Horiz Profile Clw LTAR Y~. G a~, G 5 vim- o- tat Vn 1~-d~ ~4~z-se.~ ~ v~ 1 tea... G G S v5 Ns~t ia3 SRt~(rL J Description Available 9 Site LTAR Initial Repair System Other Factors (.1946): cc .1945 S st Site Classification (.1948): Q 5 a a v Nam v, , Evaluated By: C5 Others Present: i 1S`d @. 1g