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IPACHTE# 09--s= ake88 Harnett County Department of Public Health 2 5 6 2 9 Improvement Permit A building permit cannot be issued with only an I provement Permit PROPERTY LOCATION_ ~~r.r" ,G(. ISSUED T0: ~a~r ~►ert o.r~c9. ow. ( y --J- - SUBDIVISION i o'.r-,j- I Oolcr LOT # /8 7 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F D 'hf- C Sf c' Proposed Wastewater System Type: 7, A42 4-A S` & Projected Daily Flow: i;. O _ GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes o Pump Required: Cfe ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community E9-~fublic ❑ Well Distance from well feet Permit valid for: Ell e years Permit conditions: ❑ No expiration Authorized State Agent:: V ` Date: ~~o2~(z 6a `I SEE ATTACHED SITE SKETCH The issuance of this permit b Health Department in no way guarantees 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, .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: CO W. ,,tc r,-- duo .mil- PROPERTY LOCATION: "`"e,- ,cpd. SUBDIVISION rer s LOT # 87 Facility Type: Le~-lew ❑ Expansion ❑ Repair Basement? ❑ Yes 2No ~psement Fixtures? ❑ es ❑ No Type of Wastewater System' v {ro r ~a 2.-A-4, (Initial) Wastewater Flow: GPD (See note below, if applicable /vim ~c -r"~' 22) -A4 ' (Repair) Installation Requirements/Conditions Number of trenches / X /;S'0 Septic Tank Size /CbO gallons Exact length of each trench fS feet Pump Tank Size 000 gallons Trenches shall be installed on contour at a Maximum Trench Depth of: _d?q inches (Trench bottoms shall be level to +/-1/4" jAr Trench Spacing: Feet on Center Soil (over: inches (Maximum soil cover shall not exceed 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM Aggregate Depth: inches below pipe inches above pipe inches total Authorized State Agent: f Date: 15~ -zcrr Construction Authorization Expiration Date:` This Construction Authorization is subject to revocation if the site plan, plat, or the intended use charges. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction 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 HTE# 07-5--R)-to88 Permit # ~Z ~al Harnett cro ntyT Depa 1inent of INtblic Health Site Sketch PROPERTY LOCATON: Jjl~n~-rted. ISSUED TO: SUBDIVISION a~c1 LOT # Authorized State Agent: c. , .f Date: 9/22tZ0 /dl (J to ~ ro I 3~ I ~ f (~I / , ~ J? la,- b, 1,A,-- oak Q4 Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated:`--/.11r4- -1~ Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: 0-1ubhc ❑ 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 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Stricture/ Te .1941 Consistence Mineralo .1942 Soil wetness! Color .1943 Soil Depth IN. .1936 Sapro Clan 1 1944 Restr H-offiz Profile Clan dt LTAR G S~ ~o C-ff G-- C f ~iJ/ - G G ~~.r Vic- ►~f,1~P Description Initial s 'tell Repair System Other Factors (.1946): Site Classifi 1948 ti Available space .1943 ca on E l System a v uated B N . va O TAR E (4 : r thers Present: C r