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IPACHTE# OVA-s-a 3$ Harnett County Department of Public Health Improvement Permit 25684 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: L i.4o iy 5--'_Wparc Qp ISSUED TO: k~Vy[sN LPvG`t~rv6t-1 W C-/ SUBDIVISION C ~t+Ct~ Q. ~r+tv~~y LOT # NEW REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sc~~i"'~"S'°1 Proposed Wastewater System Type: I%'WUc~CwN 5y:,TerM Projected Daily Flow: 300 GPD Number of bedrooms: 3 Number of Occupants: C max Basement ❑Yes No Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 10 O feet Permit valid for. Five years Permit conditions: _ A 1~ ` ❑ No expiration Authorized State Agent: Z, Date: T SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder is res sible 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: P'J s-rti gt--P<-•E--,LI-A t" C. PROPERTY LOCATION: "-)D SZEwa2~ ~ SUBDIVISION MIZ 2). 'E-,.rr+,s LOT # Facility Type: gC~OL43~ _L New ❑ Expansion El Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** old R~v~S.oN Sys-s6c~ (Initial) Wastewater flow: _-~40 GPD (See note below, if applicable Pu n,e s o 9Kczv5.,vu. w a It4R,1--czASoa (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size ~ C)C Q gallons Exact length of each trench Sod Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: ~QOC.wG (Trench bottoms shall be level to +/-1/4" in all directions) P feet Trench Spacing: Feet on Center Soil Cover. 15. inches m1-%Nvm inches (Maximum soil cover shall not exceed 36" above the trench bottom) ump Requirements. It. TDH VS. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: WAS f^s*~E h1vs; t3~ t Flom 5E4-',G Sys~E~.. ~o ~1s»_s-c.Es 0 t- inches total IEN~t7p.G11 dN `N~ C1AL Oty RZR.'N`0, li' Lr -t oP~ED ©t3 ""?C&sl L qip/., F1k~1 iLA~,S LSS **If applicable: / vnderfWd the System type specited is different from the type specibed on the app/icdtion. / accept the specifications of this permit. Owner/legal Representative ture: Date: This Construction Authorization is subject to revocano a site plah 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 sobjet~to ~ ,ompliance w'Al%ie pro oft aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: IN. Date: 9 3 131 11 Constr on Authorization Expiration Date: 6 HTE# Permit # "649 ~ Harnett County Department of 1_--lablic Health Site Sketch PROPFRTY IOfaTON• LLo-lo Ss~YJP~t. ~D ISSUED TO: Authorized S tFr 'TQ,E.,~c~ p E• TaP L~r.+E M100L6 w ~ worn L~,,, LOT # 1 a.;3 ' Department of Environmenk Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOIUSITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code. Owner. Applicant: 1 Address: a`1 w~ ~a~d5 Date Evaluated: 13 ` 2-2- Proposed Facility: Design Flow (.1949): Property Size: Location of Site: Property Recorded: Water Supply: Public Individual ❑ Well ❑ 11 Spring Other Evaluation Method: er Boring ❑ pit ❑ cut e Type of Wastewater: [-S wage ❑ hAlS vial ptm ❑ Mixed P R O F I 1940 SOUL MORPHOLOGY OTHER . L L.nudecape Horizon .1941 PROFILE FACTORS E Position! Depth # Sl Slope, X (IM) .1941 1941 .1941 Soil .1943 .1936 Structnro/ Consistence wetnes / .1944 Profile s Soil Sofro Texdce Mineralo Color IN. Class C, ✓ ,J~' Reatr Cha» Horiz & LTAR C- .5 0 ao acs 5 L V -r r►, ~ ~ ~ any > ~ P7 j Description CI Repair System Other Factors (.1946): S S Available 3 cc .1943 J Site Classification (.1948): Pj stem a n rvs~ylr Evaluated By: Site LIAR , ; Others present: