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IPACH T E # Oc'l Harnett County Department of Public Health 2 5 6 8 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NGa,I W ISSUED TO: C1JMBFR.LRr1p SUBDIVISION rA LOT # NEW)< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: G iz-- oQ Proposed Wastewater System Type: c~5°!o 2Lov~S so ~~y s~,,~ Projected Daily Flow: 3 b © GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes '~n No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1c~0 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: QIckS Date: t0 1 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is a of other permits The permit holder is responsi le 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 Improv ent 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 T0: CunnOLCt~P.tto 5 ~~L PROPERTY LOCATION: NC.'~_l1J SUBDIVISION V1,04-- $t~N LOT # Y- Facility Type: 5~~~'L~'►") New ❑ Expansion ❑ Repair Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes X No Type of Wastewater System" i5 °e'0 P\ EovL-~ vd N Sys-~L~ (Initial) Wastewater Flow: S~Q GPD (See note below, if applicable &qe/ca R~Ut ~aty Sys'Cstn (Repair) Installation Requirements/Conditions Number of trenches I c, Septic Tank Size tool gallons Exact length of each trench feet Trench Spacing: 1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. St~: inches Maximum Trench Depth of. Q- 1-t inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: L-W& M 9C ~0 ~Q or. SE PSs G Sys~ N a ► L. cs Ay inches total Eht~aoo.GU O t. \Nt-csc,~ oQ- 9~Ega\R **If applicable: / understand the system type specified is different from the type specified on the application. / accept the rpec1f1wionr of this permit. Owner/Legal Representative Si Lure: Date: This Construction Authorization is subject to revocation i site n, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subjjt to rmpliance with Xro laws and Roles for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH 44 Authorized State Agent: Date: 1011).51 Constr~n Authorization Expiration Date: o f• HTE# d`1 -5-aa~~3 Permit # a56~$ Harnett (bounty Depailment of llitb is Health Site Sketch PROPERTY LOCATON: S\3 C."a`l`(q ISSUED TO: Cu M8 P,N p 0 "N6-5 N C, SUBDIVISION LOT # Authorized State Agent: 2Evs ~oL~.~ 01,c,5 Date: tQ1 t t0°S gas " la p l=OVG"51 vN 1 d Q V 45' L loo " Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOILISITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility:3 PGx~ct r~ f~v;~Z- Design Flow (.1949): 34'zl Property Size: Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process ❑ Mixed P R O F I L .1940 l d SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS E # an scape Position/ slope Horizon Depth (la) .1941 Strucwral T*Xh" .1941 Consistence Mineralo .1942 Soil wetness/ Color .1943 Soil Depth .1 .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR S . C s 4'V A\Jy 3 p~, UFO- N~ Deacnpgon Available S cc .1943 3 a Site LTAR Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): P5 t 2 d`l Ja2 FY811Itltt~' t p: Others Presen.r