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IPACH T E # C)~ -5=2303 Harnett County Department of Public Health 2 5 7 6 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: _W ILL l,vcN-5 ISSUED TO: G. S . ` f'%"caco r•+ 1f-A G SUBDIVISION O L\ r1 A OAKS LOT # 4 ~ NEWX REPAIR ❑ CNSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 F'fl S3 x SS Proposed Wastewater System Type: ~u r~rS' I a N ps L-. Projected Daily Flow: L" b© GPD Number of bedrooms: LA Number of Occupants: max Basement ❑Yes No 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 . \O O feet Permit valid for. Five years Permit conditions: _ ❑ No expiration Authorized State Agent:: 9-r--vv, Date: ~y I -.)A oc~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder res risible 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 Imps 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: Q, • S • --os~moc~r IN Facility Type: SF D Qs3 :11 -S) X New Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes Type of Wastewater System** Co N v V-'H 0 N ,p, L- (See note below, if applicable PROPERTY LOCATION: \ ~,-L_ -a,c,gg R~ SUBDIVISION CcaZL\N F, d PAS LOT # ❑ Expansion ❑ Repair No (Initial) Wastewater Flow: Ll~D GIRD C-o N v G3-4,s \ to r`' P` - (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t o0 o gallons Exact length of each trench 5 4 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. ay_3 (o inches (Trench bottoms shall be level to +1-114" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: a L,,, c-- N1osN E 10 (J-t t r... \ . t Fs 'r"` r~ L,~ca,o Pc ~ ~ N 101. L. Trench Spacing: G_ Feet on Center Soil Cover s a-aL) inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggwrate Depth: a inches above pipe 5~' d Sa-- inches total **If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the rpecidcd#i nr of thll permit Owner/Legal Representative Signature: Date: This Construction Authorization is s vocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred whan thero is n A.- in nvnor 6{0 d fin <i,. Ulf Construction Authorization is subject to compliance t~i ~ro~ cos and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 'A~ Date: » a 69 Construct) uthorization Expiration Date: I\ a HTE# G`1- 5-3 Permit # a5-] ~L7 Harnett ('ounty Department of Pumi c nealth Site Sketch PROPERTY LO(ATON: W %I-a- AS P-1~ ISSUED TO: .S L-111 v Czc)a -tQ C_. SUBDIVISION C' AyAL~ N P O a c,s LOT # 4 Authorized State Agent Qt*45 (0 L'vEn,-~ bLy,_SW(- Date: l\ N~5 lD~ uotEa. 1 l r ~ Q ~ j I Lo ANY, ASR I $3-,ass Q i 3 s C- I58 N OQ_p \ G#, C_Z~ Department of Environramt, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL JSTTE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: W 3014"1 Proposed Facility: ti c! cijQ v0- Design Flow (.1949): ti-to ~ Location of Site: Property Recorded: Water Supply: mpublic ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ Industrial Process ❑ Shed: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F I 1940 OUL MORPHOLOGY .1941 THER PROFILE FACTORS L E * Lmboape Po"oo/ Slope % Horizon Dep6 (bL) .1941 shuch rsl Texture .1941 Comietaooe mineralogy .1941 Soil waftmw Color .1943 son Dop& IN. .1956 SgV0 Clan .1944 ReAr Hartz Prom* ChM a LTAR ID. 0-46 G s YF~- V)&We s LAmmiFuu , Lmmu xepa r sYfftem Other Factors (.1946): System/ Site Classification (.19487 5 A Sydem vailable Space 1943) V Evaluated By: d-\ D292) -i Others Present: Site LTAR -1&j f✓ a -36" rz.~r VC2