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IPACHTE# Harnett County Department of Public Health 2 5 7 6 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:__" E-cL P_s, ISSUED T0: ~N SUBDIVISION OL N v- ,,o t,,1 \ ~ LOT # Sa NEV>< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S Proposed Wastewater System Type:% RF~uG~sara `J~}~-c~rn Projected Daily Flow: t's`dti GPD Number of bedrooms: 4 Number of Occupants: max Basement ❑Yes )KNo Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well t 04 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: ~s; UA\ The issuance of this permit by the Health Department in no way guarantees the_. is ce site is subject to revocation if the site plan, plat, or the intended use changes. e Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. s Date: a \0r-) SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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: W-. Y-e"- ~tvL PROPERTY LOCATION: A0a"El3. V---p SUBDIVISION Vim)r,moN AFL.- LOT # 5~3, Facility Type: SipCSe~ X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** a5°lo ~.ES~vGSso~ Sys-~~ (Initial) Wastewater flow: yip GPD (See note below, if applicable &-5°l- PEOu .,l SynyT£,, (Repair) Installation Requirements/Conditions Number of trenches 1 cr, Septic Tank Size x©oa gallons Exact length of each trench ~50 feet Trench Spacing: g Feet on Center Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover. G inches Maximum Trench Depth of la. inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-114" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: N1 t-nv-, r o t' Co,4sn- o G5z~go ovEa., qa.P N,sE Ne2-0. WAtsa- t-\" L 0 vt;r inches total ~L be FaV- S tC- S~rssE.~ .`TN,S P n d~ P~opa~PL gtr P~epL,~N 5arL C r -V1 Cq~c~C **If applicable: / understand the system type speciled is different from the type speciled on the app/iwion. / accept the rpecipcations of this permit. Owner/Legal Representative Signature: Date: Thic fnnamni„~ A.A-i , i- ,....ti,.,..,....,.._.:._ a - -i__ .L_ - - ~ r• r- ° - 1r --ULuu0 nu010neauon span hoc oe cransterrea when there is a change in ownership of the site. This Construction Authorization is s ect compliance w visi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~-Es Date: V`1 Co ruction Authorization Expiration Date: t ~ . l HTE# Permit # a5--162. Harnett (county Departnlent of 11'ablic Health Sit(, Sketch PROPERTY LOCATON: HQrnr= tL ISSUED TO: Z t: ~N G _ SUBDIVISION PES16 LOT Authorized State Agent QEI~S LtvC~~OL~~S Date: JA 0~, LC 164' 0-- 1 5' ---as 71 9- F-0 cvz~ N q, k 2E 3'7 -xs y D' i \r 3t' C X60' Department of Environment Health and Natural Resources Suet: Division of Environmental Health Prom, ID: On-Site Wastewater Section Lot File SOIUSiTE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: \ Address: Date Evaluated: N ql ~ d Proposed Facility: be o ~ E Design Flow (.1949): '-s%0 Property Size: Location of Site: Property Recorded: Water Supply. Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Baring ❑ Pit ❑ Cut Type of Waskwater: Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY OTHER I .1940 .1941 PROFILE FACTORS L I.ordaoepe Hariz= E # POIWoo/ Slope !i DqA (ha ) .1941 suu ww .1941 C .1941 soil .1943 .1936 .1944 Profits . c Ted amdrtaea Mimnb webmw soil SWO Rao Claee -j yo% ao c, rry Vc~ mow(' Color CWe Haris LTAR ~ X11 x 7 ~G~ ~--Q., SS~ fsZ ~ ~ ao ~ F2 s~)~ crz~ ~ c a-~~ _ BPS-~► 7 F T1 ~Apuwu MIN Raper system Other Factors (.1946): Space .1943Site Classification c. 1948r. 0 Aveilebis SYdem e Evaluated By: C, Site LTAIt Other's Present: