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IPACHTE# 0')i- Harnett County Department of Public Health 2 5 7 6 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: r+OCI`lS-12 QP ISSUED T0: rn . Yr tesi~ E SUBDIVISION PEf2 S,trt~ ~N `i LOT # 5 NEWX REPAIR ❑ EJ(~ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 7S FD Q-; t n5'7'} Proposed Wastewater S ystem Type: --L-S° P ezocm sore `Jyss . Projected Daily Flow: 3~~ GPD Number of bedrooms: 3 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 Public ❑ Well Distance from well L o0 feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~~i zp .5 Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss a of other permits. The permit holder Aponsible 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, .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 T0: WM - Q~ ~E_ 1N G . PROPERTY LOCATION: ~oc7yfC '0 SUBDIVISION {'etz-stc-C"ON WQ- LOT # 5~ Facility Type: 5~D x~ X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** a5% RgpucTsos__) S `JS~Ec~ (Initial) Wastewater Flow: ~40 GIRD (See note below, if applicable aS°/ou~~dN 5ys'cE~, (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size t © o o gallons Exact length of each trench a60 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches Maximum Trench Depth of: ~'R 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 Aggre ate Depth: inches above pipe Conditions: ~1rxc~ci-L~K~. C1~ ~ 10' 'aor•, C) t4 goo eo~ss~i. 'r Aee LNG ~ S or inches total t.•~ R N ~ L_ Ca e.sSV ti-: Pam **If applicable: l understand the system type specified is different from the type specified on the application. l accept the spec111'=1oes of this permit. Owner/Legal Representative Signature: Date: - •-u.. . ~t«, < ~.a„~„ y a , F°Q4 Uf we mirnueu use cnaoges. me construction numorization snap not De transterred when there is a change in ownership of the site. This Construction Authorization is suct~~complian it ro s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: t G~aS Date: truction Authorization Expiration Date: s~ NTE# 00~-"5 `3312 5 Permit # ~3 Harnett County Department of I'l blic Health Site Sketch PROPERTY LOCATON: \A00lJc ct_. RQ ISSUED N~ ~N SUBDIVISION Q 5 r4 LOT # 5~- Authorized State Agent: Qt A5 COL,,, ,Ol9.4 Date: `15 \ aSef° ~L~~UG~ lON oacK E 36, I 16~ Department of Environment, Health and Natural Resources Sher: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: 1 O )2A6 Proposed Facilitytka&~,R,~ Design Flow (.1949): % oc~r 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 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS E # Landscape Position/ Slope % Horizon Dp& (1n.) 1941 Struc h" Texture 1941 Cansitrenoe Mineralogy .1941 Soil wein"d Color 1943 Soil 1936 8spro Class 1944 Restr Horiz rofits Class # LTAR O 44 Ls 4V?2 - 8.Z3'~ S$~ 5GL- F'rL s5~5Q Cs2. 3b ~ / 'W\y v~~ ~~C L V J4 ~C J s ` J J Description IaNial Repair 43tem Other Factors (.1946 S Site Classification (.1948r Q A vailable 3 q .1941 Evaluated By: System ) Site LTAR s Others Present: - V` Si=E. P!I{ CJ%>L C(i'(jG,'\ l\ aP Wl N-'~\CJM1dN