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IPACHTE# 0c►~-5-~ Harnett County Department of Public Health 2 5 7 8 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: X-9 N 4 Q C)M. 4 F ISSUED T0:-~~-~`~~ t~ ~S SUBDIVISION u rnrti LOT # 1 b NEW` REPAI ❑ _ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'Z:)V y5 x5g, Proposed Wastewater System Type: ~o cr~(E~l o >J pst_ Projected Daily Flow: 3~o GPD Number of bedrooms: 3 Number of Occupants: ~o max Basement ❑Yes -A No Pump Required: ❑Yes -,'8,No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well Ito feet Permit valid for ~ Five years Permit conditions: ❑ No expiration Authorized State Agent: -s~-,'- : ~ Date: N \\2A\ og SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holders respo Bible 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 Improve tent 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 TO: g~a~G~t w~21- ~ PROPERTY LOCATION: Piz-P~NC_ Claw L- SUBDIVISION 1NC SurnM tV LOT # S45* Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Co r-^J ~C 0 rv v,L (Initial) Wastewater Flow: 3~d GPD (See note below, if applicable (:_c.; n v6-,,r\- (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size ~dC0 gallons Exact length of each trench -1 S feet Trench Spacing: c- Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Y-\--lN inches Maximum Trench Depth of. 34 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: a inches above pipe Conditions: 1 ~ccCn. U,,,L Vlo,5 l0 r-~z ,'t inches total **If applicable: / ondeatand the ryrtem type rpeci6ed it dih`erent from the type rpeciTed on the app/ication. / accept the rpeci6cationr of thin permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoca he site Ian, 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 b' to complia ovie Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: tN Con ction Authorization Expiration Date: - HTE# 09 Permit # 9-5--) V0 Harnett County Department of A blic Health Site Sketch PROPERTY LOCATON: PAL y1-4 F ~cLw e ISSUED TO: x~Eti _ lO r-% , SUBDIVISION --T'" r-- S vcrcr LOT # 10 Authorized State Agent: Date: kti 1 A n ',~Q1vE Department of Envirmment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: propowd Facility: 3&wcm,,,,w%,,LDesign Flow (.1949): 360 Location of Site: Property Recorded: Water Supply: A Public ❑ In Mdual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater Ta Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut Mixed P R O F 1 940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # . La &mpa Position/ Slope % Horizon Depth (In.) .1941 SUWON*/ Terre .1941 Coosideaoa Minumlo .1941 Soil wekmw Color .1943 Sail D*A IN. .1956 Sepro Ciao .1944 Redr Horiz Prome Clan LTAR t ~5a S , 0-4t Cj S JCL- ~.`b~ i ll Description Initial S A Repair Sydem Other Factors (.1946 Site classification (.194875 Available Space .1945 Evaluated By: 4 4C TWO(s) Others Present: - Sib LTAR `6