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IPACNTE# CTI- S Harnett County Department of Public Health 25781 Improvement Permit A building permit cannot be issued with only an improvement Permit PROPERTY LOCATION:__ Ni- SrvG DR--\ N6 ISSUED T0: - -K.h6u SUBDIVISION rn. n NEW REPAIR ❑ EXPANSION 11 LOT # 106 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S V=V LJcl a Proposed Wastewater System Type: Cjz~ N vG-4-4'T i o ri P.L Projected Daily Flow: 2?(=Q GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑Yes X No Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ' Public ❑ Well Distance from well VY") feet Permit conditions: Permit valid for. five years ❑ No expiration Authorized State Agent: 2ended Q-C:-N4& Date: The issuance of this permit by the Health Department way guarantees the c other permi. The permit holder is respons le for checking with appropriate governingSbodiesA inAm 6D SITE egETements. This site is subject to revocation H the site plan, plat or use changes. The Impror t 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: PROPERTY LOCATION: \.,I L O2w~ SUBDIVISION ~wL LOT # Facility Type: S~cJ New ❑ Expansion ❑ Repair Basement? ❑ Yes 'tK No Basement Fixtures? ❑ Yes ~JNo Type of Wastewater System** Co ~t6 r.r ; ~a ,,r p,L (Initial) Wastewater Flow: 3 ~O GPD (See note below, if applicable Co " .r JEt'1'S-\,° N PL- (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size t C9 00 gallons Exact length of each trench --)S- feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 'c),L\`3a inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDN vs. GPM Trench Spacing:_ Feet on Center Soil Cover. 1~ 1$ inches (Maximum soil cover shall not exceed 36" above the trench bottom) r t~C Aggregate Depth: Conditions: ~ aSb~ all v tr, , L sy s t inches below pipe inches above pipe la inches total **If applicable: / undeatand the ryrtem type ,rpecifled it dih`erent from the type specified on the applicuion. / accept the rpecilcationt of thi permit. Owner/legal Representative Signature: Date: This Construction Authorization is subject to revocation a sit Ian, plat, or the intended use changes. The Construct on Authorizaton shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance the ova a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Ra- t~~ Date: A~ ~y aC~ Const ction Authorization Expiration Date: \1"ii HTE# Oq-S x.`33 Permit # Harnett ("ounty Depailmerlt of ~tbfic Health Site , Sketch PROPERTY LOCATON: NI-f», fl2~vf- ISSUED TO: - R - SUBDIVISION `Ti{~ LOT # 1046 Authorized State Agent: 2~xs otToL rsoaVZ Date: OctA~n~+D Nis t3o~~dEcz OtL Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITZ EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated. } ac 671) Proposod Facility: 306-NvJmE- Design Flow (.1949): 30 Location of Site: Property Recorded: Water Supply Public ❑ Individual ❑ Well Evaluation Method: A Auger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Lardsaape Position/ Stops % Horizon Depth ft) .1941 Strr ch" Tex hire .1941 Camidena Mineralogy .1942 Soil Wetna w Cola .1943 soil .1936 Sapro CWs .1944 RoW Horis Pronto Ctaa & LT AR (('''''7~ Ur~ Q Description Initial Repay Sydow Other Factors (.1946 Site Classification ( 194sr S Available 3 .1943 . Evaluated B : O a Sydow T"0() o rr cc r i y Others Present: Sits, LTAR •Q -