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IPAC RHTE#09 - s= Z33z2Q Harnett County Department of Public Health 25708 Improvement Permit A building permit cannot be issued with only an Improvement Permit ~~rt PROPERTY LOCATION:,. S"Yy G y all ISSUED TO- l~2c a L ~Gt~1c G.c SUBDIVISION Q P 6a LOT # NEW REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -3 r -rJ Proposed Wastewater System Type: ZS' z-r i er Projected Daily flow: .34,10 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes 16o Pump Required: ❑Yes ❑ No be required based on final location and elevations of facilities Type of Water Supply: El Community MaPublic ❑ Well Distance from well feet Permit conditions: Permit valid for. L!1 Foe years ❑ No expiration Authorized State Age (A-,V ate: /Z -/O -01 SEE ATTACHED SITE SKETCH The issuance of this permit by a ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 TO: 45~1!fOA, ZAA-Z PROPERTY LOCATION: S~< IS--YY CnJY,P12s SUBDIVISION _ 1JP lUt" LOT # Facility Type: SF-JL"3 New ❑ Expansion ❑ Repair Basement? ❑ Yes Z' No Basement Fixtures? ❑ Yes CrNo Type of Wastewater System" ZS-01& ~ACXTZ4S1~ (Initial) Wastewater Flow: Slvc GPD (See note below, if applicable 7~5~'ly f2~- by ~r~L (Repair) Installation Requirements/Conditions Number of trenc es Z Septic Tank Size /060 gallons Exact length of each trench 12b feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: lv inches Maximum Trench Depth of: 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 4 inches below pipe Aggregate Depth: Z inches above pipe Conditions: --5 PA I>rTC~~S ~z- inches total i? 30 " ASE **If applicable: /understand the system type specifed is diferent from the type specified on the app/ication. / accept the speciTcationr of this permit Owner/Legal Representative Signature: Date: ,..,,1 I„= V'-' F-, ,rc use uiaugt~. flit construcnon numonzauon snap not oe transferred when there is a change in ownership of the site. This Lonstrucuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Date: !7 -/U '4 9 Construction Authorization Expiration Date: / Z- ld -l HTE# QT- S -2332ZJZ Permit # 257DH Harnett County I)epallIllent of Public Health Site Sketch ISSUED TO: Authorized State N G- l t ..p yo t~ J ~ o F Sit 10'-/ W o) PROPERTY LOCATON: -';W157Yz1 G'v1''',Q,.J SUBDIVISION W I' G y LOT # I ~,O' Date: 7 Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOII.JSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: 13 Z Z Address: Date Evaluated: (Z - Z -c3 Proposed Facility: Nc-~) Design Flow (.1949):3Lao Location of Site: Property Recorded: Water Supply: LJ lic ❑ Individual ❑ Well Evaluation Method: tiger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: f ❑ Spring ❑ Other cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Minemlolty .1942 Soil wetness! Color .1943 Soil Depth IN. .1936 Sapro Class .1944 Restr Horiz Profile Class & LTAR l L qV~ o -Z v a~ ~L (~XitlajtT 41 6- 16 S& Kt & Amp ~L fir,. l K J,- i° 3 L 1-°% ~ 1 ~ 5L- arc ,~r,+P Description initial Repair System Other Factors (.1946): S st Site Classif ti 1948 Available S ace 1943 ica on p . E l d ~ S stem T e($) va uate By: /L v y yp b Site LIAR Others Present: