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IPAC RRHTE# Z)9-1---2V-7-7 ' Harnett County Department of Public Health 2 5 4 4 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit / PROPERTY LOCATION:3? N22 414-1&A#J /L6 ISSUED T~/D/1j,~►!N lit)t/~D~ & j>C_17-Z SUBDIVISION t LOT # 4_ NEW d ~RIPAtR O EXPANSION ❑ Site Impr ements required prior to Construction Authorization Issuance: Type of Structure: .1 S'% /Z/E~ .S,S Proposed Wastewater System Type: Projected Daily Flow: 3(od GPD Number of bedrooms: Number of Occupants: Gmax Basement []Yes No Pump Required: OYes ❑ No M be required based on final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. /Five years Permit conditions: ❑ No expiration Authorized State Agent~q y ~3 ~r /ne,„tu0y,.`'~ pate !2-~c~ p `3 SEE ATTACHED SfTE SKETCH The issuance of this permit by tiq Health 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: &Z27Z!-1L-4 417&0 -d PROPERTY LOCATION: Ac1V3Z ,6Jr 6cA*-) /tA SUBDIVISION ALO/q"~ LOT # ,Za Facility Type: New Expansion ❑ epair Basement? ❑ Yes No Basement Fixtures? ❑ Yes L No Type of Wastewater System** 2! ~ A~7?!6n)-~is Ae~-X- (Initial) Wastewater Flow: GIRD (See note below, if applicable ZS'Oibt~G~ n.~ (Repair) Installation Requirements/Co ditions Number of trenc es _3 Septic Tank Size ld~ gallons Exact length of each trench 44-- - feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: z inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: T Feet on Center Soil Cover - inches (Maximum soil cover shall not exceed 36" above the trench bottom) ~o inches below pipe Aggregate Depth: Z inches above pipe I1-- inches total **If applicable: /understand the system type pecified is different from the type specified on the application. / accept the rpeciflwionr of this permit. Owner/legal Representative Signature: Date: a >Wltelt w iMU[JV11 n me site plan, plat, or me mtenaea use oranges. ine tonstrucnon Aamonzahon shall not be transferred when there is a change in ownership of the site. This Construction 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 Agent: ~~l'l'~~ Date: /2© S Construction Authorization Expiration Date: 12-10-1 HTE# 1)1-5--231-779R Permit # -25 `1 y e Harnett County Dep i-tnlent of F`ublic neaw, Site sketch. PROPERTY LOCATON:,56IY3Z ~ '~6vx.~) /L4 ISSUED T0: s SUBDIVISION ~tA"yiojays LOT # 7-4 Authorized State Agen G . Date: /-Z - v - P5 6'164,) 6(J f- M y -7q a~ s5v'~ 'Al ys` tam 5F.1y5Z. w=1,6 4,)IZ,,J A7-D Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIUSiTE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: 2317 Address: Date Evaluated: c-r7 Proposed Facility: Design Flow (.1949): _3C,,b Location of Site: Property Recorded: Water Supply: ❑ Individual p Well Evaluation Method: *W Boring Type of Wastewater- 3 "Sewage Industrial Process ❑ Shed: Property ID: Lot File Code: Property Size: /,moo ❑ Spring ❑ Other I fixed P R O F 1 1940 OUL MORMOLOOY .1941 THER PROFILE FACTORS L * Lampe Slope % Horizon ~ .1941 Texture .1941 C 0"WA a Mineab .1941 soil wetneed color .1943 sod IN. .1936 Sapro Claim .1944 Reatr Horiz Profile Claaa ~ & LTAR Z - z~b 0-/8 Xi e ,9s) Su, IS t rtn• I hslca, yb" ~~'yti~, . 3 .1 L y L Z°& o - sL ,c ~a Deaaiptiea Lutia! Repair system Other Factors (.1946): s stem Site Classification ( 194ar FS A vailable S 194! . l t d B E s gern i va ua e y: y n*-) a we-2- O h Site LTAR t ers Present: