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IPACHTE# c--a33~ o Harnett County Department of Public Health 2 5 7 9 7 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: MPs2.KS ISSUED T0: ~4~SLt~~D o r ~6~ SUBDIVISION ~sr~E~p~s LOT # t_ NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: (-yN'AJAO~ Proposed Wastewater System Type: CoHv Irv S o P, t Projected Daily Flow: t-+'91 0 GPD Number of bedrooms: LA Number of Occupants: max Basement ❑Yes N No Pump Required: ❑Yes '9No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~R Public ❑ Well Distance from well feet Permit valid for 25~ Five years Permit conditions: \ ❑ No expiration Authorized State Agent.: ~S Date: Z)C\ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua of other permits. The permit holder is responsi a 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: C-u,~ \Ab,-~,-- Facility Type: Basement? ❑ Yes No Type of Wastewater System** _ (See note below, if applicable Basement Fixtures? ~c--Es"TvC) E~s PROPERTY LOCATION: SUBDIVISION ~~~.G~pcca LOT # to New El Expansion ❑ Repair 11 Yes x No Co ~cvE><v c~a "N L_ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size ► oy O gallons Exact length of each trench 50 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. ►g - 44. inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM (onditions: ~A,<CsL Ls - r-- M ) s- ?D E 10 Fczor~ ~~~s.c_ Sys (Initial) Wastewater Flow: t i eb C) GPD Trench Spacing: Feet on Center Soil (over: 6- 1-.), inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe 'N T inches total **If applicable: /understand the system type speciled /s different from the type speciled on the app/ication. / accept the specillwions of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to ruQcation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site- This Construction Authorization is sect to compliance v`t Tha provisions Qf the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. ti Authorized State Agent: ~V ttLs pate; ►a3o Co uction Authorization Expiration Date: a 1 SEE ATTACHED SITE SKETCH HTE# O~ `a a33~1 D Permit # 3-S~15-1 Harnett County Department of 1"liblic Health Site Sketch PROPERTY LOCATON: MA2~t 5 ISSUED T0: ~~M4E2 X65 SUBDIVISION PSW~~aaA LOT # Authorized State Agent: »S aL)VEs to► of Date: Sa m©~ $5, C -e ~v. AREA ~L l D L ~O v C. i ~~o A5NE,o4¢b VJNy Deponent of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIUSTTE EVALUATION for ON-SITE WASTEWATER SYSTEM Owwr. Addrew: Applicant: Date Evaluated: Proposed Faality: Zoo Design Flown (.1949): 1-~ C, Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ pit ❑ Type of Wastewater: Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File 0: Cade: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F 1 1940 OU. MORPHOLOGY .1941 THER PROFILE FACTORS E M Poaided Slope % Hartzaa Depth (in.) .1941 sbudurw TOM" .1941 Coaadda " Mhwaloffy .1941 soil we6rwl Color .1943 Soil .1936 S" Clan .1944 Rehr Hori: Proft Chao & LTAR Other Factors (.1946k Site Classification (.1948r S E"dwted By. ~ i< Others Presort: