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IPACHTE# t 0 --a3wa_a. Harnett County Department of Public Health 2 5 91 4 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NGa")N,4 ISSUED TO: Pw ati o ~4tv6y SUBDIVISION Fvtvr~E2t3ycL LOT #-T NEW REPAIR El EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'M '1~N Nor~E "~0~ Proposed Wastewater System Type: aS'l o REQ Ucn 0 o N 'ys TErr Projected Daily Flow: 3fo0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No 'XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ;-Y\ Public ❑ Well Distance from well I COO feet Permit valid for: X Five years Permit conditions: ❑ No expiration Authorized State Agent::` 5 - Date: 3) ,O SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit hol r 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 Improv 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: _iE-OW o.2o Q, PROPERTY LOCATION: NC,'~7~rf CC,,a 'o'Fy-i t-D 1 SUBDIVISION FvN0 EIZ6Uce- LOT # -'Q.5 Facility Type: MaN Norte ~,~D'i x~70~1 New ❑ Expansion ❑ Repair Basement? ❑ Yes N~ No Basement Fixtures? ❑ Yes f No Type of Wastewater System" 'moo '2EO V cs~-crN S -/5-t ~ (Initial) Wastewater Flow: GPD (See note below, if applicable _ Qoc..e R~vc~~c,NSvrC=r^ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size Ie7 czD(t gallons Pump Tank Size gallons Pump Requirements: ft. TDN vs. Conditions: ~J 1- NC M s MP1 ~,.,c P.c.~~ 0•z Exact length of each trench !b U feet Trenches shall be installed on contour at a Maximum Trench Depth of- 1`Q inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM IR, E. ~o era c) c~ S < iG Sy 5T&'-4\. tJ d ti'(Iq~ t~2 \~rLfl.sn ~c~ Trench Spacing: 9 Feet on Center Soil Cover. - G -Inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe S s i--,v t inches total If applicable: /under Land the rystem type speciled it different from the type speciled on the app/ication. / accept the specill'wioor of this permit Owner/Legal Representative Signature: Date: T61. f.,.....,..6.... A..J....l- -..t . , _ V,a4 ,,,r ,,,«,,,,r„ ,,,c u"anges. ine construction Rumorrtanon snan not De transterretl when there is a change in ownership of the site. This Construction Authorization is subject to wmpliance~ ro ns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: \ \ ~V ~L Date: _ struction Authorization Expiration Date: HTE# Permit # c~IS9 1 y H l,rnett County I)epailment of l~iblic Health Site Sketell PROPERTY LOCATON: tvt✓a" iti.1 ~t>a ~~,~Fty L N~ ISSUED TO: ~owo~z o P vE SUBDIVISION Fv ot- ilbj0.c LOT # nR5_ Authorized State Agent: oL~ ~~`~S~CZ~ Date: A~' No p U ""F t U v t,Cr2P,-.1-A D,j LOIN, ~ys~ E.cv~ DCL~~I ~v.1 ~y c (,I, P ~4 L~.E ~N pt) T 15 Cj 4_- , o a 7~1v Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot k File Code: Owner: Applicant: Address: Date Evaluated: 313 -~),b Proposed Facility: 3 e6ZQojvo~ Design Flow (.1949): 6 O Property Size: Location of Site: Property Recorded: Water Supply: Public [I Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ N fixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS I. E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Minerslo .1941 Soil wetnew Color .1943 soil Depth IN. .1936 Sapro Class .1944 Reetr Horiz Profile Clan & LTAR t APL C -1b ' G LA dill. 16 5CL- F~a SS 1 Q S . >y O-Jd G 3 O- G LS v in, r ,%t-JA Q 1a.~3D S4`lL S.G.L 31 P ~La~ P s •3 Li p- 5 G S 05 C. v-k" G L5 v!n, y~wP Description Initial S 't Repair System Other Factors (.1946): Site Classification ( 1948):' f Available Space .1943 . E l t d B Syd= s 3 c Q V r-R se4 va ua e y: U~ Oth P Site LTAR ers resent: - -3 ey. fx L TM sb}yp 1~ - 3(~.- ta,4scL. Fn, y © o Oc