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IPACHTE# 10 b Harnett County Department of Public Health 2 5 9 2 4 Improvement Permit A building permit cannot be issued with only an Improvement Pe it PROPERTY LOCATION: M t L^s0N Eu.~+ ISSUED TO: C1t=1-y1N'T ty.,~jr~1 SUBDIVISION 1Lt-A oti Qa.c,ct~ LOT # tea. NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: QorvyG,,r; %arj P"1- Projected Daily Flow: 3G, O GPD Number of bedrooms: 3 Number of Occupants: ro max Basement ❑Yes No Pump Required: ❑Yes K No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community A Public ❑ Well Distance from well LOd feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent: - '-C- ',-IS Date: 3 ) ►s110 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of o er 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, 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 TO: F-- 1-,J I~►~c» s o N PROPERTY LOCATION: M I I-Th N E>_Lti SUBDIVISION 1~,ot t- 8nOC7\<- LOT Facility Type: M e+N l~c> rnE ~~j4~J New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Ca ~O 0 p,t_,_ (Initial) Wastewater Flow: 3(,C2 GPD (See note below, if applicable Cc'rsvE~ t4 GAL-- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size t e3 o d gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of:-~'3(ro inches (Trench bottoms shall be level to +1-114" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: Feet on Center Soil Cover: S a inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Z1, jnches above pipe Conditions: ~A~kL~s~(.{-M vs-s R rw 1.~*s~,L 0 d I a- inches total rL~ i\tCS 1" 1fK~{ l:1NGt1~P~c~'f ~N lNI~~A/._ f~~L ~c-r-Ki+1)~i ~C~.EpC. If applicable: / underrtand the rystem type rpecided it different from the type rpecided on the app/ication. l accept the rpecifcationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is-subiect to revocation if the site clan Mar or tho intnndrA - A-- Tho k.....r.... -.1._ Construction Authorization i ect to complian it visa he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: =Authorization Date: 3 ConstrExpiration Date: HTE# O ~o Permit # ~),A Harnett ('ounty Department of Public Health Site Sketch PROPERTY LOCATON: M w-Tc3t , W Fa~.h ISSUED TO: A050 N SUBDIVISION yL,ogL-'e)o40,/- LOT # 1a. Authorized State Agent: ~ E S I OU V62gioz oc~(~F Date: 3I )S 1 in' n 1Lt-0N ~4 E1.C-\A Q-0 Departrnent of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: 3/1 Proposed Facility: 3 PC--,zc, Design Flow (.1949): 3 Location of Site: ° Property Recorded: Water Supply: NNblic ❑ Individual ❑ Well Evaluation Method: 9~=Ige r Boring ❑ Pit ❑ Type of Wastewater: ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed ,t P R O F SOUL MORPHOLOGY OTHER 1 L .1940 .1941 PROFILE FACTORS Linubcape Horizon .1942 E # Position! Slope % Depth (In ) .1941 St t / .1941 C Soil .1943 .1936 .1944 Profile . ruc ure onaistence WetrwW Soil Sapro Restr Chm L Texture Miaoralo Color Depth IN. Clans Horiz & LTAR a ©315 G s vim-.-1 0 c., imtmt Repair System Other Factors (.1946): 3 stem Site Classification (.1948):0 Available S oe .1943 Evaluated By. o T System a G u. < t. Others Site LTAR - c-, Present: