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IPACH T E # io-5-a~a Harnett County Department of Public Health 2 5 9 2 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Lis (1) V F , V-D ISSUED TO: H°Y ~ors'~-cavu~cn.~ ~NC. SUBDIVISION Foa.-E.3n GP,-,e LOT# 5ADJ_ NEW' REPAIR ❑ EX$ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~;'Q Proposed Wastewater System Type: C osvvE-t'\o t3P,L- Projected Daily Flow: 3 GPD Number of bedrooms: Number of Occupants: -Co 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 Public ❑ Well Distance from well l C7O feet Permit valid for: -1- Five years Permit conditions: ❑ No expiration Authorized State Agent:: n~ (Let"! Date: n I 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guaran tees the issuance r permitr. 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 mit 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 T0: N~`~ ~~~tys}~-~GrtS ItiL PROPERTY LOCATION: Lsx,,,vC,y SUBDIVISION F'acc~^t C3Pw~S LOT # VI) Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No Type of Wastewater System' CojYq_,myaaaL- (Initial) Wastewater Flow: 3~0 GPD (See note below, if applicable C _o N Alm (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size t©6d gallons Exact length of each trench a4 O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 2t 1 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: Feet on Center Soil Cover: t inches (Maximum soil cover shall not exceed 36" above the trench bottom) Co inches below pipe "*JPr Ag regate Depth: inches above pipe Conditions: ~0, S S ,/,5__r4\ s, _ t~ inches total Q~v r~ P,S~p „r 6uo P OS A~- Fie r~ ~ ¢ t_~ Gp, -sCS ~ l L C.o is v -SPss<\- *``If applicable: / understand the system type speci>ed is different from the type specified on the app/icdtion. / accept the specifications of this permit Owner/Legal Representative Signature: Date: « i<.uwnmi me sne plan, piac, or me mumaeo use changes. me Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance ovisio he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: gQo Date: 3 s`] S Constru Non Authorization Expiration Date: 3 HTE# M O - 5 -a-~o Permit #9~°I Harnett County Depailment of lliiblic Health Site Sketch PROPERTY LOCATON: LE,,-.v EL-- g ISSUED TO: ~Ax V4 Co _ ~av~oas l~ c_ SUBDIVISION ~on~s~ OwcS LOT # I Authorized State Agent: NS(pFQ `TescKSi Date: -5 10 0 O9 Department of Envimmnent, Health and Natural Resources Division of Environmental Heap Sheet. On-Site Wastewater Section Property ID: FLiole t SOII✓SITEEVALUATION S Code: for ON-SITE WATEWA'rw R SYSTEM Owner. Applicant: Address: Date Evaluated: 3 H) q Proposed Facility: 3 c~cc~n or, h, Design Flow (.1949): 3 o T d Property Size: Location of Site: Property Recorded: Water supply: Public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Cut ❑ Slag Type of Wastewater Sewage ❑ Industrial Process ❑ M,,W P R O F SOIL MORPHOLOGY I .1940 OAR L Horizon .1941 PROFILE FACTC # Si % OOPS 1941 .1941 .1942 Soil (la) Sydy 1943 Comiateoca wetnew sod Taft* Mimalo Color t J I ~)-~4' sytem BASNJ Utir ~2c~POSS§L -J51',4 Site Clamificadon-(.194iy V5 Evaluated By:()~ Othm Ptexmt: ❑ Other .1936 .1944 Profile Redr Clad Haria 2 LTA r s.~ 13 s IN(