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IPACHTE# 1 0 5- _-YAW Harnett County Department of Public Health 25934 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Ni ISSUED TO: C✓L, 0 Cry C~ SUBDIVISION N le-Q- ~cia~C LOT # NEW)< REPAIR ❑ EXPA ON 11 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 0 ( i s Z , 3~ Proposed Wastewater System Type: cvJ s N R Projected Daily Flow: ~(,2CD GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes `X No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions - ❑ No expiration Authorized State Agent: Date: VN©1 I b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation it 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, AM, .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-v rn ~~A=s 0 "iApK, )iN L, PROPERTY LOCATION: SUBDIVISION 'r) ~ 2G ~rz r H LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo Type of Wastewater System" C-0 , vJ 0 r-t 2S (Initial) Wastewater Flow: 3C ~ GPD (See note below, if applicable Cli-it y art r S ~j N AL-_ (Repair) Installation Requirements/Conditions Number of trenches LA Septic Tank Size I CC) 0 gallons Exact length of each trench feet Trench Spacing:Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to f/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: Q A fsa ~G g r~ , C-- 'jy~ C-_ I"r\ inches total *Llf applicable: / anderstand the system type specified is different from the type specified on the application. l accept the specIf1w1ons of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to on if the site plan lat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is s t to compliance the s of th ` s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: 1A:5 Date: 3l\ ctih0 Constr~~ Authorization Expiration Date: 3 HTE# i Permit # '-~Z93 H Harnett (bounty Department of ll~ blic Health Site Sketch PROPERTY LOCATON: N C-'~ ISSUED TO: Cv K, K SUBDIVISION M B a-P,, c,;,~ LOT # Authorized State Agent: w~~s o~.~e2~o~r~su~tS Date: 3~~`~~16 s zI r ~ r U ~x3b t ya > D 45~ C i Svr1e"OGL- OCL Department of En imnaxnt, Health and Natural Rmurxs Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner. Applicant: Address: Date Evaluated: 340s) 3W10 Proposed Facility: 3 Q 4 Design Flow (.1949): Location of Site: Property Recorded: Property Size: Water Supply tic ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: 9?Auger SBoring ❑ Pit ❑ cut Type of Wastewater rj~ ge ❑ Industrial Process ❑ Mixed R O F 1 .1940 SOIL MORPHOLOOY L ape Horizon .1941 E ~ P011hod Slope % Depth (IL) .1941 suwtww .1941 Considefte Tem" Minenlo ~ L5 C? G S a-~-3G ~ -5 e - VF(~- ni 51 +.3~ 30 VET, *tP LL:t:fi 1t x~S c, Soil .1943 .1936 Wetnen! .1944 Profile Color ~ Y SCIw w c1m --i-Hmz I&LTA ►cr) rz. 812 L 36 , site c - lamification (.1948r S Evaluated By: c Others Present: PS PS PS