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IPACHTE# Harnett County Department of Public Health 2 5 9 3 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N C ,ate ISSUED TO: CL C) c(6 SUBDIVISION C~JCL gii U,~~.`~ LOT # NEWX REPAIR ❑ EXPANSI01~ 1:1 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: V 9 Proposed Wastewater System Type: C.<) Irv C . t 0 " C:,,t_ Projected Daily flow: GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ,XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community XPublic ❑ Well Distance from well 00 feet Permit valid for. five years Permit conditions: ❑ No expiration Authorized State Agent:: - \~S Date: 3'VrA tC> SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit Ilis respo ible 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, . with the attached system layout 1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by reference s into this permit and shall be met. Systems shall be installed in accordance ISSUED T0: CIV t*~C~E g z ~r s acriLS \"C- PROPERTY LOCATION: C-30 C SUBDIVISION T"\ g iZ PAN LOT # 3 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Baseme nt Fixtures? ❑ Yes Y No Type of Wastewater System** C0 "-'J C,.rrf 0 C q (t . (Initial) Wastewater flow: GPD (See note below, if applicable Cccs v ~1v-C t O t~ ~c 1 (Repair) Installation RequirementsKonditions Number of trenches I Septic Tank Size `C7©O gallons Exact length of each trench Zli..00 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -Z inches Maximum Trench Depth of. Z~=A-30 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDN vs. GPM inches below pipe Conditions: Q.T z- ~--~w u 1; C'~ V:O'C'r t G j Aggregate Depth: inches above pipe ~ 6(n \ inches total **If applicable: / uaderrtand the system type fpeci/_ is different from the type specified on the application. /accept the rpeci>icatioar of thLr permit. Owner/Legal Representative_.Si nature: Date: This Construction Authorization is subject to revo the site plan, plat, 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 so compliancethe k" of aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: NCA ~o Constr ctrAuthorization Expiration Date: 3 ti HTE# 10-5 Permit # ~5a3~ Harnett County I)epartlnent of Public Health Site Sketch PROPERTY LOCATON: NC. a-1 ISSUED T0: u L~a.,po cc,( 1 N SUBDIVISION M ~E $CL P.ryc1~ LOT # ~C> Authorized State Agent:tS~9u CrL`FoL`~soor Date: G ~s ► --),5 le 35 x 5~1 ~ I z v LA 5' Z ~ i r I S U NR.\pr, L p6L Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: 3 )161 v o Proposed Facility: 3"~c ~r" Design Flow (.1949):30 Location of Site: Property Recorded: Sheet: Property ID: Lot File Code: Property Size: Water Supply: Public ❑ Individual ❑ Well ❑ Spring Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage L-1 Industrial Proc me n mi-,m ❑ Other P R O F SOIL MORPHOLOGY OTHER I L .1940 .1941 PROFILE FACTORS Lmudscape Horizon .1942 E # Position/ Slope % Depth (In ) .1941 / t St .1941 Soil .1943 .1936 .1944 Profile . ruc ure Texh" Consistence Mineralo Wetness/ C l Soil Sapro Restr Class S o or Depth IN. Class Horiz & LTAR ' ~-5 ~6' 5~ sc+ r 2 5A 4S 3 0, 1h tie s Description Initial system Other Factors (.1946): S st Site Classification 1948 Available S oe .1943 S System TA*S) Evaluated By: c)-C' Site LTAR Others Present: I.~~Cao• ~ ~~l3~..