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IPACHTE#_ 10 -5--X--J51 I it Harnett County Department of Public Health 2 5 9 3 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: C)Tegr p' ISSUED TO: ~MdGCLLp,ap t~pM l~G SUBDIVISION LOT # s NEW REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: w.~rv~t.r-~r~ cvp~L Projected Daily Flow: Li`a d _ GPD Number of bedrooms: Ui- ~-Number of Occupants: 4?S max Basement ❑Yes 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 10 O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: Date: 3 14 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other p its. The permit holder is res onsible 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) with The 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 attached system layout. ISSUED TO: PROPERTY LOCATION: Po N ~~czo P p SUBDIVISION ~f-oz r,t p, S A~ar,Ts LOT # 1J a. Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes , No r~asement Fixtures? ❑ Yes "5~ No Type of Wastewater System * o N of F s(~3 t`t p. l_- (See note below, if applicable R v --~p C-0 Nit E^r~ t u w l (Repair) Installation Requirements/Conditions Number of trenches L~ Septic Tank Size 16 d© gallons Exact length of each trench 50 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. a~j_ inches (Trench bottoms shall be level to +1-114" in all directions) Pump Requirements: ft. TDH vs. _ GPM (Initial) Wastewater Flow: IVO GPD Trench Spacing: 9 Feet on Center Soil Cover: la, inches (Maximum soil cover shall not exceed 36" above the trench bottom) r. inches below pipe Conditions: hr~ A~ LCL- LANE 1 ~~sy ~I; ~C) YaD~ ~ Aggregate Depth: Ep~ sc JyS ~cr ~ inches above pipe 1 i l c, tsF 1'`1Pmt s.,C.~ioinGy y O 1H ~S ~u.L o a- zee'y b.(L~ nches total If applicable: /understand the system type specified is different from the type specified on the app/ration. / accept the specificwonr of this permit Owner/Legal Representative Signature: Date: This Conserudion Authorizatiosubjcr rv catplan, plaor the intended u,, nges. The Contrution Authorizaoshall otraferrd hehhange nership of he This Ctruction Authorization is o comphau the ions of at laws and Rules age Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ?-C--V\,5 Date: 3 Cons n Authorization Expiration Date: HTE# LO `5 --,35 1-4<~ Permit # a59 Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: Pa N oEcu75PA 9-1) ISSUED T0: m6FsLt r~ g 1N SUBDIVISION GAQoL~ ht p, S s~.so,~ LOT # 5~_ Authorized State Agent: r~ ~z~ ~'~01Ysao~~ Date: 3 0 x-13 Pvme C-oNV&Ef 12.(-- F~x \ A SQQ\NG Q V 50 C-- r10 IN C*3 O Q,, a,)\, Department of Environment, Health and Natural Resources Sheet: { Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOIIJSITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code. Owner. Applicant: Addmss: Date Evaluated: '5)as), d Proposed Facility: ~ cc s~ Design Flow (.1949): L-W) Property Size: Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ ph ❑ cut Type of Wastewater: Sewage ❑ Industrial Process ❑ M ixed P R O F 1 SOIL MORPHOLOGY OTHER .1940 L Landscape Horizon .1941 PROFILE FACTORS E Position/ # Slope % Depth (In.) .1941 .1941 .1941 soil .1943 .1936 .1944 Structured C"Wdence wetn / pro}Ro ess Soil Sapro Restr Texture Mineralo Color IN. Clara Hasiz Clw ALTAR S w1 is P L Description Initial Repair System Other Factors (.1946): Available S co .1945 S at V, Site Classification (.194ar S stem s r" r~ co N « t Evaluated By: U Site LTAR Others Present: