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IPAC RH T E # i©-s-a~ a Harnett County Department of Public Health 25944 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: S I L2- A ~ 2P,s ISSUED TO: gtaa~v c moo. 1tvG. SUBDIVISION LOT #Z NEWX REPAIR ❑ ENSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S S C) Proposed Wastewater System Type: -rl-~ toovc-n ~o r+ s y5 : Erg Projected Daily Flow: W41co, 0 GPD Number of bedrooms: y Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well AUd feet Permit conditions: SUBDIVISION t LLp, CE (a ,©~C ,~ta,5 LOT # S ❑ Expansion ❑ Repair I No S--) S-'Lt, (Initial) Wastewater Flow: yYC) GPD Authorized State Agent:: Date: d SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc her permits. 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 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, .1 957, .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: ~1-1tg.4 CIO ty:~,-\ .C-n 1" PROPERTY LOCATION: 5 ~EczC2.A ~~-A~ Facility Type: SF 0(1~^'`3~ ~ ~ N Basement? ❑ Yes _ No Type of Wastewater System** (See note below, if applicable) ew Basement Fixtures? ❑ Yes aS'oZ. "--o uclc , o N 2S"le .0yC,7%0rJ S-15C'~r^ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t cn a d gallons Exact length of each trench Q- 6 Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: s1"30 (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM feet Trench Spacing: Feet on Center Soil Cover: inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) r Hggregat Conditions: ejP'C~G S~5 BEM. U ; ~_t...,-c.~s 'M t~~ ~c~-OAC,~-a O \r.,,< ~c.L _ a,~..,, nr-~,►. Permit valid for: Five years ❑ No expiration inches below pipe Depth: inches above pipe inches total **If applicable: l anderrtand the ryrtem type IpeciTed it different from the type rpeci6ed on the application. l accept the specipcations of this permit. Owner/Legal Representative Signature: Date: t«. me are pima, peas, or me mtenaea use changes. ine tonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance with tl~ ohs of th ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: (LC1~5 Date: 3t x Cons "n Authorization Expiration Date: 3 15- HTE# Permit #1~L1 Harnett (bounty Department of I'~iblic Health Site ketch PROPERTY LOCATON: ISSUED T0: Co c,. SUBDIVISION 5 ~Fszrtr~, LLQ,hE ;F,- O v cnia~u5 LOT # 5 ) Authorized State Agent: ~5 tiv~t2 6~~~ot~ Date: 3't l a.) E,' Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOII.JSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: Proposed Facility: I'+`d u rc. Design Flow (.1949): LVV) Location of Site: Property Recorded: Water Supply: lic ❑ Individual ❑ Well Evaluation Method: uger Boring ❑ Pit ❑ Type of Wastewater. q(emge ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed i P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texh" .1941 Consistence Mineralo .1942 Soil weMass/ Color .1943 Soil Depth IN. .1936 Salvo Class .1944 Restr Horiz Profile Class &L TAR o-~a G s vc-(- ,,yKe slate 'RY d G v Ns~NQ 5gv- sCL F2 sal ("cP PSG \S V'J S Description Initial Repair System Other Factors (.1946): S st Site Classification (.1948)/"f Available S ce .1943 Evaluated ~-stem s Q S'Y 6267 By :c I Others Present: Site LTAR