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IPACHTE# lQ -s-aZ10vA Harnett County Department of Public Health 2 5 9 4 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: L-Gm0C i- ISSUED TO: Nxl-~ C-10 y-r- n .atyc,5 025 \a G SUBDIVISION F'om,ti 0A\< LOT # 1`7k NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 V Q ( X01( x 5b' _ Proposed Wastewater System Type: Pub o a S°lo Rf ovC~,C1w Projected Daily Flow: '?V O _ GPD Number of bedrooms: -L-1 Number of Occupants: max Basement ❑Yes XNo Pump Required"4es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well ~ Od feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Q Date: 3 1.~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit hol r 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 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, .1957, .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: \,A '"A C-o N`-n cLua-,y(L5 tJ L PROPERTY LOCATION: 1-"Cry SUBDIVISION Foa~~~c Facility Type: 5 M New ❑ Expansion ❑ Repair Q P,(,S LOT # ND 6 Basement? ❑ Yes No Basement Fixtures? ❑ Yes 5~ No _ Type of Wastewater System** 9 v+r4 ~v ~.5"Jo 1~ ~cn Sys tern (Initial) Wastewater Flow: E-N-0 GPD (See note below, if applicable Pump So dal. R cpuG;so~t 'JS. (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size taoez gallons Exact length of each trench 3a C5 feet Trench Spacing: Feet on Center Pump Tank Size t (00 0 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: N 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. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: 'VIA,-s&.rt, l~~ vL ni5T (21E ~(3 ~-L n L inches total PEct.r~z~ ~o,s~ O ~ ~i2.crrZQSti,t. ~wr~, Q~eeL.~c,~.~l'SS So~L. Sc._f.rytsti~ . **If applicable: /understand the ryltem type rpeciped it different from the type rpecired on the app/ication. / accept the rpeci6cations of thin permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to on if the Ian, 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 s a to compliant h t on he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: -5 -zx~kl~ Con ruction Authorization Expiration Date: 3 HTE# Permit # X59' 3 Harnett County, Depa lment of iblic Health Site lzetch ISSUED TO: ~A # Authorized State Agents 9 A N A G G l CO k PROPERTY LOCATON: LCMvEL PJ~v,G~ R~ _ SUBDIVISION Fo~6s< O poe s LOT # 1~1~ ~~5~°twE:2~Cot T Date: VH C A `s E O AK. 3 C, 13j' ate' 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. Proposed Facility: Ly ec-c n- r- Design Flow (.1949): tiY Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well Evaluation Method: 'Auger Boring ❑ Pit ❑ Type of Wastewater: ❑,Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Lm iscape Position/ Slope % Horizon Depth (In.) .1941 Structured Texture .1941 Consistence Mineralogy .1941 Soil Wetness/ Color .1943 Soil Depth IN. .1936 Sqm Class .1944 ReAr Horiz Profile Class tk LTAR NS) N v iv rt9 w O-~ ~r 5 vc-n, Ksl^~ PS , h V4C- a', PS . t L I Description initial S Repair System Other Factors (.1946). Site Classification ( 1948 Available Space 1945) y . pj E l d B s o V fqw J va uate yCK O h P Site LTAR ti t ers resent: