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IPACHTE# o-s -QL~ Harnett County Department of Public Health 2 f 0 0 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: \4C-~T ISSUED TO: L- 0i G.Q iP- Coet4c; ~ SUBDIVISION LOT # A. NEW REPAIR 0 XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Mom a~'`6y Proposed Wastewater System Type: C. oh,vs."-: %o r44:1•L-. Projected Daily Flow: 3G O GPD Number of bedrooms: 3 Number of Occupants: 4> max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ 00 feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent: -F~*1S Date: -3 3e f d SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit hoI er is sponsible 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 Improrem nt 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, .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: PROPERTY LOCATION: -NA.-J-1 20 'A F-Im SUBDIVISION LOT # _3- Facility Type: Mop New ❑ Expansion ❑ Repair Basement? ❑ Yes A No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** Co N vErr-, \d r-4 t., L_ (Initial) Wastewater Flow: 3C-(75 GPD (See note below, if applicable Co cc) r--J~ (Repair) Installation Requirements/Conditions Number of trenches t-1 Septic Tank Size Yd c© gallons Exact length of each trench lL4 b feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shali be installed on contour at a Soil (over: inches Maximum Trench Depth of. 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. TDH vs. GPM inches below pipe Aggregate Depth: a inches above pipe Conditions: \-Ja.-SEcL L)" e 10 V''Lo t,,, S EAr-, iC_ S ~6m a 1 inches total 1.1~ s L T~ M n Frrc.(L,p S" C7 ~r \ N taxi 0Q_ N . r v. **If applicable: / understand the system type specified is different from the type speciTed on the application. / accept the rpe6f1cations of this permit Owner/Legal Representative Signature: Date: Thi, f-mirtinn r r ° - --g- -o-umo euuimiLaaua snap nor De rransterrea when there is a change in ownership of the site. This fonstruction Authorization is subj4t compliance t~h theme ~~n s of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3 30 ~O struction Authorization Expiration Date: 3 30 HTE# I Q -5- )Y Permit # Harnett County Depailinent of ll~ blic Health k v ite Sketch PROPERTY LOCATON: ISSUED TO: L o i e<L~ P , E SUBDIVISION LOT # j.. Authorized State Agent 611 m-Toz y-500 Date: - bcl l 0 8 Lt' It 1 iz N G Z.) W Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: ~I \ Proposed Facility: 3 8 Design Flow (.1949 : 3 Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater. Sewage ❑ Industrial Process ❑ Sheet: Property 1D: Lot File Code: Property Size: ❑ Spring ❑ Other cut Nfixed P R O F SOIL MO"HOLOOY OTHER I .1940 .1941 PROFILE FACTORS Horizon .1942 E # Position/ DpA .1941 .1941 Soil 1943 .1936 .1944 ProNe 310" % (10 sbuch" Consirtemm webmw Soil Sapro ReAr Clw L~ Texture Minarelo Color Depth IN. Clan Hariz A LTAR L S a Wit G S N qJ VPL . t- G e, 3 p G L5 J Z"L G J~rt +a5 t' . L ~rn+w MW Repair system Other Factory (.1946 s n01O Site Cla&siflcatiaon 1948y Availa~e 3 ce .1941 d By: 5 3 stem s r Site LTAR , ~g g Present- L, xAd, L v L✓A