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IPACHTE# 1b-s- a~ og~ Harnett County Department of Public Health 2 6 0 2 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~ 0 s tyLo"r, CL' ISSUED TO: CUre--A i2ti-a•c~ ~~or~.~s ,r,C, SUBDIVISION C- L, "iP. S~Sd~vs LOT # NEWW~J REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: t-'s xS1 Proposed Wastewater System Type: ~~u C;.s 0 Projected Daily Flow: L-)% 0 GPD Number of bedrooms: y Number of Occupants: - max Basement ❑Yes XNo Pump Required: ❑Yes X~4o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent::\`e Date: S-) I, SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holde 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, .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. n ISSUED TO: C s rno r~ o s ~ ~ "C PROPERTY LOCATION: o t`1L>Cs2l~ A SUBDIVISION G cst e _P.~o~ LOT # aA~, Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'M, No Basement Fixtures? O NS No Type of Wastewater System" :L Ala ~ rpuG ~a r.r ~s-Z-G- r4- (Initial) Wastewater Flow: GPD (See note below, if applicable W~- Q~t~.Tfoty ~YS~ GM (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1© OO gallons Exact length of each trench C~ O feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: t a inches Maximum Trench Depth of: QL" inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-114" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM h b I Conditions: qP%- E6jt Li -,'r- DC \or M me es a ow plpe Aggregate Depth: inches above pipe 1G ~5' gjlr~ inches total If applicable: /understand the ryrtem type specified /s different from the type specified on the app/ication. / accept the speciflwionr of thin permit Owner/Legal Representative Signature: Date: This Constnirtinn Authnrnarinn it -hi-t t. if 1k..Le - - r r"-, _1 1„41161,. -ulul-nun mau not oe rransterrea wnen mere is a change in ownership of the site. This Construction Authorization is su_to compliance with theerovi the La!',and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 't-~~ Date: H Construction-authorization Expiration Date: HTE# IC)-rS-:)3-10gcA Permit # narnett County Departinent of I'nblic nealtb Site k ketch PROPERTY LOCATON: po N ~ Y-o ISSUED T0: ~-u nb ~5 ~N L SUBDIVISION Coy-~Np SC_p,5oa5 LOT # Authorized State Agent: 2, 5 ~~t ioy`~50oC~ Date: ~}I55110 ~dla Rrx~~G~c~oti ~ 35~~ L-A )c3 nl u~l ! d~ Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIIJSITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated:Ltd `3~ Pmposod Facility: Design Flow (.1949): Property Size: Location otf Site: Property Recorded: Water Supply- Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Cut Type of Wastewater: Sewage ❑ Industrial Process Mixed P R O P 1 L E i! 1940 Lampe Poatlad Slops % 5 y O°'c ariz= Deh 00 U SOUL MORPHOLOGY OTHER .1941 PROFIL B FACTORS 1941 .1941 .1941 soil .1043 .1936 Structural Comirtmw webmw soil repro Texture Mimralo Cola QY. Clan 6 s vF2 , K~ 1944 Restr Horiz mfllo Claw A LTAA 5 -0 c~ G IAV 3 16-3L G Deaenption Available S s sit R M 12I a .1943 , ► Repeir system Other Factors (.1946k s n Site Classification (.1949k Evaluated By G fu Others Prexnt ~ ~ ~tx ca 4'