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IPACHTE# lj a c)&-~ Harnett County Department of Public Health 2 f 0 2 7 Improvement Permit A building permit cannot be issued with only an Improvement Puit PROPERTY LOCATION: FONC) 33 1 ~ A~ i ISSUED TO: } ~PUS~-sue- ~ SUBDIVISION ~.nccot✓~Nn g ~oa5 LOT # 4 NE X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S rCP "~6G Proposed Wastewater System Type: Co Gr-r-1 , Q c-4 I Projected Daily Flow: 3to GPD Number of bedrooms: 3 Number of Occupants: C. max Basement ❑Yes ~o 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 S feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: LA ~ 1I INZ *7 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit hol r is r ponsible 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 ISSUED TO: _M~ P Qpcz cvGszb L PROPERTY LOCATION: PONCaaosA a.\t_. SUBDIVISION CxL6 )t g~crsotas LOT # 4) Facility Type: SFUCfo~ x~C,C~ >1~ New ❑ Expansion ❑ RePair Basement? ❑ Yes >1,"No Type of Wastewater System'` (See note below if a licable Co,3v \ CS PP PyJ f (:`J -NC- t4-\ \0N~', 1- (Repair) Installation Requirements/Conditions Number of trenches ZI- Septic Tank Size o ©o gallons Exact length of each trench '15 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. a xA inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: S-cuo V~w Nq.Q.1 - ,wis~ d r, - "x'-, 5 IN, (Initial) Wastewater Flow: '>(-O GPD Trench Spacing: 9 Feet on Center Soil Cover: V- inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe Z finches total **If applicable: /understand the system type specified is different from the type specified on the app/icatioa. / accept the roecificationr of this permit. Owner/Legal Representative Signature: Date: ,.o,,,,,, j- w a - y'my piap ur wt Ilittllutu use uianges. lilt construcoon Authorization Stan not lie transterred when there is a change in ownership of the site. This Construction Authorization is subject to compliance wi Sion he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: _ A~~L~ Conxpiration Date: ~"T S Basement Fixtures? ❑YesNo HTE# SQ -5-'2,4D~ ~r Permit # a~02`1 Harnett County Depailment of Public Health site ,k~-,)lzetch PROPERTY LOCATON: ?0C40&.005 AV L. ISSUED TO: ~hP "r1Go.3 ~•~-C~ SUBDIVISION C.ac~a~.Na, Sr=,5aNs LOT # L~)_ Authorized State Agent: sl~z~vca-casc~oc(~ Date: ~i Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOILISTTE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Uwnw.. Applicant: Address: Date Evaluated: 4)Z7) i d Proposed Facility: -3- R = 5 Design Flow (.1949): Property Size: Location of Site: Property Recorded: Water Supply; IFIPublic ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater Sewage ❑ Industrial Process ❑ Mixed P R O F 1 1940 OIL MORPHOLOGY .1941 THER PROFlU FACTORS L E Lafedm" Position/ slope % Horizon Depth (hL) 1 .1941 struct re✓ Yuan 1 .1941 Co"tems Mineralogy .1941 soil welt mew Color .1943 Sal IN. .1916 repro Clan .1944 Restr Horiz Proft Clan A LTAR 1 RRepm~ system Other Factors (.1946 Site Classification (.1948' ~1r, Fc r.p c ^ Evaluated By: 51Others Pre w: