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IPAC RHTE # C5`1-5~ {2 Harnett County Department of Public Health 26111 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: -Y cL- ISSUED TO: -YC41-( C~ r4ll-c CL)~J G-<ibN SUBDIVISION 1 6 4-1 LOT # NEW` REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F9 ~C45~.~ y 5' Proposed Wastewater System Type: PV ry) o (2r~pv`-~~ri i,) Projected Daily Flow: 3L0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes ;KNo Pump Required:,4Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -K~ Public ❑ Well Distance from well 10 t feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: S Date: ti td SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc er permits. The permit hol er if 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 ermit 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: \4 -Y r-4 N CA.as-s2vcst ~o 0 Facility Type Basement? New PROPERTY LOCATION: SUBDIVISION LOT # 3-Ji ❑ Expansion ❑ Repair ❑ Yes ~ No Basement Fixtures? ❑ Yes T'1 No Type of Wastewater System** Qu M P 11 a (Initial) Wastewater Flow: ~Q~) GPD (See note below, if applicable PvIR a -&-r-1 11/0 26-1) Ucr, lclx? (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size ~ b o c? gallons Exact length of each trench a © 0 feet Trench Spacing: Feet on Center Pump Tank Size o gallons Trenches shall be installed on contour at a Soil Cover. G inches Maximum Trench Depth of, 1-3. inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-114" 36" above the trench bottom) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pip( Conditions: Poo ~;x: Oct o w c.~ E S , tP E o QcZp ?£2~ i L~ tv 3-13$ A~~ inches total of Cv.,En N~ **If applicable: / understood the system type specified is different from the type specified on the app/ication. / accept the speci>icationr of this permit Owner/Legal Representative Signature: Date: This Construction Authonzation is subject to revo ~tht, te pl 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 compliance s of t wsand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH In all directions) ~Q Authorized State Agent: Date: ~a Constr Authorization Expiration Date: 6 1 HTE# O°1 11). Permit # i11 Harnett ('10unty Depaillment of Public Health Site ketch PROPERTY LOCATON:_ ~ \,I" y U2 ISSUED T0: 7 H Co N ~LuC.~ p N SUBDIVISION ~N rot. .3.J LOT # Authorized State A%4-16 1_w ~ow~OvCi~ Date: c. ~~1a X55` ~`13~ ....tea.. Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: 3)3,) oc' Proposed Facility: 3 goo ~avr Design Flow (.1949): 3 40 5Property Size: 5 Location of Site: Property Recorded: Water Supply: h{yJ Public [ ]Individual [ j Well (J Spring (j Other Evaluation Method: Auger Boring [ J Pit [ ]Cut Type of Wastewater: ~ewage [ J Industrial Process (j Mixed P R O SOIL MORPHOLOGY OTHER r IF .1941 PROFILE FACTORS. :1944 1942:' L Landscape E PositioN- . Horizon Depth .1941 structural' .1941 "Consistenc ` , Soil- ' 1843 .1956 1944` Profikt fx;~ s~' # Slope°~ IN.) Texture e Mineralogy Wetness/ Color Saft_.r , . Saplrcx Rests; Depthllk) Clas H n Clash r t d -,1" 5 L ~ - s or . 1!i kTAR . . vFn. N5 rP [ f~j `(C7O "a y 10 3 O-'1 C 5!^ VM Ns) NP C' ; c VFr~ NSIN? n4" .5F'L 51f x..57 -7) a, -C G SL VF(L Ns~asQ G-W G s VFW w51N~ 0 -L,% X C 5L , 5\ q YJ` G sL 3e,y -('N C Description Initial System r v D ` Repair System Available Space (.1945) System Type(s) ISite LTAR Other Factors (.1946): - Site Classification (.1948): 'j Evaluated By:C~N Others Present: ()5 15 F, r-L 30