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IPACHTE# aLA Harnett County Department of Public Health 27908 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ® 0-; t ISSUED TO: -49!!N"c,rJ )i ' � t- -O<L. SUBDIVISION P'\A ► LOT # 4 NEW LX REPAIR ❑ H NSION 11 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 (Z9 �5c-l��15 Proposed Wastewater System Type: � a '3c n 0 Projected Daily Flow: 3�® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes >< No Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1®O feet Permit valid for: Five years Permit conditions: _ — ❑ No expiration Authorized State Agent:: \ Date: 3 I t"7I J! l SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other pe . The permit holderholder i--73-D-7 ible 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 sh of 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: S b PROPERTY LOCATION: Q� ti.ta US A 1 SUBDIVISION -,S(n6 1�' )A;''o 7A\ tLd2„ LOT # _ Facility Type: 5� �7r 1iLl� New ❑ Expansion ❑ Repair Basement? ❑ Yes � No Basement Fixtures? ❑ Yes �No Type of Wastewater System ** �°1 a �.E,S J CTI O'A S�'� if-rte (Initial) Wastewater Flow: GIRD (See note below, if applicable ❑) Z-S L c 1'ZCJ y C'Vl O sl (Repair) Installation Requirements /Conditions Number of trenches 3 Septic Tank Size VC ® © gallons Exact length of each trench -7 feet Trench Spacing: �_ Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: i rya " �� -1,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: Proposed Facility: 3 C3�2x-,� Design Flow (.1949): Location of Site: Property Recorded: NN Water Supply: ublic❑ Individual ❑ Well Evaluation Method�Aug ing ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other Description Initial. Repair System Other Factors (.1946): S st m Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) e. Q,(. Others Present: Site LTAR P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS .1942 Soil .1943 .1956 .1944 Profile Wetness/ Soil Sapro Restr Class Color Depth (IN.) Class Horiz & LTAR 1941 Structure/ Texture .1941 Consistence Mineralogy s 35 e, G d�. C, L5 ,u 5(3 ���� inr2�12Q> �5 �5 lj� s Description Initial. Repair System Other Factors (.1946): S st m Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) e. Q,(. Others Present: Site LTAR