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IPACHTE# to-- 5--atiLjoo Harnett County Department of Public Health 2 6 1 2 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Po N 0Zj ,o-, 4. cLp, s t.., ISSUED TO: AS~Or~C-.S SUBDIVISION Canoe-~, i, SgcP.sO,~ LOT # NEW>< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: s FO Proposed Wastewater System Type: CocvvCznrs~c~ 0 Projected Daily Flow: G(!~G GPD Number of bedrooms: 5 Number of Occupants: ~-C7 max Basement ❑Yes X No Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ;L Public ❑ Well Distance from well t OCj feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: G~ ib~ 1 b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance other permits. The permit holder 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 Improveme 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, .1957, .195& 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: - A;<-1-1-1 Q-,c2--,(- T~OC~, S PROPERTY LOCATION: O NQF1 , A-Tc..tr SUBDIVISION GA~I \Np, SF~ots~ LOT # B Facility Type: S~fl nS'p~ New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** C0"-4 E✓~,N o tv p,I _ (Initial) Wastewater Flow: GOO GPD (See note below, if applicable cJi-'!o PeQQd;',\d N S15S6M (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size ~ )Sn gallons Exact length of each trench a.SO feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 a, inches Maximum Trench Depth of: rN"I 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:- inches above pipe Conditions: `frPA;rL- L, -i t:., ~Ax)s < ~E V) Vc et,\ Ste, c- S /5 ; E.,, 0 1 a inches total U-c t I- . s v QS V\ PPy [-N C4tXJR C.1 o" \ a ~C- sa.L a(L. 9-U D,,,a- f>C.~ **If applicable: / understand the system type specified /s different from the type specified on the application. / accept the specifications of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocano site plan, 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 su compliance wi a pr ;N' o the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: . o Construc Authorization Expiration Date: HTE# I O r 5~a~ti00 Permit # a61 a3 Harnett Cvolinty Department of I'nblic Health Site Sketch PROPERTY LOCATON: PoNois` ISSUED TO: SUBDIVISION G~cZAt-~~ct~• SOr►s LOT # 4 Authorized State Agent: Q C,~S C9~ v Ga io~1=5DO Date: 6I d' 0 , ao ti 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 Owner: Applicant: Adder: Date Evaluated: r-)-) t a Proposed Facility: 5 e-6~4-0 p r,s Design Flow ( ~ 1949): C n© P P Si x . Location of Site: Property Recorded: roperty ze: Water Supply; Public ❑ Individual ❑ Well ❑ Spring Evaluadon Method: uger Boring ❑ Pit cut Type of Wastewater , go ❑ Industrial Process Mix ed. P R O F SOIL MORPHOWOY OTH 1 L .1940 Landscape Horizon .1941 ER PROFILti FACT( E it Position/ Slope % Depth 00 .1941 .1941 Str mw .1942 Soil 1443 ue Conditen" welaaa/ Texhsra Miussab Color soil DqoIN 5-- (176 \fi*-,,, ti,5) _ ❑ Other .1916 sapm 1 b-44 - IG 14. 1 ~5~* 1 L, - 3 I k-4' I G 5 I ~m 4,,I I_ T- _ w Rep.ir System Other Factors (.1946X t Site Classi&adon (.1948k MS Evaluated B)r C Others Pros mt+ .1944 Ptotilo Re* C1w Haft A LTAII 5 s s x, asp aq"