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IPACHTE# 16-53rwoc�t Harnett County Department of Public Health 29004 Improvement Permit A building permit cannot he issued with only an Improvement Permit ` 1 PROPERTY LOCATION: Stay (a vN AYl GC ISSUED TO: w G-f>,V G¢, H.0M6S N C. SUBDIVISION a LOT # 1 NEWWX REPAIR ❑ EXI?�SION ❑ Site Improvements required prior to Construction Authorization Issuance: �- Type of Structure: S�� IL15 S -k / Proposed Wastewater SystemTy e: c1 ew o Projected Daily Flow: GPD Number of bedrooms: �Number of Occupants: max Basement ❑YesNo Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well \,©Q) Net Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: "'jill ���� R tc � Date: � 2.S b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsibl far rhmking with appropriate governing bodies in meaning 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, .19S1, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed to accordance with the attached system layout ISSUED T0: 'y, C%P`R eo' l\\tos'^cknI LNC- PROPERTY LOCATION: S P+ tPN NP f 1 C- `33-xSvs SUBDIVISION r) ISMO N C=�7_oo5y v L LOT # 1-7 Facility Type: J 9 J �' New ❑ Expansion ❑ Repair Basement? ❑ Yes �' No Basement Fixtures? ❑ Yes '�NkNo Type of Wastewater System`* 9L` 1 a Rt O V C;"V) ON (Initial) Wastewater Flow: t's� d GPD (See note below, if applicable ❑) aS "lo j� C p. Sir , (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size N O O 6 gallons Exact length of eachtrench feet Trench Spacing: ) Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: )1 c-4, inches Maximum Trench Depth of-. 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 TDM vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total **If applicable: / understand the spem type rper/6ed is different from the type tpecibed on the app/motion. / accept the rper6cmionr o/this permit Date: Authorization is Construction Authonzation use not and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: ,mow Date: Constru�Authorization Expiration Date: SEE ATTACHED SITE SKETCH HTE# iCo-5-39L<)\ Permit# Q.AO(N4 Harnett County Department of Pablic Health Site Sketch \ PROPERTY LOCATON:st� V P-,NNP4-\ C.� ISSUED TO: L SUBDIVISION ?)'STMew C'� ows N C LOT # 1� Authorized State Agent: ' COL) VC(L i OLY Date: 90 i 1 +40 u—,�<— D 2 35 S �yp,N,�Ay C7. 18.3 Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOH✓SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: I -A Design Flow (.1949):1 -RQ �c7 Location of Site: Property Recorded: J• Water Supply: Public❑ Individual [I Well Evaluation MethcdAqpr Bonng E] pit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFRE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Honz i t5 , s L �l SgY r�L Jr (I s51 ,J� �el S z x-36 G s >_ vf��.s1tvP n P5 I it Description Initial Rair System Other Factors (.1946): S stem Site Classification (.1948)_3X Available S ace(.1945) Evaluated By:v S stem T s '/a 4.60 Others Present: J Site LTAR