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IPACHTE# Ih -5- 1.511 Y7 Harnett County Department of Public Health 26089 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: .5Z-~-/wy S-3 ISSUED TO: 2^5a ~ LDlLL B20Wx) SUBDIVISION ~1J~¢o/!7 0W LOT # NEW Qr REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: $ r`- D Proposed Wastewater System Type: 25°la lL~4)U(~ _$as Projected Daily Flow: -3 GPD Number of bedrooms: - 3 Number of Occupants: Co max Basement ❑Yes L+T No / Pump Required: ❑Yes ❑ No Cd M be required)°sed on final location and elevations of facilities ~f Type of Water Supply: ❑ Community Public LJ Well Distance from well ! 00 feet Permit valid for: Ld Five years Permit conditions: ❑ No expiration OKs Authorized State Age Date: SEE ATTACHED SITE SKETCH The issuance of this permit by ealth Department in no way guarantees the issuance of 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 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 T0: .rJ:E.Sd)-3 - b lZI 5g A1.W,J PROPERTY LOCATION: Hwy 5'S f SUBDIVISION A) , LOT # Facility Type: h [ New Expansion ❑ Repair i Basement? ❑ Yes No Basement Fixtures? ❑ Yes N o Type of Wastewater System- 7 5% U DOC.I'~ (Initial) Wastewater Flow: ~3 Pc GPD (See note below, if applicable S% l -20L (Repair) Installation Requirements/Conditions Number of tre hes 2 Septic Tank Size 100 0 gallons Exact length of each trench ! Zc> feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour a~ a Soil Cover: inches Maximum Trench Depth of. O > 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: z-- inches above pipe Conditions: ,j7- Aj (V/S A ZC) r 7!_~4 ? !Lt/N 7r) /yth,-X o!- Z5 /Z.- inches total **If applicable: /understand the system type specified is di/ferent from the type specified on the app/icatiom / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Jtt AI IAItItV ME SKETCH / Authorized State A Date: I f- y _ZC7 Construction Authorization Expiration Date: / j - t5r HTE# LO-S' 7-5 q i 9 Permit # -24 D 9✓ Harnett County Department of iblic Health Site Sketch PROPERTY LOCATON: ISSUED TO: ; 7A- Sd~ ~azs 0 a. o A),,! SUBDIVISION ~ dA, Ar 3 I3 Y(" LOT # 1 Authorized State Age - Date: e3`I~ - -5! RAT ~jJ ,65 `a_ eU^) f- Z5 m~F Department of Environment. Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOILISTTE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Purposed Facilitr. Locadoa of Site: Water Suppiy Evaluation Method Type of Wastewater. Date Evaluated: 11~z- e01 Design Flow (.1949): 360 Propre # Recorded: I(C ❑ Individual ❑ Well gtger Boring ❑ Pit ❑ TSewage ❑ Industrial Process 0 Sheet: Property ID: Lot File M: Code: Pro;" Size: ❑ Spring ❑ Other cut mixed P R O F [ 940 OIL MORPHOLOGY .1941 THER PROFILE FAGTOR3 li L E H [afdmpa Poeidoa 310po % Horim Depth (1m) .1941 .1941 s uc"If Conwdonao Tax we m1norol0 .1941 3011 Wdand Cola .1043 soil IIY, .1956 Sspro Clan .1944 Re* Haas, PMM# i claw ! a LTAX s ' yt3 ~/~G SSS~' yL 7 f+ L 2 L zio o-e? XL 1~-y /k N- L n'3b SL ----•r-.... i„L.L®. napur 3yff" Mar Factors ( 1946): Sydow Site VaWcatlon (.1948k A Iabl®9 as .1943 Evahwted w. L-4 -dam Type(j) mas Pnxnt: Sib LTAR - 1W I N