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IPAC RHTE#_ 3 - ~'w _ C~W IZ Harnett County Department of Public Health 2 3 5 9 6 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1 1 ISSUED TO ar*S - SUBDIVISION C- Mcrtsrl s nc S LOT # NEW L ER PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 F© O 3(39, Proposed Wastewater System Type: u no (3 (ZAI-- l Projected Daily Flow: 3l: GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes V No Pump Required: %Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 15( Publ' ❑ Well Distance from well 03 feet Permit valid for. 'Five years Permit conditions: _Mle-A QAricS ❑ No expiration _R0 M,.,4 Qc- 11 cam,, PA, n--V `4 cr_ c' ,La Authorized State Agent: s S Date: SEE ATTACHED SITE SKETCH The issuance of this permit by jt~Ha~lth 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 taws 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 accordan with the attached System ljyout. (See note below, if apphcable~) p vn.y~ (Repair) Inst n Requirements/Condifions ISSUED T0: ~ w nn n PROPERTY LOCATION: SUBDIVISION C r/xj~ ir~,c S LOT # Facility Type: - Lt+J X 3 7 - ;3 Q2 C~ New 1:1 Expansion El Repair Basements El Yes No Basement Fixtures? ❑Yes No Type of Wastewater System** ~-~-~~~Aw ~ (Initial) Wastewater Flow: 36.~ GPD Septic Tank Size Q3Q gallons Pump Tank Size -_30 0__. gallons Pump Requirements: ft. TDH vs. c e /K Exact length of each trench feet Trenches shall be installed on contour at a Maximum Trench Depth of K - inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover inches (Maximum soil cover shall not exceed 36" above the trench bottom) Conditions: Aggregate Depth: inches below pipe inches above pipe inches total `'"If applicable: I understand the system type specified is different from the type specified on the app/Station. / accept the specifications of this permit Owner/legal Representative Signature: Date: TI.'. r.. A...L_ L' -1111 11 1- ,I« Fidn, ymi, ur me nuenueu use cnanges. ine construction Autnonzanon shall not be transterred 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. SEE ATTACHED SITE SKETCH 'i '4J - Authorized State Agent: Date: 0 T 32-31l Construction Authorization Expiration Date: b • Q a - ?D1 3 HTE # X 30-7q Permit # o? 3,5- 5 4 Harnett County Department of Public Health Site ketch PROPERTY LOCATON: S ISSUED TO: n n IA I SUBDIVISION ee,) A vt .5LOT # Authorized State Agent: Q,, LJ-A4Q-l Date: pA oAu MA, v a k vk 41 ~ fc f {mss owj ~a /L a~ (,~31t ' J1 ~ S k0 ti 0 f/ 3, n ' ZV~ - ~jD In'c Cdr ~~-~e r, 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: Proposed Facility: Design Flow (.1949): Property Size: Location of Site: Property Recorded: Water Supply: l Public Individual [ j Well Spring [ J Other Evaluation Method: Auger Boring Pit [ ] Cut Type of Wastewater. ,Sewage [ ] Industrial Process (j Mixed t' R O F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (IN.) 1941 Structure! Texture .1941 " Consistence Mineralogy 1942. _ Soil : _ Wetnesst Color ,194.3 Soil - Depth (IN.) ,1956 Sapro•' Class ,1944- Restr' Horiz - Profile Class. . & LTAR ' v 0.. ...moo" ~ V Description Initial Sy stem Repair System Available Space (.1945) / System Type(s) ,1~ Site LTAR i( Other Factors (.1946): Site Classification (.1948): 0 Evaluated By: Others Present: