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IPAC RHTE# C -s =zo,~9t~,f Harnett County Department of Public Health 25641 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Q_hr~S~~.... L.944 11.1 ISSUED T0: c ~t v r~ a c.E SUBDIVISION ~sr f r,,, tr LOT # //0 NEW e" REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S'F© s`k Y 1 Proposed Wastewater System Type: caZ~~~ keduc-{"" Su 7//' Projected Daily Flow: J(.0 GPD Number of bedrooms: _ -7_ Number of Occupants: max Basement ❑Yes Ilo Pump Required: ❑Yes .2'1(o ❑ Maybe required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for wive years Permit conditions: ❑ No expiration Authorized State Agent.: Date: ~/=s- lzQO q SEE ATTACHED SITE SKETCH The issuance of this permit by the th 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, .1957, .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: _C Qw4 PROPERTY LOCATION: SUBDIVISION CQ,,,r -7,,-w; (r LOT # IZO Facility Type: e New ❑ Expansion ❑ Repair Basement? ❑ Yes 2'-No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System**~y~e~ cvz~- (Initial) Wastewater Flow: GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size c30 gallons Exact length of each trench OQ feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: ao inches (Trench bottoms shall be level to I /4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Inches above pipe Conditions: ("&r C,,%- Ao r~ ~ i • ~r /Tl~e r~ , f~ t~ inches total Cy t►~..--d~ r~ ryr.~ **If applicable: / understand the system type specified is different from the type specified on the app&,7tion. / accept the specifications of this permit Owner/Legal Representative Signature: Date: nm UnWUluull Rutinimation 6 mofect to revocation it me site plan, plat, or the mtenueo 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 taw and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent:. Date: o(a Fo y Construction Authorization Expiration Date: /o A., ao/y HTE# Qy - r Permit # 02 6 ~ Harnett Comity Department of Miblic Health Site Sketch PROPERTY LOCATON: C~ :.r ISSUED TO: «ef SUBDIVISION ire/ Tit (r LOT # /l0 Authorized State Agent: Date: co j I/Si i r~ f I r ~ G ay ~ C~ f i k r 0 1 , uepartmetnul miiviil miuilt, ncrnm, anu watula; ncavwtco Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater. Design Flow (.1949): Public [ ) Individual [ Auger Boring [ 4 "Sewage Property ID: Lot File Code: Applicant: [ I Well [ ]Pit [ I Industrial Process Date Evaluated: i Property Size: Property Recorded: [ ) Spring Other [ J Cut [ j Mixed P R O F - - SOIL MORPHOLOGY 1941 OTHER PROFILE FACTORS L E # 1940 Landscape Position/ Slope% Horizon Depth (IN.) 1941 Structure/ Texture .1941 ' Consistence Mineralogy .1942 Soil Wetness/ Color ,:.1943., Soil Depth (IN.) .1956 '.Sapro Class -.1944 Restr = Horiz - Profilery- Class.. & LTAR _ IV, 3 I L ) Description Initial System Repair System Available Space (.1945) System Type(s) S ,L Z< Site LTAR Other Factors (.1946): _ Site Classification (.1948): 1,f Evaluated Byi 1__ Others Present: