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IPAC RHTE# CJ5-5- ` R arliett County Department of Public iealth 25030 Improvement Permit A building permit cannot be issued with only an Improvement Permit } p l-y 'Ao ~a \ Q.AJ MURTV i nrATION• Co 1~ L UCl C\.A VC ISSUED T0: SUBDIVISION SP,y►-,na Qty. -S LOT # NEWY REPAIR ❑ EANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: ~7 FC) t;,'~ Proposed Wastewater System Type: CG -Jk4-T \ ~OW ti- Projected Daily Flow: ® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes ANo Pump Required: ❑Yes ❑ No .Nay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well tto t) feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: ~ b 1 66? SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan of 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 TO: " '+r zt PROPERTY LOCATION: CA*~-~-~--`<-Sy~u-c- C-A V_C~ SUBDIVISION Z P.~'l y~~t C) LOT # Facility Type: 5Q-:~D New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes XNo Type of Wastewater System" Co rev ~ ~r~~ o -c Pal.-- (Initial) Wastewater Flow: GPD (See note below, if applicable r-~v e=-\\o N v\ 1-- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size l.©QC) gallons Exact length of each trench f10 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. al} inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: _V~ inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe r~ inches above pipe inches total **If applicable: /understand the system type specified is different from the type specified on the application. / accept the specircations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiect 4o.- revocation if the site elan. oiat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the cite Thic Construction Authorization is Authorized State Agent: compliance Laws and Rules for Sewage Treatment and and to the conditions of this permit. Date: to Authorization Expiration Date: SEE ATTACHED SITE SKETCH HTE # Permit # -)-5030 Harnett onnty Department of 1'-tblic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: Ca.t;E4sv%iL6. C.,-)vQ"M 'ez SUBDIVISION 7l pNL) 4 0 LOT # _ j OLY 2 1VL 5DS Date: tOLb) D R ~P ~Oc c-C) yi- ~-0d, UCERIILI I ICIILUI CI IV❑vi unan~, ~cau~~, o~n. ~.uw~c...w Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: 3SXL2_C'1 ~~,tDesign Flow (.1949)3~,e~` J~ Location of Site: Property ID: Lot File Code: Applicant: Water Supply: ublic Individual [ ] Well Evaluation Method: ~uger Boring [ ] Pit Type of Wastewater: Sewage [ ] Industrial Process Date Evaluated: i.C dz? Property Size: Property Recorded: [ j Spring Other [ ) Cut [ j Mixed P 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 Wetness/' Color . -,'..1943 . Soil' , depth. (IN.) 1956 Sapra Class 1944" Restr' Honz Profile ' Class. & tTAR t LS G- t 5 v 2 sv~ )NIP 0-3n 3 G, Q k- 5- ~.5~t,. 50 ii X7'2 <L- Jr.-e (7 -7 ~ . Description Initial System epair System Available Space (.1945) System Type(s) co. N Site LTAR S i~ Other Factors (.1946): Site Classification (.1948): Q ; Evaluated By: Others Present: