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IPACHTE# \A } 3~'- Harnett County Department of Public Health Improvement Permit 2 6 6 8 0 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 'Q oc-6 Q.D ISSUED TO: A _J ~ N c0,*-~ QN) C 3S pN SUBDIVISION -Tr2A'C t FJ ~S 1~~No G F- LOT # _ NEW'K REPAIR ❑ _ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: tea- x ~l Proposed Wastewater System Type: 9.S°1aR60vc.~lGSv~ Gtr Projected Daily Flow: L' b% GPD Number of bedrooms: L1 Number of Occupants: max Basement ❑Yes ~KNo Pump Required: ❑Yes e?!~No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well tb C~ feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~ !9tL--`A5 Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in ny guarantees the issuaner permits. The permit holder is resp Bible 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: \A --q c-f >J C-Q 5(L\)C-Vt 0,1 Facility Type: 56 D (.:G- )Z~ New Basement? ❑ Yes -1K No Basement Fixtures? ❑ Yes PROPERTY LOCATION: Q ©cs ~D SUBDIVISION LOT # ❑ Expansion ❑ Repair AND Type of Wastewater System** Q,S / G V--GDJ c-s, o -N ~yt--Gc<. (See note below, if applicable, a.~3% 'ZZJU 05 e0 aS S75''a.rn (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size CD 0 0 gallons Exact length of each trench a(~)O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: (Initial) Wastewater Flow: y~ o GPD Trench Spacing: Feet on Center Soil Cover: Cc > -la inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the system type rpecifed is different from the type speciped on the application. /accept the rpecifIcatianr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to r if the site Ian, 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 ' the M'T*6<hheeaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 4 S 11 Cons tion Authorization Expiration Date: l HTE# 11-~ 2-1 ) -a Permit # aC(-1 a Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:_ Q r--:, C,s 9tD ISSUED TO: ~Nn~vc.-~tiars SUBDIVISION ict-C S-UZ q-,o,.E LOT # _ Authorized State Agent: 0.L-NS oa-1v~"T 07.. s~o Date: 0 %L C, I~ \-\0fL6e wtal54CfL.F f- L^l Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 0) V In Design Flow (.1949): L00 e Location of Site: Property Recorded. Water Supply: Public❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit El cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # 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 Profile Class & LTAR Description Initial S ste Rep it System Other Factors (.1946): Site Classification (.1948): Available Space (.1945) Evaluated By: d`C System Ty e(s) ) J d ( Others Present: Site LTAR