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IPAC RHTE# 0q -s-4a3 13~, Harnett County Department of Public Health 2 5 8 6 3 Improvement Permit A building permit cannot be issued with only an Im'provement Permit PROPERTY LOCATION: `Wtty_ 1-.0 GA-~' V-0 ISSUED TO: SUBDIVISION C__ A~L.AL1 , r p. ©o..tt LOT # 5 0 NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sir ) ( 141 1'-vtb Proposed Wastewater System Type: a5% Rtzou<..S t~ S-)5 %I; sn Projected Daily Flow: k' C) GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well M0 feet Permit valid for. X Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: a.t D SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o er 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 TO: t LL GLt,,2~c loo c~,C;S PROPERTY LOCATION: Lv c." 9-o SUBDIVISION C.A20 Ll N tx~5 LOT # Sn_ Facility Type: 5 V'S) (14 `114 AO J _X New ❑ Expansion ❑ Repair Basement? ❑ Yes _~a No Basement Fixtures? ❑ Yes No Type of Wastewater System" r~5°1o S"Envc'0"1 (Initial) Wastewater flow: ~?Gn_ GPD (See note below, if applicable t tv V\i-ici 02 (Repair) Installation Requirements/Conditions Number of trenches '3 Septic Tank Size k oop gallons Exact length of each trench S'A-b feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a rte Soil Cover. C, inches Maximum Trench Depth of, YQ0 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggre ate Depth: inches above pipe Conditions: 4t-.std L,,,ri;_-- M~s~. g~ 1f~'~clpr. Sc~pt.c Sys-art a -\"'ir\65 Ay(~ n inches total ~.r-Q'0 y s L~-1 d v N t'C ~/A~t-, o Q_ Q~p to"rL N 't ss PGc rA ~'C ~Eo ~v ` `cw A O 5 t+.L. ~n..o,ct 9 1-\ 'S So t L_ *If applicable: /understand the system type specifed is different from the type specified on the application. / accept the rpecilcatioar of thi permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation 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 sub'lect to complia tton he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH x e ne va+ Authorized State Agent: eQVA Date: ti Z_\ 0 Cons ion Authorization Expiration Date: HTE# O`1-5 a 33~3R Permit # a S~t63 Harnett ( vonnty Department of Public Health Site Sketch PROPERTY LOCATON: V % LL LoGp.s ISSUED TO: g GLP.2.c_ MC-.S SUBDIVISION CP-oL-. o n• CSp,c,5 LOT # 5d Authorized State Agent tz6~s ~QLw(`roLKS~ Date: to '3a' 11cj ' pc'+..aw ac 6 EAS~rc.E,~ CIS yy \N P R. I-N G poNO\NG ~ P D o s L'~'xL1L .b R V' L- CA~oi~r~ra oQKs c"'Q-e-N-e- i... -,.«r.. - - - - . 1.+.1 Southeastern Soil & Environmental Associates Inc. P.O. Box 9321 Fayetteville, NC 28311 Phone/Fax (910) 822-4540 Emag mike@sou#*astemsoit.com t.~a/a 6 r.. ~G~.J Z,* 7 f LL1r ' 4 l `,Vol/ ~ fo t ` r l t t v t t y Ca~w.J4 akict c{du,L Q M* v~~ t/dt<t ( r .C/o r Ar Sri ! = .-o r SOILISITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING GROUNDWATER DRAINAGE/MOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION & DESIGN ao.. a~ . .+-r. «r mi~.aci caner- J1U~CC'f A'TU SOU'JILEASTEN- SOIL & .l N'VIRONNEEN lAL ASSOC, INC. J'r2O1'OSL+'D SUI3SURflACE VVAS',rlj DISPOSAL S`V`S':r'L!VI: DETAIL Slll-ef'r SMIDIVISION 0.14f IN ITIA L 5l` .1-41STRIBUTI0N 2> IIENC)IMARK /'Po.o NO. BEI)1toom 3 P. e- 11011' 121! P A.1lZ DI.S`1'.IZI-BU 110N .f,dfl"C -LOCAr110N 0"-P-f- c.•,..~ Y~ f %r.j..t L^r ar% * o . -2j-FP4 t EL VATION' ACTUAL, 10,NGTI-1. 71 r _ rzo ~ w yv r a« Tl- I3Y hy` DATE a► l ,!o Department of Emimnment, Health and Natural Resources Division of Envimnmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater. Date Evaluated: Design Flow (.1949): r1VFWL Recorded: ❑ Public ❑ Individual ❑ Well ❑ Auger Boring ❑ Pit ❑ ❑ Sewage ❑ Industrial Pl ocess ❑ Sheet: Property ID: Lot File Code: Property Size: spring ❑ other cut Mixed P R O F 1 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Loubaps Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texh" .1941 Consistence Mimmlo .1941 Soil wetn"d Color .1943 sod Depth IN. .1956 Sepro Clap .1944 Restr Hartz Profile Clap & LTAR t 0-~el L. via 55 NP 36`~ s~,z F~ s) P 612 C) C, C, Fat s ~ t0Y jq-- Desorption Initial System Repair System Other Factors (.1946): Siteclasfication ( 1948r Available Space .1945 . E 1 t i B stem s : Va lTe es O h P Site LIAR t ers resent.