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IPAC RHTE#/�-S-sS-s K. Harnett County Department of Public Health 28849 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: cTr L—/'z`40 r✓vas FCq ISSUED TO: 12o a 1 D IR [I — SUBDIVISION T! + LOT # 1L NEW Y REPAIR ❑�� EKPA ION ❑ Site Improvements required for to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: ZS'Iz+ 2+9-f'2,uc,r-zen—) Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: 1C1 as Basement ❑Yes �� Pump Required: 12 es ❑ No ❑M be required based on final location and elevations of facilities Type of Water Supply: El Community public ❑ Well Distance from well feet Permit valid for. C7 Five years Permit conditions: ❑ No expiration Authorized State Ag Date: S " 5 — t 4 SEE ATTACHED SITE SKETCH The issuance of this permit by ealth Depamnent in no way guarantees the issuance of other mines, The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site pian, 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 comtmction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 am incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layout. ISSUED T0: 7T OtLiL� i3v- cQ.; �-ne do PROPERTY LOCATION: o'f /(/M SUBDIVISION /i---YX J .0 C/t- 6 moo . LOT # Facility Type: E�/ New Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes IND Type of Wastewater System" 1 u d -o Z7 `tea RPRJ'S r a-7 0--. (Initial) Wastewater Flow: 3Caa GPD (See note below, if applicable 4c (Repair) Installation Requirements/Conditions NumbeY of trenches I Septic Tank Size /000 gallons Exact length of each trench 3o 0 feet Trench Spacing: % Feet on Center Pump Tank Size Od c) gallons Trenches shall be installed on contour at a Soil Cover: �nches Maximum Trench Depth of: Z Z„ 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. TDM vs. GPM 4, inches below pipe i n Aggregate Depth: inches above pipe (onditions: 15-p Z inches total 6x.4., i — =.SSJ+C2) . 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 splem type rpeciled it different lom the type rpeciled on the application. / accept the rped&vionr of this permit Owner/legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The commission Authorization shall wt be transferred when there is a change in ownership of the site. This Construction Authotintion is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and in the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Ag Date: S- Si-- t (o / Construction kuthorization Expiration Date: HTE# 3c."' -s 9. Permit # Z 88`ii Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 5�(J /Yb 4-rer~- S a4 ISSUED T0: 0/ a&i!S /�i%�ct9 � SUBDIVISION 47-1G�AJ S ✓PGL r�_ LOT # A Authorized State Ae� /" / /%9�t S Date: "Fr>IIo)-o UlfiAvfs (q- IT))-- i` /'t vs -61-- F11gce ohm B�Jec, ��►�s �� - o W R-� � /L M r .dyj G.C, LTJ 45 6/. 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: (L�r! 0&" Address: Date Evaluated: ° — Y a6 Proposed Facility: 3g'� Design Flow (.1949): 3 f4 -D Location of Site: Property Recorded: Water Supply: []'Public❑ Individual ❑ Well Evaluation Method:[R"Auger Boring ❑ Pit ❑ Cut Type of Wastewater: [j Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz 1 L o 12 Jt �t E t.vff, x I1-4If Se L- %+- /g�r.g/1 Ota- % Z L' o- Sl �. K6 Cllf N r5n✓6SJ' 3z" 7 3 Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): Available Space (.1945) Evaluated By: /1 System Type(s) 2 Others Present: Site LTAR