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IPACHTE# I So 5'3161 Harnett County Department of Public Health 28745 hDrovement Permit A building permit cannot be issued with only an Improvement Permit O PROPERTY LOCATION: cly t-E�uEa r�tX �9 ISSUED TO: Ga^oS3T�aSON �otrEs U -.C. SUBDIVISION GLOT # Nib NEW'K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5b p�� Proposed Wastewater System Type: `;Ls r 4cg>VC7;k0, g,rS,t�_r.r� Projected Daily Flow: ll`�O GPD Number of bedrooms: LV Number of Occupants: max Basement ❑Yes Wo Pump Required: ❑Yes ,ZT410 ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Commuslity>E1Public ❑ Well Distance from well feet Permit valid for, five years Permit conditions: ❑ No expiration Authorized State Agent: The issuance of this permit by the Health Department in no way guarantees theiesua site is subject to revocation if the site plan, plat, or the intended use changes, The Impr the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: SEE ATTACHED SITE SKETCH permit. The permit holder is resfonsible for checking with appropriate governing bodies in meeting their requirements. This 'ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit The construction and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1956. 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: (7-:ao.2)9-C)QdV-,150 LLC_ PROPERTY LOCATION: Lam+vE✓ SLACs Qct SUBDIVISION GP,5--5-S LOT # 1`b Facility Type: `J�LZi�'t i>�� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes '�RNo Type of Wastewater System" 90;;_0 io R`Z--D V Cr. N 0 n1 5 Tc— r^ (Initial) Wastewater Flow: �� 0 GPD (See note below, if applicable ❑) Q -S; 10 W—r,—O • ->—� • (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size v Ooh gallons Exact length of each trench a.©O feet Pump Tank Size gallons Trenches shall be installed on contoura Maximum Trench Depth of: a' x'30 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: 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 inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. 'If applicable: /understand the s}rtem type spealed it diNerent from the type rpecifed on the application. / accept the specihcationr of this permit. Owner/Legal RepresetLve Signature: Date This Construction Authorization is subje vocation if the site pian, plat or the entombed! use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This Construction Aulhorizmion ea to complian isiom of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 413116 nstruction Authorization Expiration Date: a) HTE# S -3`a1 Permit # a,%l"i5 Harnett County Department of 11W)lic Health Site Sketch \\ PROPERTY LOCATON: ISSUED TO:C;pvTti'7 Cr SUBDIVISION Gc176LOT # Authorized State Agent: (OuvGc—)10ss L) Dater 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: Address: Date Evaluated: Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply:1 ;0 Public❑ Individual E3 well Evaluation Methollt Auger Bb(ing ❑ Pit ❑ Cut Type of Wastewater: _Q 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% Hotimn Depth (In.) SOIL MORPHOLOGY 1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth W. .1956 Sapro Class .1944 Rau Horiz L; 7� JL. C_ 5L I v5 z � Description Initial Repair System Other Factors (.1946): S s m Site Classification (.1948): Available ace(.1945) Evaluated By: � S7_ stem S T e(s) Others Present: Site LTAR S