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IPAC RH T E # i(-"5 —)-� 0— Harnett County Department of Public Health 28926 hDrovement Permit A building permit cannot be issued with only an Inn to a ent may_ PROPERTY LOCATION +�(�`�l Q� N 1L I ISSUEQ T0: C-vqOE, Q'x'vlG2S u N SUBDIVISION C,yoE ATS[ 9 J LOT # 3 NEW REPAIR ❑ EXP9 SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Toil N * i o M� LT Proposed Wastewater System Type: 25 a s 0„ 57�+6r+v Projected Daily Flow: O GPD Number of bedrooms: Number of Occupants: C max Basement []Yes No Pump Required: []Yes --E3Q10 ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -:,-K Public ❑ Well Distance from well \ Q)Q feet Permit valid for: >ive years Permit conditions: ❑ No expiration Authorized State Agent:: � *� The issuance of This permit by nye Health Departmem in no way guarantees the iuua 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 L The permit hider a ruporbible for checking with appropriate governing bodies in meeting their requirements. This 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 commissions and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system salons. n ISSUED T0: �t sof �o.��E�L,s oral PROPERTY LOCATION: &GIO-Wn1 KD SUBDIVISION C -X -:-JOE ATSM--CrJ LOT # 3 Facility Type: N 1-kO"4L' New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement fixtures? ❑ Yes Type of Wastewater System** Qlin • VCS. % V tv Mr , ' (Initial) Wastewater Flow: `fid GPD (See note below, if applicable ❑) a -Sly° R6c%• 5''5. (Repair) Installation Requirements/Conditions Number of trenches `Z Septic Tank Size s ©O o gallons Exact length of each trench cl 0 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: a"I inches Maximum Trench Depth of: 3 I; inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDM vs. GPM Conditions: inches below pipe Aggregate Depth: 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: / undematand the .rystem type speafied is different from the type spenled on the app/icatioa / accept the specifications of thiJ permit Owner/Legal Representative Signature: Commission use of the laws and Rules for Sewase Treatment and oration shall not be marten and to the conditions of this Authorized State Agent: YL -V Date: 7 Construct) thorization Expiration Date: Date: is a change in ownership of the site. This I SEE ATTACHED SITE SKETCH NTE# 3I%c'M tL Permit # '9%916 Harnett County Department of INtblic Health Site Sketch PROPERTY LOCATON: Tl�)cy-Oy l ov N \�,p ISSUED T0: �70-c ��F4 a SUBDIVISION yoC- SE O N LOT # 3 Authorized State Agent: ("04L—) dL94ate: 1, 1 (" 1 c �,MTcw N (1:, I-so, 130, 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'3 4k-'Q0A '` Design Flow (.1949)3: D �e ` Location of Site: Property Recorded: Water Supply: blic❑ Individual E]Well Evaluation Method:�Auger Bo ing ❑ Pit ❑ Cut Type of Wastewater: 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 Pt. .1956 Sapro Class .1944 Restr Horiz 1 ati G sL_ vFt, n4 a ,.36 5aY stJ, r n �s1TIQ �5 36 C S V�n�wP -0L YFL44f V H3 53VL 5W� � 56�N� f 3cl G S ` y� rv31� •P S� L, o- � � �L v � •�lh� �. � �, SS15+ • as Description Initial Repair System Other Factors (.1946): S stet Site Classification (.1948): S Available Space( IS145) Evaluated By: O\ System Type(s)) D. /V Others Present: Site LTAR 2,'90 '3C O E E f