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IPACHTE# y- s -s a8o! Harnett County Department of Public Health 29286 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 3Z/ Ar6-2;rt'-,&A Ln. 52 n.0 2I F -- ISSUED T0: 9; .JAS-& 6f--6 bJc llau- SUBDIVISION A or /' __pig r LOT # !� NEW ❑ REPAIR V EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Z 62 5(_C> Proposed Wastewater System Type: Z 5 °/v &r-\. llk-;OA S SLe« Projected Daily Flow: S 6 O GPD �— Number of bedrooms: 3 Number of Occupants: G max Basement ❑Yes 3X0 � Pump Required: ❑Yes ElNo NMay required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. P Five years Permit conditions: ❑ No expiration Authorized State Agent: �4 r Date: / Z -/ `3 - / G SEE ATTACHED SITE SKETCH The issuance of this permit by lff Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation it 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: `A zc4r6 13erk- I-0C\X (2 PROPERTY LOCATION: 321 Ar-besc- (-res51 Ge. bf,2 NL a;F cj SUBDIVISION A Hb 0 r C res f LOT # // Facility Type: 3 6 /Z- S FD ❑ New ❑ Expansion ❑ Repair Basement? ❑ Yes VNo Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System*" -?-S % (",a C i &^ S;ls 4- Cue's w s f�ntn ) (Initial) Wastewater Flow: 36 0 GPD (See note below, if applicable ❑) LS`/o (Repair) Installation Requirements/Conditions Number of trenches �3 Septic Tank Size 1100 - Coco gallons Exact length of each trench S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 1 18 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: (t. TDM vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total "'If applicable, / understand the ryJtem type specified /s di/fernnt from the type rpeci/ied on the app/kation. / accept the fpecifcationr Of this permit Owner/Legal Representative Signature: Date: This construction Authorization is subject to revocation if the site plan, plat, or the intended we changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This Construction Authodratien is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent•�J - <:f JZ -P s Date: /Z -/i -GG �T,�! ���i;�--/ tstruction Authorization Expiration Date: / Z -/9i L/ HTE # 37- 961 Permit # 2 9 z PlC Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 341 A r-60 f- Cres{ �•� (52 of ISSUED TO: 1� W cs t3CrV L� c.�� (h( @— SUBDIVISION A r too r e- es, j LOT # t Y Authorized State Ag t•. AS. Date: F1 go (EKrsa _ I Is U� d 0 1 00t fE f�OaGz Ca,r i LAa� _twS1 _1 4 Mtz k n 5 tk�,eS On S%LG (pr;cr- 4o 'r%S[o. % a( Nc,-� 5 j 5v<nt f e' Jyi ' AYE t'x s�;n) gPc c a eA02,5+ 40 Lw �Se LS��o Rect Gt•GA Sr3iG.n Al Cl�;l;�e ex�s+gin' 3c�;� a dry oak Fcrsk� MU14-;ox S@Pi: iC.'100ox .n Ne.J 5y �� V 0 t 0.0 E- 5 p 4e cq a S +,) kk 40� e'.4-5+ins SpleL L 0,5 GOAaoJC- witi 0.I loin cn cltro VA\ h� SUil �tc.Ad $Cb(X- f:/Y�i�a}i OAS Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIWSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant v A-- Address: 37a A,ba, trc>F t t Date Evaluated: i yl i 5 /76 Proposed Facility: g,2_ rir, , 2e, Design Flow (.1949): Location of Site:r �. e 3 Property Recorded: YC -5 Water Supply: ,-,/ �vj Public[] Individual ❑ Well Evaluation Method:3 Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: 0 y Y' ❑ Spring ❑ Other ❑ Mixed Description Repair System Other Factors (.1946): ti� w SInitial em Site Classification (.1948): Pea, 5, on it7 Ste, 1r%6 Available S e (.1945 ,v/1 Evaluated By: Site LTAR s tv 5G : Others Present: 5 �, 5 M P R O F 1 .1940 .1941 SOIL MORPHOLOGY11*& THER LE FACTORS L E # Landscape Position/ Slope % Horizon Depth (lo.) .1941 Structure/ Texture .1941 Consistence Mm .1943 Soil .1956 Sapro Class .1944 Restr Hafiz Pre51e Class & LTAR Zi S j S 5J57p — P.s U 36 6K C, (', 5 F S',� 51 IL , C�,4+�� � ( �;� -Zz s l P Z9]Z 13kc�sLL G 5 FS` S1/2 tel, Lfv,3L 3Zf #ze-31o�16L,L- ZG' �/ ��S 5 ! , 5 ,�z 7/I ���Z" 3 7 62 y PS 4� 3i r L+ Description Repair System Other Factors (.1946): ti� w SInitial em Site Classification (.1948): Pea, 5, on it7 Ste, 1r%6 Available S e (.1945 ,v/1 Evaluated By: Site LTAR s tv 5G : Others Present: 5 �, 5 M