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IPACHTE# 1( �-4T73► Harnett County Department of Public Health 29292 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: (S rote. TOhns4yn R-dj - (f 5(Z i ISSUED TO: SUBDIVISION LOT # NEW 46 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `3 g 2 5 a=n Proposed Wastewater System Type: 2 s%L• ll0 for VOA §PW'n Projected Daily Flow: 3%f} GPD Number of bedrooms: S Number of Occupants: 6._max Basement ❑Yes WNo Pump Required: ❑Yes ❑ No ra*fay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community L�blic ❑ Well Distance from well feet Permit valid for: 1ve years Permit conditions: ❑ No expiration Authorized State A nt: LDate: /— /� SEE ATTACHED SITE SKETCH The issuance of this permit by} ee alth Department in no way gua hntees the issuance o other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revoation iY.the sire 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 squired for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 me incorporated by references into this permit and shall be met Systems shall be instilled in amordance with the attached system layout. ISSUED TO: TST 6 1n iesA MPsAS PROPERTY LOCATION: Q,c x e_ 'Ta�tASe;n 2A . &-Z 14- o 40 r SUBDIVISION LOT # -lk L+1 Fatality Type: 3 (�(2_ S Ali New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 6f-ny.,"f-NlcNYR S, r+a4p'v\ (Initial) Wastewater Flow: 366 GPD (See note below, if applicable ❑) 5°o tc� (Repair) Installation Requirements/Conditions Number of enches 3 Septic Tank Size gallons Exact length of each trench -45 feet Trench Spacing: 9 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 8 inches Maximum Trench Depth of: ZO 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 (e inches below pipe Aggregate Depth: Z inches above pipe Conditions: I Z inches total 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. **If applicable: / understand the ryrtem type upeafied it different from the type rpedhed on the application. / accept the cpecifica6ar of Chir permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, 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 subject to Authorized with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH r` Date: / — Y —t'7 Authorization Expiration Date: /— Y — HTE# i - 5 -'/O 31 / Permit # f/Z/2 Harnett County Department of Public Health Site Sketch PROPERTY LOEATON: GVC2 T-0hris6n a. (=R 149//-) ISSUED TO: slave ,+ vtel ,,s SUBDIVISION ® � LOT # Authorized State Aga"I f __ , Z Date: — '/7 rte' _��� i��S-T. 4R m YaW'osEo � o2,nc i1 y� o U = n z 10' SET"L14 I- U /o ! 43 it tv v off° C Department of Environment, F alth and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSFFE EVALUATION for ON-SITE WASTEWATER SYSTEM r,�✓r.;dL/iAp i4a.r*.0 23 Owner:CUalGS tllApplicank `T7'T6 Address: LAY i2 4, � , >c,,N ,3 •a ki Date Evaluated: 12 12 z 1 1 6 Proposed Facility: j 2 5,q) Design Flow (.1949):: Location of Site: '76 ko 1 w Property Recorded: yK Water Supply: ..❑'Public❑ Individual ❑ Well Evaluation Metbod:�Cuger Boring ❑ Pit ❑ Cut Type of Wastewater. [ ,sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: i, oo A I ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER -PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineral .1942 Soil wemesst Color .1943 Soil .1956 Sapro Class .1944 Resp Honz Profile Class & LTAR L 8 3N �✓� �sl ri �, 5 F S= - 4 r`I C-�. LI - 3q t za V� ©-Zo r4 I S W- LID 3k ��xr G' S 4p 0-4- 40 -t Description LWfial+Repair System Other Factors (.1946): Site Classification (.1948):5 Evaluated By:S stem T s • ' ; t:.� Others Present: �"� C •% `� ", *L /o -FS 2, Site LTAR L