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IPACHTE# i G, -5 Harnett County Department of Public Health 29297 hDrovement Permit A building permit cannot be issued with only an Improvement Permit s:sd S-I-�j� 1 PROPERTY LOCATION: 51 l -Xorza W C)Q i , � 52 1 J ISSUED TO MtnCUC PI Uv�Lt a' QS SUBDIVISION �� -'e, lac t . LOT # NEW (� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: I- K S2 C l� Proposed Wastewater System Type: L57� Projected Daily Flow: 2 U CS GPD Number of bedrooms: - Number of Occupants: max Basement ❑Yes wo � Pump Required: ❑Yes ❑ No ay required based on final location and elevations of facilities �� Type of Water Supply: El Community ublic El Well Distance from well feet Permit valid for: Ivy years Permit conditions: ❑ No expiration Authorized State Agefit:: Y i"Mite: /- //- i 7 SEE ATTACHED SITE SKETCH The issuance of this permit by the,neahh Department in no way guarantees the issuance of other permits. The permit holder is responsible lar h eking with appropriate governing bodies in meeting their requirements. This site is subject m revocation if t�sife 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 in 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, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in amrdance with the attached system layout. ) ISSUED TO: g . i�(rx�_ 'Psc„z�r- ,e PROPERTY LOCATION: r, c� t_lb(x�5 (6k& 3'(I- �� cAJ SUBDIVISION nse LOT # Facility Type: 013 _- 13ew ❑ Expansion ❑ Repair Basement? ❑ Yes 5ato Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" Pv n n A-cs Z59� A==. (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) Pve,n Ia Wair Installation Requirements/Conditions Number of trenches 2 Septic Tank Size < gallons Exact length of each trench 8 G feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: (oe inches Maximum Trench Depth of: Z:F"- 30 " 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. TDH vs. GPM 6 inches below pipe ` Aggregate Depth: Z- inches above pipe Conditions: Por"Q maw enc b� cr. C T lr do v1 ren ce c� s ,s�� IZ 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, / understand the ryrtem type rpedled iJ different tom the type rpeciled on the app/icaden. / accept the rpecilcadonr of thin 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 Lonstmcnon Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. ILL AI IALHEU SIZE SKLILH Authorized State Ageni Date: 5inniction Authorization Expiration Date: /— tr --V„ HTE# I&"S' 4U`IZS Permit # Z9 2 9 Harnett County Department of Public Health Site Sketch oto s-� Ra. PROPERTY LOCATON: 5 1 b,rfor.� W oadS $ R 100ca ISSUED T0: SUBDIVISION OA,rd Qc>g _% LOT# Authorized State A96 J 1700IDb ate: A1.5 A ,�\/—' ^'_,) be of k�-e. 1wvsL w•+�, no �vmp .}c.nk ;F r�Vic� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEMS �c Owner: �rc 5 Applicant: S 5'� r"," " 5 t Address: Z I '* ov Fv d W e- Date valuated: Proposed Facility:2132 5 Design Flow (.1949): ZyC l y� Location of Site:4v1"v Ha Property Recorded: kr-5 Water Supply: Publico Individual 0 Well Evaluation Method: allo,nag ❑ Pit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property size: o „ (- .4 C ❑ Spring ❑ Other ❑ Mixed 79' - 3U P R O F I .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mmenl .1942 soil Wetness? Color .1943 Soil .1956 Swo Class .1944 Resr Horiz Pmfde Class & LTAR %SPpE, 3Z-3(,�e Sct G,, S�y� F1 3 y�` Description Initial Repair System Other Factors (.1946): System Site Classification (.1945): PCO v y, v7 rj Jam, f fi fGA e Space.1943 hrsty: s stern r :) OthersPresent: Site LIAR o. .-