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IPACHTE# 11- s - 40� (,3 Harnett County Department of Public Health 29324 Imurovement Permit A building permit cannot be issued with only an Improvement Permit r Ch,0),,*«k Sjanu/3 4JJ PROPERTY LOCATION: I q 4 C(a5S 4"1'( Dc ` 51"t144) ISSUED TO: eO's^ccsrk av" -YAc SUBDIVISION C m6S I—AK elctco LOT # NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3Qrz_ SGS U(o ) Proposed Wastewater System Type: Projected Daily flaw: 3 (a0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes Pump Required: es ❑ No ❑ May be_jDsqi based on final location and elevations of facilities Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.IL]I�Fve years Permit conditions: ❑ No expiration Authorized State Agent /ham Date:/& SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responnble far choking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if 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 constriction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. 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: CcyrACu'4- Ian -C,� PROPERTY LOCATION: �I�i�: L,;,tf pr C~`v��" VI -V5 _ 6a / / I s SUBDIVISION Cl-osz er yy �faG� LOT # 1 Facility Type: 3©/L Sf� �l 1Y'/f. % 2 New ❑ Exoansion ❑ Renair Basement? ❑ Yes 62010 Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" P4c, —tn _55',,,7 �z,5 (Initial) Wastewater Flow: '� GPD (See note below, if applicable ❑) (Repair) Installation Requirements/Condidons Number of tre cher Septic Tank Size /5;� gallons Exact length of each trench 90 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: / Z inches Maximum Trench Depth of: -Z�41 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. 6 inches below pipe lL inches above pipe /Z inches total **If applicable• / understand the slertem type specified it different from the type specih'ed on the application. / accept the specdcadons of this 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 sire. This construction 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 SEE ATTACHED SITE SKETCH Authorized State Agen • Date: G 3 Construction Authorization Expiration Date: 03/6i /7--2 INJ HTE# -L(DQG3 Permit # �93ZZ/ Harnett County Department of Public Health Site Sketch CI, .,I �x.ac Sprxj5 Q� PROPERTY LOCATON: Ci9j1 Grohs L;,lc D:. 5 r� iuoi ISSUED T0: (-CaCnFork- I<�,zaOb , 4 nc SUBDIVISION L,yc t?i,"_ LOT # 11 i Authorized State Agent: �: , ,1 � Date: d.:/y/-4- 20, 4- Cj• �� J� O h N {'2ovos�.aj G4` x L(6' 5ale caabS i-1tirc 02�0`t- e\ZQ440. of plo""Aj at'Tat`4 A"3 f�pc- ek--t,?Z on 5efos;le- Cor"M <C sc,�, a">Me if /B;A pas- 1;0* s �",\ CCA bw Department of Environmmt, Health and Nature) Resources Sheet: Division of Environmental Health On -Site Wastewater Section e Property ID: Lot SOI (SITE EVALUATION File #: Code: for ON-SITE WASTEWATER SYSTEM Owner: flechv C9M.F<A 1�l✓<[s / 1_4 L �plicant: Address: Loi iI ( 9q bi;S i, nK') Date Evaluated: C, a/ z4 i 7 Proposed Fecr7iy: 3g1. `7"9� Design Flow (.1949): q4) /4t4/ Property Location of S' �q I��' p,R:[}]�� Size: �J Water Supply: ublicQ Individual r Well Evaluation Method:[] AugeBorju� Qui ❑ Spring ❑ Other it ❑ Cut 4]/ga Type of Wastewater. wage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY (Landscape OTHER L Hcru a .1941 .PROAF CTORS .1942 E Postbonih 94 A Slope 7G (Structurd Co.1941 soil asisteacc Wetness/ .1956 .1944 Profde Texture MmBW Color soil Soil So Class Rest Clens HOm Q LIAR 59a j - 6K f e - {{ J L4()1 SAP Z + 31� 0 lL> 125 10-42 r 3 L `f t o 35 Description Initial Repair System Other Factors (.1946): Available S e 1945 S em Site Classification (.1948); . S emT Evaluated B: sy Site NT Others Present: