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IPAC RHTE# I `'S 3?6U 2 Harnett County Department of Public Health 29330 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 5({ Oe4k( Greve Jct 1. 2, (SfL 1 SJz ISSUED T0: _ �S�,UIo c Lf�(t nt M1.l 9SUBDIVISION LOT # NEW REPAW ❑ EXPANSION ❑ Type of Structure: 0a.Ac>n_% C7cx m Proposed Wastewater System Type: Z5/e r1r,A.3,�.,, Projected Daily Flow: G Z 5 GPD Number of bedrooms: Number of Occupants: .meq max Basement ❑Yes f�o Pump Required: OYes ❑ No Ld Ma�' required based on final location and elevations of facilities Type of Water Supply: ❑ Community Lyl Public ❑ Well Distance from well feet Permit conditions: Site Improvements required prior to Construction Authorization Issuance: Permit valid for. 1L7r ve years ❑ No expiration Authorized State IT �� L / �( Date: 3— 7 / 7 SEE ATTACHED SITE SKETCH The issuance of this permit by/ a Jj�alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for <hxhing with appropriate governing bodies in meeting their requirements. This site is subject to revocation me plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit u 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in worda u with the attached system layout ISSUED TO: 6doLoc K am PROPERTY LOCATION: Iy/ 0kK G tout Cinurr4. 41 S2 i's 'TZ SUBDIVISION LOT # Facility Type:��/Fct� g%iicstA 1910"New ❑ Expansion ❑ Repair Basement? ❑ Yes ©�qKo Basement Fix res? ❑ Yes ❑ No Type of Wastewater System'* 2 Sio rZ"VCg "c A (Initial) Wastewater Flow: 6 Z5 GPD (See note below, if applicable ❑) 2S%vciNC�cbi 5 sk . (Repair) Installation Requirements/Conditions Number of trenches 'Z - Septic Tank Size /Doc> gallons Exact length of each trench t 3o feet Trench Spacing: c� Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. -ar/-6 inches Maximum Trench Depth of: 36- f f 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. TDH vs. GPM 6 inches below pipe Aggregate Depth: 2 inches above pipe Conditions: f Z inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. ."If applicable: / understand the s}rtem type sperafed is different from the type specified on the app/iration. /,Mmyst the rpecifcatiaar Of thif 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 he transferred when there is a change in ownership of the site. This construction Authorization is subject to compliance with the provisions of the Laws andRulesfor Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent:G /mss �e: 3 =-7 0 Construction Authorization Expiration Date: - HTE# — 3& 59 ZR— Permit # 2y; 9'6 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 941/ Oak G«�e_ e lLuejn 21. C1 t53Z� ISSUED TO:60\0S25 LoC.�4 SUBDIVISION LOT # Authorized State Ago ` A6v Date: 3— -7- 1 7 ntc.,Uer Qns-j --�- r)s& \ t_X15T ( +3 C. L4o03 5€PAa-,trrr 1- U C)Nk 6vvG CUe1" 2t� CS(L 1S3 Z) Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot #: SORAFTE EVALUATION File #: for ONSITE WASTEWATER SYSTEM Code: Owner: �ak-nj Applicant: dvb� Wa�� Address: 01' la( 6 ru.c Ch tC.c - Date Evaluated: Proposed Facility: (jcJ A Design Flow (.1949): C� Z5 5"� Property Size: � gg,� Location of She: 37 �R� - pro y R : Ae13 Water Supply: '❑'public❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method:�er 1309W ❑ pit ❑ Cut Type of Wastewater. LaSewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY 1 OTHER .1940 .1941 L Landscape Horizon PROFILE FACTORS E Posuiont Depth .19411941 .1942 # Slope% (hi.) Structure C.o1941oce Weed .1943 .1956 .1944 Plume Texture Mm �� sod Sapro Resn Class Class L Z% v y8 G2 �5 I/r'� ssPsir Horiz 9 8 k LTAR 5 U.� Z L Z%v 4b G2 1_5 V r_ y 8 /O. 3 L_ z% o -1 G2. t.6 11 r. 5,V 36 S o. Description Initial Repair System Other Factors (.1946): S tem Site Classification (.1948): Available S e .1945 EvaluatedBy: s em i s �. '1.'N Site LTAR Others Present::