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IPACHTE# 1q-S-4u� Harnett County Department of Public Health 29332 hDrovement Permit A building permit cannot be issued with only an Improvement Permit S (Z- 15 11 T PROPERTY LOCATION: Qo4�iCi a Lo. i riA.14.l e `a M;11%14 6L.4. ISSUED Toy Su song Loin P_ �? i Ili C SUBDIVISION Sitnhtn A, h: n LOT # S NEW LLQ' REPAIR ❑ EXPANSION ❑ Site mprovements required prior to Construction Authorization Issuance: Type of Structure: { b (L 5 r- [ 6511 X b61) Proposed Wastewater System Type: ZS %o /leAoc Irinn� (x19 Projected Daily Flow: N$n GPD Number of hedrooll —��� Number of Occupants: max Basement ❑Yes Lrf.'No Pump Required: []Yes ❑ No ®flay be�uired based on final location and elevations of facilities �� Type of Water Supply: ❑ Community LfYPublo: El Well Distance from well feet Permit valid for. t� years Permit conditions: ❑ No expiration Authorized State Agent: Date: O S /O -1 / / --4SEE 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 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance with the attached system layout \ ISSUED T0: T6466t, Q LOrHe' Lo 11'06 PROPERTY LOCATION: (3�K:n Ln. (�&y lin a, ALAI fond (4) - SUBDIVISION LOT # S Facility Type: L.M2—SrIJ�,61 '.x 60 R New ❑ Expansion ❑ Repair Basement? ❑ Yes. 5?10 Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 'LS%o lz�Js2c�n.�s S s'" (Initial) Wastewater now: 412F0 GPD (See note below, if applicable ❑) �I� &c4 oGv`1(-,A 3 7dg0nt (Repair) Installation Requirements/conditions Number of trenches 3 Septic Tank Size t2©0 gallons Exact length of each trench 10 feet Trench Spacing: y Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: ,�{1'�) inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDM vs. GPM 6 inches below pipe Aggregate Depth: 2 inches above pipe Conditions: fif 01arYf15 Pt L'nes -4y��t�� n nSbilfc Ei n tZ inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable, / undeatand the system type speciled is different from the type speciled on the app/icadon. / accept the rperih'cationr 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 conservation Authorization shall not be transferred when there is a change in ownership of the site. This Construction muthomnon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt AI IALHLU SIZE SKLICH Authorized State A Date: 031/0 -7 / Construction Authorization Expiration Date: Z HTE# , q o 7-" Permit # 19,53 Z Harnett County Department of Public Health Site Sketch Sit. 1610 PROPERTY LO(ATON: Lo .1 M61ME_-b nit P61-16 (WA, ISSUED TO: -YCA-, >6f i 4 LOC62 SUBDIVISION SmLV,, r+A . Ra V-; e% LOT # 5 Authorized State Agent _�'�>�/ 1� Date: 1�3/ B-4-.J!V= TU i .I pact _ —b Pao Pos F—b 68.8'0 x tk.Z/. 46q - 5V - '"% (Lcub UCGT t o . I nJUF�Y1 a „1 �4ac M � f 'y Pro fm.;, t,'rvs / Propd-+> rncqvxrs d',sP1� �� Ofo, iAs4tj&46n _ Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM J_9.r 1 pp Owned'•'111' i5 Applicant: -F'!" 1K' 4c-'� Address: 45%owk 4n, Date Evaluated: O DN Proposed Facility: L16a 6pb Design Flow (.1949): ov&'V Location of Site: --// Property Recorded: X6 Water Supply: ,�/' 'Public❑ Individual ❑ Well Evaluation Method: 114" Auger Borin ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: Id Ae— El Spring ❑ Other ❑ Mixed P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Stmcture/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Rest/ Horiz IL bjt�a y z 64 �5 VF AWP 42-4 aK SU //, S P 5 Ty D y5 Z L 406 644 k L.S Vr J/ y4-48 9K f� 5 e3 yb• 0.L15 3 G 6 I%v a-32 G4 is VFX �S 32-`h8 $K 5(L 0.6 P 0 qS L. 6-010 0-3ti R .LS Or P5 3q- 6C 5GL Fr. 5 P Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): PCOv;5;04x� Available Space (.1945) Vol Evaluated By: System Type(s) LS'e f4g2t Others Present: Site LTAR 0.1-45