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IPACHTE# Q -5-'A Harnett County Department of Public Health 29432 Improvement Permit A building permit cannot be issued with only an Improvement Pe It PROPERTY LOCATION: RP C6n� ISSUED TO: KEN J F11;111 CU M4v11 N G 5 SUBDIVISION LOT # NEW1K REPAIR ❑EANSION ❑ Type of Structure: `IFO(y$ r7 --s Proposed Wastewater System Type: 2 Stele 1ZSio U cn) cy, , gy s �a� Projected Daily Flow: 3� O GPD Number of bedrooms: 3 Number of Occupants: G max Basement []Yes '�900 Site Improvements required prior to Construction Authorization Issuance: Pump Required: []Yes �No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'g Public ❑ Well Distance from well feet Permit valid for. 'Five years Permit conditions: ❑ o expiration Authorized State Agent:: Date: V-1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Departure in way guarantees the issuance ermits. The permit holdef is resjudinsible for checking with appropriate governing bodies in meeting their requirements. This site is subject is revocation if the site plan, plat, or the intended use changes. The Improvement '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 requirement of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout p ISSUED TO: kGn N �< CtJ mm + 65 PROPERTY LOCATION: qp v 6. SUBDIVISION — Facility Type: SAO �u`b 'c L S� 'NC New ❑ Expansion ❑ Repair LOT # Basement? ❑ Yes `N( No Bas ment Ftures? ❑ Yes XNo Type of Wastewater System** 7* SD si C r o t,7 S-) S N barn (Initial) Wastewater Flow: 34 0 GPD (See note below, if applicable ❑) �c'1 r�Cx�SyS—)t;Kl (Repair) Installation Requirements/Conditions Number of trenches k'1 —7 Septic Tank Size 1 Do gallons Exact length of each trench S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. C- $ inches Maximum Trench Depth of: 1S`1 "3b 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 inches below pipe Conditions: Shy ©yt dr PdwGr) C�SGm6rv� Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING 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: / underriand the ryrtem type rpeciled it different from the type specified on the application. / arrept the rpecifcatims of this permit Dwner/Legal Date: this Construction Authorization is subject to n he 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 Authomatio bject to @Rphaosee with the is s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: > s Date: 3 )i y� Cons action Authorization Expiration Date: 3 1 HTE# Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: V61046q 9—C)c„c ISSUED TO: CAJ mm G SUBDIVISION LOT # Authorized State Agent -A CO iYL- oucse l Date: 1z, �7 1S3 � 0 0 � lz S X80 � Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow (.1949): 368 Je Property Size: Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well ❑ Spring Evaluation Method: A ger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Minemlo .1942 Soil Wetness/ Color .1943.1956 Soil Depth (IN.I Sapro Class .1944 Restr Horiz qp �-S _3 �7 SRX. c ';�61 s)e Description Initial Repair System Other Factors (.1946): System Site Classification 1.1948)fP Available Space(. 1945) Evaluated By: coy System Type(s) as° Others Present: Site LTAR� _ y