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IPACHTE# 1-5-40 8 LS Harnett County Department of Public Health 29346 Improvement Permit A building permit cannot be issued with only an Improvement Permit LG•n�J� ��) PROPERTY LOCATION: ColAt51. x a {c rbt Ln . SR it 1(73 ISSUED (ib plos.EXPALLC SUBDIVISION CroLf��b�n LOT # (16 NEW 10: REPAIA ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'bRn 39 1 X 53' ) Proposed Wastewater System Type: T's 0 r" - 6 s4't-'X_ Projected Daily Flow: 3 6 o GPD Number of bedrooms: � 73 Number of Occupants: ��max Basement Dyes Cy No Pump Required: ❑Yes ❑ No ❑may b required based on final location and elevations of facilities y Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: D- ive years Permit conditions: ❑ No expiration Authorized State Agenc:Date: 0310 P// 7 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 responsible for checking with appropriate governing bodies in meeting their requinments. This site is subject to revocation if the site plan, that, 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 PermU) The construction and installation requirements 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 accordance with the attached system layout. 1` ISSUED T0: Tcdan4ALe 4AOra� Qcos. LEG PROPERTY LOCATION:eeib�i� {a s43� 391Y$3t) SUBDIVISION CcV—" tKN 1o� LOT # G6 Facility Type: wPi2 5� �. fel New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System' `ZS 4/o t7�--A t,—Ykl C r/ 61 :5 <¢ (Initial) Wastewater Flow: a(o O GPD (See note below, if applicable ❑) 25 la t4u41xkicn 5�01e,-n (Repair) Installation Requirements/Conditions Number of trenches _1 Septic Tank Size t 0o gallons Exact length of each trench -S feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: I's inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TON vs. GPM Conditions: Trench Spacing: `7 Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. ie inches below pipe Z inches above pipe L Z inches total **If applicable: / understand the system type specified it d1/ferer2t from the type specified on the app/icadon. / accept the specifications o/ this permit. Owner/Legal Representative Signature: Date: This Constmction Authorization is subject to revocation it 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 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 Date: c-) 3/ Z 7// -1 Construction Authorization Expiration Date: Cs31'18/LZ HTE# I�V-5-UU8J5 Permit # Z / 3,6 Harnett County Department of Public Health Site Sketch y 1L1 PROPERTY LOLATON: Cd4Cesbx-A 0� Ln. \ 52 iLWS J ISSUED TO: Tc unv le IAOAU-S Gros. LLL SUBDIVISION Cc, -sh.,., Pant LOT # Authorized State Agee— '���C'��_dr3 Date: V 0-S At Z-s%v (Le-ZuG1�ot� N (�2ae05rs> 3 6k 53' x391 5 r' � s1 V MlN r Gb6CPb�o�r� Q � zo' Pt`'" Troc�s 16. Skill � �;sQla�,� u� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: 4,—i %�J/ (�ry • LLC Address: Lao 6(, 4,lir8i6uy pe j,( Date Evaluated: 0 7f,�� Proposed Facility: 3i'( SF6 Design Flow (.1949): 14We 640 Location of Site: Property Recorded: Water Supply: ublic❑ Individual Well Evaluation Method: ger Borin ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: O.S1 ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy 1942 Soil Wetness/ Color .1943 Soil Depth(IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class &LTAR Z0 -3b Bk scL 75%2�1,(✓J3`�' 0. z G 3C, Wk 4g..3G Bk xc %l SPS IS O(we 3z'l 316 b.q 3 Lal �� sc ri U e3 Pfr '7 0-q Description Initial Repair Sys[em Other Factors (.1946): S stem Site Classification (.1948): Available Space (.1945) Evaluated By: /Q��� System T e(s) Others Present: " �" "^ e" GvlT7V•� 2��� Site LTAR p ,