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IPACHTE# I -s -N ICr, f Harnett County Department of Public Health 29454 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 15,6 Z- ISSUEDTO: i -5 ,6mc; I R ;1cSifs n SUBDIVISION Lin 1(-,' n e r f, LOT ir3 NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3 6(Z 5c r v 4 2 t .--4t> Proposed Wastewater System Type: ZSiy (-teff L S„ys Projected Daily Flow: 36 C, GPD Number of bedrooms: 3 Number of Occupants: b max Basement Dyes P10 Pump Required: ❑Yes ❑ No Pla�ybe re fired based on final location and elevations of facilities Type of Water Supply: ❑ Community folic ❑ Well Distance from well feet Permit valid for. Permit conditions: ❑ No expiration Authorized State Agent: I�:�//f�� Date: c`"/- </ / z u t SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking 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 Permitl The construction and installation requirements of Rules .1958, .1957, .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 ISSUED TO: S76ax,c.1 C».Qts3 Trac,. PROPERTY LOCATION: kloc ,Ltoir a-8, (52 f Szi SUBDIVISION f4,s6 n elect LOT # Facility Type: 382 56'sc 4 as Sa C> 9-1 ew ❑ Expansion ❑ Repair Basement? El Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** Z 5i- //4i c ;c n 5> ,re (Initial) Wastewater Flow: 3'- o GPD (See note below, if applicable ❑) ZS% ("cA:un r>slr-e a (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1 or5o gallons Exact length of each trench '46 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of-. 3o inches (Trench bottoms shall be level to +/-1/4” in all directions) Pump Requirements: (t. TDM vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover. 18 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Z inches above pipe 17- inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. *If ao liD moble. / understand the sotem type rpeafled it dihemnt from the ope speafted on the application. / accept the rpeafbiionr of this permit. Owner/Legal Representative Signature: Date: chis Conswction Authorhatian u subject m rerontion if the site plan, plat or the intended use changes. The Constucton Authorintion shall not be transterned when there u 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 Agent: Date: Date: o y o t '4 Construction Authorization Expiration Date: 0 4) e �'t7— HTE# I - _q1001 Permit # Z 4,4 54 Harnett County Department of Public Health Site Sketch PROPERTY LOEATON: ISSUED TO: Snc. SUBDIVISION AO St A P1uce LOT# 3 Authorized State Agentire„ v /���f --�� c Date: O V16 y / Z D 1 -4 ti Adz EA M1Vp1(L v�Tt OJT ZSa�J q 6 C3) Oi;cv, P2c>Pos,��`�i x4a') _ 28' S F I:) P tis -i -vo,(Z Ron t, C52 165Z� 0 N M Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM k}� ✓�. A,6+: Owner: 6"rw-5 Applicant: ©IdS -Tnz Address: Lo+ 8 Abb44o:r 9-A • Date Evaluated: 0y1'g111 Sheet: Property ID: Lot #: File #: Code: Proposed Facility: Sgt SFIj Design Flow(. 1949): 346 Oi) Property Size: G.$6 4{C Location of Site: Property Recorded: Water Supply: ©1fublic❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method:❑-ATger Boring ❑ Pit ❑ Cut Type of Wastewater: []wage ❑ Industrial Process ❑ 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 Sapm Class .1944 Restr Horiz Profile Class & LTAR I L 3/0 0- d� G2 �5 rz sOP f�q P5 46 4Y 5Gt_ rL S e l'sp 2 L 3% C) -q6 LS Q qV Nl9 a1,' 6< � rR 5 e 3<y 4 $ o. 4S 3 L. 3i„ D - iib GR 1-.5 PZ WP 5,P PS ti 0-48 di� sat_ r•'(L S r sir 4q d . US Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): S sretn T Space (.1945) Evaluated By: A rt s n. �s) u' -Z irOthers Present: Site LTAR 6. y6 0✓