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IPAC RNTE# Harnett County Department of Public Health 29479 Improvement Permit A building permit cannot be issued with only an Improvement Permit /�� Jt�y '' PROPERTY LOCATION: 3oe5 A1,1-, kaar fLe� (�2 166e.)ISSUED TO: y.(Q�-p csnM 5 v lke cS SUBDIVISION LOT # s M NEW El REPAIR LJ EXPANSION a Type of Structure: I=xISFr� 402 JF + l2'xer` 04a/4,}rW Proposed Wastewater System Type: C o A.x . G r"o ads Projected Daily Flow: Co 0 o GPD Number of bedrooms:Ce• - Number of Occupants: t L max B ❑Y r�F Site Improvements required prior to Construction Authorization Issuance: asement es o Pump Required: ❑Yes ❑ Nof M+3' ay by ulred based on final location and elevations of facilities Type of Water Supply: El Community 13 ublic ❑ Well Distance from well feet Permit conditions: Permit valid for. of ❑ No expiration Authorized State Agent: '1' Date: 06 /09 / /';iL 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 goveming 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 Builder Permit) The construction and installation requirements of Rules .1950, .1951, .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: � Ti 1Aecs PROPERTY LOCATION: 3ors aA)5be�lo;� R,A C set. LS5z� SUBDIVISION LOT # eA Facility Type: Cs.43C + 1,6 a zz�xal�❑ New G� " ipansion ElRepair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** Can.;enC2cs t..\ Gc-�,vgA SVS ts (Initial) Wastewater flow: (o o6 GPD (See note below, if applicable ❑) 251'o 5;2 ,sfc.wt (Repair) Installation Requirements/Conditions Number of trenches 1 (t'ac'o) (rreo-w t_XIST"4 ) Septic Tank Size t 2 So gallons(,AA1a) Exact length of each trench 1 o O feet Trench Spacing: % Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: tr inches Maximum Trench Depth of: _e O inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4•• 36" above the trench bottom) in all directions) Pump Requirements: ft. TON vs. GPM 6 inches below pipe Aggregate Depth: 2 inches above pipe Conditions: 17— inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type specified is different from the type specified on the app/kation. / accept the rpeeiirations 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 construction Authorization shall not be transferred when there is a change in ownenhip of the site. This construction Authorization is Authorized State with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: OS / O9 / t —4 Construction Authorization Expiration Date: HTE# 11 -'5 -q l l6o2 Permit it 2 9 Z/1 q Harnett County Department of Public Health Site Sketch PROPERTYLOCATON: 3085 Abbccfofr/G�A. (5215$4) ISSUED TO: {L• G j SUBDIVISION LOT # t Authorized State Agent *A= "_�r____� % ����' <s Date: n51 oq l } � � 1 ib P$t3htv12 R� S2 155's t%R�JE ,,sttT/ I:X� ST,•JG 462 F=41)5�0 0 5 F9 t- '<<.. �41rL �VCTIV tii A2 11 5cm;C "rcvlk-sT,�]t 1x o-�a crvsk-*' S�Pt�c, -CanbE �i 4',strrbohbn Sc�� rnc� Qywl'tc- red lcu� ,y t av y ucco�. Vr- Ya o xPt:L PAi1.T LS;c� 2Es�ucr,o„� YLIZ*Ai/L Ar�^ Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: RP 6-r9,q ,91,6 Address:_5nd5 A66,% -.:- (7.1. Date Evaluated: Proposed Facility: SB2 Si=b Design Flow (.1949): 4ZO 6P9 Location of Site: Property Recorded: Y<" Water Supply: [?ublic❑ Individual ❑ Well Evaluation Medmd:[j-Au­ger Boring ❑ Pit ❑ Cut Type of Wastewater. al§ewage ❑ Industrial Process Sheet: Property ID: Lot #: File M Code: Property Size: /o kc, ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFRE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structu w Texture .1941 Consistence Mineralogy 1942 Soil Wgnew Color .1943 Soil W. .1956 SWO Class .1944 Restr Honz Profile Class & LTAR LS �� 66V S P� 1V 38 (i✓1 C i=l 5?SY� 7,5Y�1� I,J �" 3�'l (�. sfp' q 34 bK C fl 5< 5, e3Lt 3y4 O.µ Description Initial Repair System Other Factors (.1946): system Site Classification (.1948): PS Available Space(. 1945) Evaluated By- S= y: S emT s v 3 ZS�� 1, Others Present: Site LTAR p. p,