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IPACHTE# I I -s - y/Igy Harnett County Department of Public Health 29477 ImDrovement Permit A building permit cannot be issued with only an Ira ri o" rovement Permit S to PROPERTY LOCATION: Ox�crd t\or:Sa DC CcsiA 64" tt.a . a�]� ISSUED TO: LGbr'f'rl_ I40MQA Znr.. SUBDIVISION oxcac-aN we csa s LOT # 6 NEW 5 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 33(z. 5 ra> ( 4 b 5 x 49' ) Proposed Wastewater System Type: ZS i n� a� o✓ sy r Projected Daily Flow: 3(.0 GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑YessLs)'R0---- Pump Required: Isavet/❑ No ❑ May bemire 0ired based on final location and elevations of facilities ,��- Type of Water Supply: ❑ Community E;Y ublic El Well Distance from well feet Permit valid for: 1Lsd'Flve years Permit conditions: ❑ No expiration Authorized State Agent: d���%a� Gf�/!l!/1�#`5 Date: d5 4t v / Lo s-4 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 decking 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 sublets to compliance with the pmvisfms of the taws 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 shall be met. Systems shall be installed in accordance with the attached system layout. r^ y� 5rL- t 06 ISSUED TO: COMtOrk Ii4c, e� n PROPERTY LOCATION: Oxford Occrke: hC. C61d ST c u tt�. N, SUBDIVISION r:>.C..r.A Woe,ek_s LOT # Facility Type: _ 33CT_ 5;74-� C 4I&'V 444' )l 17?'�e­w ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** ZSR a4.AuCF'on 5 sEem (P,3m�o(Initial) Wastewater Flow: 366 GPD (See note below, if applicable ❑) erhein do 1-5%0 Real . 5a'J 1-e. (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size ioocv gallons Exact length of each trench -4-S feet Trench Spacing: `% Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: I z inches Maximum Trench Depth of: 2-4- inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TUN vs. GPM Conditions: (Maximum soil cover shall not exceed 36" above the trench bottom) G inches below pipe Aggregate Depth: 'Z inches above pipe WATER LINES (INCLUDING IRRIGATION) MUST BE IOFF. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. I Z inches total **If applicable: / 91ndeatand the system type speciled it different from the type speciled on the app/icatioa / accept the rpech22fionr o/ this permit Owner/legal Representative Signature: Date: This Conatruetinn 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 ownership of the site. This wnstructon 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:/' /i�f� � ���/ Date: 05 /1 o / za k -4 Construction Authorization Expiration Date: 06/ 10 1 zo-r_z HTE# ) 1 - 5 _ ci' 9�9 Permit # -Z H77 ISSUED TO: CON Authorized State Agent: Harnett County Department of Public Health Site Sketch %% 5n 1006 PROPERTY LOCATOW D)(CorA OveriS b l Gid SES (td N X{ NOME$ , TN' . SUBDIVISION Oxfvr! = LOT # Date: 061/0 / 'zol � � X31 I 1 0 s r.;-rCAC I(— 3 (3a- 419 xN4t sF� � X31 I 74 1 1 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: G Getr r-& //6Ms9 !ic Address: Lr7(6 Gir�zr�{ jj,,PateEvaluated: u0/u3/�- Proposed Facility: -Vf SFb Design Flow (.1949): 360 6PO Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method:0-Atle—rBoring ❑ Pit ❑ Cut Type of Wastewater: age ❑ Industrial Process Sheet: Property I D: Lot #: File #: Code: Property Size: 0. 626 fG ❑ 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 M.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR L yio n 36 G4 �S F� Sy? ISS qL sL�/yP 7s�iG% G�yO"Z 3q It 3 L 41'0 0—,Y (gQ �5 S ✓� S '3(0 6u Description Initial Repair System Other Factors (1946): S stem Site Classification (.1948): e5' Available Space (.1945) Evaluated By: System T e(s) !tt' Others Present: Site LTAR