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IPACHTE#� 1-Sa i 13-r0 Harnett County Department of Public Health 29529 Improvement Permit A building permit cannot be issued with only an Improvement Permit /� PROPERTY LOCATION: SP y9ma X000 ,r G ISSUED TO: 6a."-. 0 `-oNKwLP ci,G((,� SUBDIVISION 1-4r o6, Lra c NEW )< REPAIR ❑ E NSION ❑rovements required q P LOT # Type of StStructure:5- x3y' Site Im uired nor to Construction Authorization Issuance: _ (,x-15 Proposed Wastewater System Type: -'-S - UcX.tj.s J E rte Projected Daily Flow: t i GPD Number of bedrooms: _ Number of Occupants: 4Z max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -)5k Public ❑ Well Distance from well feet Permit conditions: Permit valid for: Five years ❑ No expiration Authorized State Agent:: Qlal a S Date: 3S� )-I SEE The issuance of this permit by the Health Department in o way guarantees the r of other permitx The permit holder is response le for checking with appropriate governing bodies Ameeting HED $hTrir E SKETCH nu. This site is subject to revocation if the site plan, plat or the intended use changes. The Improv Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit The concoction and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance the attached system layout ISSUED TO: VEa.tc.p �s+.,�czp.c cs{Z i , C- PROPERTY LOCATION: 5n NOP L,"Ou C. SUBDIVISION 1 l , os 1_ per tjq LOT # Facility Type: SFP�y S 't3 �� New ❑ Expansion ❑ Repair Basement? ❑ Yes 1W No Bas meennt Fixture ? ❑Yes �No Type of Wastewater System** �,S 1� 6t�st C—a 0 N S 15IG n(Initial) Wastewater Flow: y$d GPD (See note below, if applicable ❑) p�� a`S ` rJ <-50 . g --t5 . (Repair) Installation Re uirements/C ndjtjans Number of trenches Septic Tank Size \01S gallons Exact length of each trench S feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of., N aLj inches (Trench bottoms shall be level to +/_I/4" n all directions) Pump Requirements: ft TDH vs. _ GPM Conditions: Trench Spacing: 1 Feet on Center Soil Cover. G��nches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INICLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. If applicable- / undeaand the rystem type speciled is different from the type speciled on the app/kation. / accept the spec/lcatiom a1 this permit Owner/Legal Repre: chis constroctian Authorh construction Authorization Authorized State Agent: plat or the intended use changes. The tonsnu the Laws and Rules for Sewage Treatment and Authorization Date: _ nrnion shall not be transferred when there is a and to the conditions of this Dermic Date: 53 0 .tion Date: ? 3 8 a SEE ATTACHED SITE SKETCH HTE# �^%'s''�t�� Permit # a�sao\ Harnett County Department of I'nblic Health Site Sketch PROPERTY LOCATON: 54�ngoq� ISSUED T0: ��t SS�ea�SacL v 10 -SUBDIVISION Pl , 0�6 L A e 6S LOT # i Q, Authorized State Agent: ��i 10L''tR— jOL )ate: 5)301) Authorized State Agemr�� kc? Ar1lA, l 'tuvs6 2 V Sl E ta0� �ANJtlool� DQ 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: Address: Date Evaluated: Proposed Facility:{, QpQDesign Flow(. 1949): 1-vo Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method:�ug Bo 'ng ❑ Pit ❑Cut Type of Wastewater: _-9- Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horiwn 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 k -S ,tel ,,So ._s a Lt Description Initial Repair System Other Factors (.1946): Systein Site Classification (.1948): Available Space(. 1945) Evaluated By: p System Type(s) ,4Z 60 Others Present: Site LTAR _ Lit -&I