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IPACHTE# 17-5—L113i 7 Harnett County Department of Public Health 29532 Improvement Permit A building permit cannot be issued with only an Improvement ermlt C� T�� Z PROPERTY LOCATION:_ BovpOCX= i,�, ISSUED TO: `uL�SI �1 ES �iC[L SUBDIVISION LOT # .5 NEW"@'( REPAIR EiEXPANSION11 Type of Structure: _'Me ft . `^' mL tlC.'� 0� Proposed Wastewater System Type: 257• V-GDUtT.t%t4 Sy SEM Projected Daily Flow: ',11-40 GPD Number of bedrooms: Q. Number of Occupants: 4_max Basement ❑Yes �KNo Pump Required: ❑Yes .Ito ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public �K Well Distance from well \ CiJA feet Permit conditions: Site Improvements required prior to Construction Authorization Issuance: Permit valid for. Five years ❑ No expiration Authorized State Agent::\��nleea,,eemm. Date: 5 3 ) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no wpermm. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subjett to revontion it the site plan, pla4 or the intenPermit shall not be Acted 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 Per The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in accordance with the attached system layout. ISSUED TO: PAS�ItST��p, g (�Ca2jt PROPERTY LOCATION: g olo Q�QKJlj ojy 1,J r/ SUBDIVISION LOT # 5 x./x Facility Type: a APKN. VLCcxm�`I6 New ❑ Expansion ❑ Repair Basement? ❑ Yes C>NNo Basement Fixtures? ❑ Yes 15k No Type of Wastewater System** as°10 ?-GDv . Clr S y�S(� M (Initial) Wastewater Flow: a�J(Z) GPD (See note below, if applicable ❑) a� L'3 1-4%M, S yS . (Repair) Installation Requirements/Conditions Number of trenches 8, Septic Tank Size z,4z*� 0 gallons Exact length of each trench l©C) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: t9 inches (Trench bottoms shall be level to +/_I/4" in all directions) Pump Requirements: ft. TON vs. _ GPM Conditions: Trench Spacing: 0) Feet on Center Soil Cover. Za—t()inches (Maximum soil cover shall not exceed 36' above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (IN(LUDING 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: / undesr mod the system type spec/bed is different AM the type specified on the app/icatiaa / accept the speci6catioar of thin permit Owner/legal Representative Signature: Date: This Construction Auth an ct to revocation if the site plan, plat or the intended use changes. The construmon Authanzanon shall not be tronshrnd when there n a change in ownership of tM1e site. This Construction Authorization is subject to co rovisions 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: 3 t 1 Construction Authorization Expiration Date: SH 11ZZ)— HTE# 1 -!Al Permit # a 153a Harnett C0111]t3T llepartment of 11�11)lie Health Site Sketch PROPERTY LO(ATON: BOYO ���oC o2P Lto ISSUED T0: �P+ul�5t1 �P�cn6s OAc� SUBDIVISION — LOT # r Authorized State Agent: Q(,)i%,L,v(� So _ v Date: 3 1) l 4)0' G 43 8oyp gQADo�or�0 �>J w t a tv-; 5 � WOUOEo GUN'YO✓2 MR�1 OFF ESZ Department Of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SORAIFE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Fatwlity:�a-pggo, fN Design Flow (.1949): Location of Site: Property Recorded: Water Supply, ublic0 Individual ❑ Well Evaluation Methods Auger Boring ❑Pit ❑cut Type of Wastewater '�Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 EP .1940 LaDdsape s4w% SOIL MORPHOLOGY .1941 Hereon Depth .1941 .1941 (In.) Structure Tntrne Mm (Z .1941 Soil Wetness/ Color OTHHt PROFRE FACPORS .3 .1956 194194soiSapm th Class .1944 Profile Reatr Press Horiz ✓k LTAR �Y �o FI s)s� ,O_W?•.���a�LL �5 3 a� G 5L M 1,O)MP _y Description Initial R System Other Factors (.1946): §nAm Site Classification (1948): AvaiLble S (.1945 S em T Evaluated By: - s Sitc LOthers Present: TAR ,3 3 4 ,r" "� , "'s -da Zl�acc ) wooer s�: L-