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IPACHTE# 1 -4 -5-yksrl Harnett County Department of Public Health 29497 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: CGT eZ o 1,.0 Mt.C.f3I 9,�ns awl 5ct 14�i ISSUED SUBDIVISION A r l : e "To h nsan PC- i�L 1— 3 4 1 LOT # T NEW Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 1132 5F 0 C 89..'xS6 r Proposed Wastewater System Type: ZSiu r✓&AJc4. Projected Daily Flow: `/s'= GPD Number of bedrooms: Number of Occupants: $ max Basement ❑Yes 2110 Pump Required: Dyes ❑ No 0 �Ma_ y be required based on final location and elevations of facilities Type of Water Supply: ❑ Community fad Yubllc ❑ Well Distance from well feet Permit valid for: Permit conditions: ❑ No expiration Authorized State Agent:: Date: v G 9 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 decking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the sire 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 Permit,) The construction and installation requirements of Rules .1950, .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 ISSUED T0: PROPERTY LOCATION: Gtns_Sl-e4 t_42.( , a'1 52 IyJ6J SUBDIVISION A%- l to P c -b-- r —341 LOT # d -z_ Facility Type: 1132 5vr"t> SG` O-lre�w ❑ Expansion ❑ Repair Basement? ❑ Yes fo Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** ZS io S_s 1e.a-'_ (Initial) Wastewater Flow: yGPD (See note below, if applicable ❑) Z5� neT�c�r'a S7s6-- , (Repair) Installation Requirements/Conditions Number of trenches 5 Septic Tank Size t z5o gallons Exact length of each trench GC) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: Z6 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: I z/ inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. G inches below pipe Z inches above pipe Z— inches total **If applicable: / understand the system type specified is different from the type speciffed on the app/iMiyon. / adept the tSPecilcationr 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 ownership of the site. This tonstmcnon Authoneaoon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IACHtU lilt SIItICH Authorized State AgentDate: Construction Authorization Expiration Date: ©6f be ZZO Z -Z_ HTE# S — 5 "115 Z► Permit # 2- y y I I -(- Harnett Harnett County Department of Public Health Site Sketch PROPERTY LO[ATON: LVzSSe, LanP_(_M'4tt 6 (Lk SZ I / ) ISSUED T0: Lkr,s L;,„n 4yes.064" V -"e SUBDIVISION Arlie n5on Pc,# 1-341 LOT # I -r - Authorized State Agent: ro„��y) l lid L J Date: G G L r -guar �aaA6� ZM� Pte Po3r_9 r 8N'Y SG � J �l64 GAeLA6�e -, CS�X.UOEf ZOL--7L ySyo lVC.al �T,' ,� ,ryG ph k I -ro GuS5L L Aad U 0 w e t Tp *WMHf;,;rj eLo . SrL 1436 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: (��ri5�' X a—I f Address: LD%' yL e -j a�(.,.� Date Evaluated: GB /� Proposed Facility: y�2 S�4_ Design Flow (.1949): G 4J Location of Site: Property Recorded: �i Water Supply: ublic❑ Individual ❑ Well Evaluation Method: ,ger Boaar Boa ❑ Pit ❑ Cut Type of Wastewater: ET Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: S •a'2 �{ ❑ Spring ❑ Other ❑ Mixed P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz L Z% 0`19 C,2 5L1A, 0% l8 -yd �! 5ca � .SP Pj 46 a y44 per' y 3 L Zia 6 tO (aV- 5L wzY'1 yLl SLL S �Y C25 444I Mgt ,-- �l+{ °• `� CIL. 5 L ✓lt fflV •a s8 gk G je�Y P� 38t n — 0 Description Initial Repair System Other Factors (.1946): SystemSite Classification (.1948): Available Space L1945) Evaluated By: System Type(s) y5 m Others Present: kcofes'z Site LTAR a L4,`LS