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IPACHTE# I 1-5 -ylt R5 Harnett County Department of Public Health 29500 Imarovement Permit A building permit cannot be issued with only al Improvement Permit j G PROPERTY LOCATION: Live Ppnt' cat,. �GI )yl�u6e Rd. VZ— I L{�E ISSUED T0:u f1(S<l1 1 p n �i �n<_,_ SUBDIVISION Q Gr LOT # 5�_ NEW REPAIR ❑ EXPANSION ❑ Site Improvem cats required prior to Construction Authorization Issuance: Type of Structure: cI18 2.- S r--qZ> Cc 0 a ac &0 9 Proposed Wastewater System Type: L5%a rtr� �cl tnn Sys. Projected Daily Flow: a.1 "8 o GPD Number of bedrooms: �4 Number of Occupants: max Basement ❑Yes 210 Pump Required: ❑Yes ❑ No �aC�l'I'ay b� Fred based on final location and elevations of facilities Type of Water Supply: ❑ Community Pub ❑ Well Distance from well feet Permit valid for: ❑ Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: ©fc l 13 /Z D f-:; 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 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 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 requirement of Rules .1958, .1957, .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: 1.L Orl PROPERTY LOCATION: Aer,f Pori tic. hftIXI b -a-_ .S't- 146- SUBDIVISION A-� O o r d LOT # 5Z Facility Type: 14 `32 S - x%o) El' 11 Expansion El Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 'Z-5 %> /1L c% s c-1-1 n h 5 S (Initial) Wastewater Flow: o GPD (See note below, if applicable ❑) 25% rho n S,s (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size 1 Z-56 gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: t'9 inches (Trench bottoms shall be level to +/•1/4" in all directions) Pump Requirements: h. TDM vs. GPM Conditions: Trench Spacing: Feet on Center Soil (over: 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. inches below pipe inches above pipe T L inches total **If applicable: / understand the ryrtem type speciled it different hom the type rueciled on the app/icarmt, / accept the rpeclrationr 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 Lonstmction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Sf:b AI IACHLU SIZE MICH Authorized State Agent: Date: OG / f 3 I Zat -T Construction Authorization Expiration Date: o6 1 1 s Iznzz. NTE# Iq'S—`jge95 Permit # 7- 9Y06 Harnett County Department of Public Health Site Sketch / 5cc. I,t r- i PROPERTY LOEATON:_ Aver Pynct fir. (G(LV "� ISSUED TO: _(t%�gn GonSir > :on Sn� SUBDIVISION C-4 LOT At SZ Authorized State Agent:/ Date:06 t 1 3 /z0t--4- 4 TO VuJS A13E w ST LA IJ c5 r1 -C --PA t 2 4au=h id G� S -. _I d ion in• ptt-oPos r_aj _ _ 60` X 6161 LI 3(L 1 I 2 na w o 44.yY' I AhjErLy Po -j �rLIV 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: 1.771[#[ C0 A31-1 ce4`U/b ��- Address: I -of 92 e&A4 Date Evaluated: 6 C- xnll '�- Proposed Facility: LIIZ_ Cf� Design Flow (.1949): yk6 Cro Location of Site: Property Recorded: y't�5r Water Supply: [rVublic❑ Individual ❑ Well Evaluation Method:EJAnffger Boring ❑ Pit ❑ Cut Type of Wastewater: IM—Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: 0. K-7 A -C _ ❑ 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 0,10 [sit vFf% vr. Zn -N o _iu' f P til G3'� ° 97 Z L y�G D Z2 62 XF At ,'io V,'/- 0 V6, Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) Evaluated By: (k ajn,-z /t¢�tS System Type(s) Z Others Present: Site LTAR O• G•