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IPACHTE # ► q -5 -y jyq(, Harnett County Department of Public Health 29551 Improvement Permit A building permit cannot be issued with only an Improvement Permit , 11 PROPERTY LOCATION: A--er• Pond Or. ) pk (La. S(L tjZS ISSUED TO: J�40C1 Ct�nSLrx 4 .cin , inf SUBDIVISION A� �o r�Z LOT # 5C3 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 462 5 F4 C(oo ` X (t.0' ) Proposed Wastewater System Type: 225jo t1or�Jct"o n �$, Projected Daily flow: x--1 85 GPD Number of bedrooms: —2�;— Number of Occupants: -8 max Basement ❑Yes 4210 Pump Required: ❑Yes ❑ No LyJ"May be rfired based on final location and elevationsof facilities Type of Water Supply: ❑ Community El u'Ttlic ❑ Well Distance from well feet Permit valid for. Permit conditions: ❑ No expiration Authorized State Agent: —�` Date: OG / 1 j J C O 1-4 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 m conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirement 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 impelled in accordance with the attached system layout. 52 IJZ`L ISSUED TO: WH�n �GYLS� OCk 'on :F --n c PROPERTY LOCATION: Aft Cion br- �C�46e� crfGGLc1 SUBDIVISION AQ (Jan d LOT # 5 Facility Type: y 13(Z-5 t=7 phew ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ It Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 'Z-5% tte t.5 a _- , 5, s 4 (Initial) Wastewater Flow: ua'U GPD (See note below, if applicable ❑) -Z Si, n 5_ s (c IRepair) Installation Requirements/Conditions Number of trenches S Septic Tank Size 17-50 gallons Exact length of each trench C6 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: *Z `f` inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: (t. TDM vs. GPM inches below pipe Conditions: Aggregate Depth: -4 inches above pipe z inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the sfl m type specified a different from the type speared on the app/ication. / acrept the specih'rations of this permit Owner/Legal Representative Signature: Date: This construction Authoruahon is subject to revocation if the site plan, pla4 or the intended use changes. The (consumer, Authorization shall not be transferred when there is a change in ownership of the site. This construction 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 � Date: U� z61 Construction Authorization Expiration Date: or, 1 13 / �o t � HTE# 11--!5 - qi 4g,4 Permit # Z `` 55 / Harnett County Department of Public Health Site Sketch 52 tyZg PROPERTY LOCATON: Aja Pond Or. rkA ) ISSUED T0: WOfl C0n5Cr X`k-ioA Tnr �SUBDIVISION A.e6-�, LOT # _-? Authorized State Agent: Date: 0 / r 3 / Zo t 1 t 04 N w Ta ON60iTA4LC WCC L. At *i ti, c-0 otoUf' ar,�;,AorL F4 -r-4 J LSU 101 �S �D �S� nl'✓ (e O ti�2 L r� M1IN 6v�x(�or I O j r I A \1 Iz2Y Po r—1 %-�. GvZJ v iz- 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: W��nj '7 CJ S'g Address: L011 , 4v,'% tfr 4 Date Evaluated: 6112-111 Proposed Facility: /��� S�9 Design Flow (.1949): Location of Site: 7 Property Recorded: Y? Water Supply:ublic Individual ❑ Well Evaluation Method: AugerBo ' ❑ Pit El cut Type of Wastewater: Sewage El Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: Q, �� 4-G ❑ 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 .1943.1956 Soil Depth (IN.) Sapro Class .1944 Restr Horiz L y%v ©-to te�- 36+ 2 L 4`6 a -w SLID ✓rte°9d P 3 L y%O O 3 r 4%3 V -VA" oft 5u, l� �/� 4� v • �/ Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available S ace (.1945) Evaluated B System T e(s) z ° Others Present: �n'Jr'rr� L� �' z`� �£•KS' Site LTAR N