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IPACHTE# 1 — 5 - X1Harnett County Department of Public Health 29552 Imarovement Permit Authorized State Agent:: ate: D6 1 t 3 / Z O t '- 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 or conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1951, .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. $2 /429 ISSUED TO: L t!M &0 Its tin , Z 1% C' PROPERTY LOCATION: �v� Pcurd CE al t�,�azr. Q-.1 .� SUBDIVISION A e l Pct/� —V 10T # Facility Type: 452 9 2 New ❑ Expansion ❑lRepair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** L -S% (L.¢-c",vch; UM i5 2.5— ten— (Initial) Wastewater Flow: `Y2G GPD (See note below, if applicable ❑) 'ZS% Ilea a�Li -' ✓` 57.4'(- (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size l Z 50 gallons Exact length of each trench &b feet Trench Spacing: 9 Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, /d inches Maximum Trench Depth of: '- Z- inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDM vs. GPM Conditions: 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe Z inches above pipe 1 Z inches total **If applicable: / andernand the system type (periled is different from the type specified on the application. / accept the specilcationt 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 lonstruNon Aumonzabon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stl AI Ill Slit SKLILH Authorized State Agent: % Date: D 11 3 / z a t Construction Authorization Expiration Date: ore /13 JZ.02Z A building permit cannot be issued with only an Improvement Permit SPL t 4 2y PROPERTY LOCATION:_ 444 Paqc� Or . Ui,l Ltc 4e ricii ISSUED TO: WH 011 C(A51(ru k 01) Se C. SUBDIVISION /1 J4 r4 Pon, NEW R" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 415 2 5 1= o C G n `tom C'&') Proposed Wastewater System Type: 25'/o M.d.X4-io� Sx , Projected Daily flow: `4 8 6 GPD Number of bedrooms: L-,,"- Number of Occupants: Amax Basement ❑Yes 2-1fo-- Pump Required: ❑Yes ❑ No ET lay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community �c El Well Distance from well feet ,� Permit valid for. rvI�'F a years Permit conditions: ❑ No expiration Authorized State Agent:: ate: D6 1 t 3 / Z O t '- 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 or conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1951, .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. $2 /429 ISSUED TO: L t!M &0 Its tin , Z 1% C' PROPERTY LOCATION: �v� Pcurd CE al t�,�azr. Q-.1 .� SUBDIVISION A e l Pct/� —V 10T # Facility Type: 452 9 2 New ❑ Expansion ❑lRepair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** L -S% (L.¢-c",vch; UM i5 2.5— ten— (Initial) Wastewater Flow: `Y2G GPD (See note below, if applicable ❑) 'ZS% Ilea a�Li -' ✓` 57.4'(- (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size l Z 50 gallons Exact length of each trench &b feet Trench Spacing: 9 Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, /d inches Maximum Trench Depth of: '- Z- inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDM vs. GPM Conditions: 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe Z inches above pipe 1 Z inches total **If applicable: / andernand the system type (periled is different from the type specified on the application. / accept the specilcationt 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 lonstruNon Aumonzabon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stl AI Ill Slit SKLILH Authorized State Agent: % Date: D 11 3 / z a t Construction Authorization Expiration Date: ore /13 JZ.02Z HTE# 1 q 'S - 41 q? 7- Permit # Z 155 -1— Harnett County Department of Pnhlic Health Site Sketch sn l,zs PROPERTY LOCATON: l��enT rune= ar ISSUED TO: L ?inn SUBDIVISION /a u� (� —� LOT # Authorized State Agent:sf5Mate: C> c l t 3 J z p t -4- -T 0 4-70 5u LTA(SI_ Z (1dna i /i. i�,U-„A l�; ZS�Jc7 rvr-' S� 5 i=,b ra v e c' � 7 Qg ,2 % V (_ Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: 1 l� l-U'V pplieant: V.7,M (�W� Address: Lv� -T AQ ean/, Date Evaluated: G G / I Z/ I Proposed Facility: t(32�' Design Flow (.1949): t/f�j Location of Site: Property Recorded: ,i' -s Water Supply:ublic❑ Individual El Well Evaluation Method: Auger Bo m ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: © . 9I IqC ❑ 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 Rear Horiz 1 i N`� W4fLl 14 Z e e5 34+ Z L y% D—i8 L4 sL�� A AR 34 o 3 L Li% 0-41 C/L jlk �f �s1P Ps Iz yo QrL Scj-F'S 7,sr2%G40t' 40 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Pro✓f �%'" Available Space(. 1945) Evaluated By: A Jrd-, C "v'-" System Type(s) a ae6 Others Present: Site LTAR ,!j p.