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IPACHTE# ) -� -S-LI) &-�a Harnett County Department of Public Health 29656 Improvement Permit A building permit cannot be issued with only an Im erovement Permit �_ t� PROPERTY LOCATION: f�CE PYaO � I6LAS L ISSUED TO: Ptic—.6sSa0N VS'otn SUBDIVISION Stu MM&Ls-Na LOT # 7. NEW REPAIR EKINSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: r+C^O t s5 x35 Proposed Wastewater System Type: Pu .wu o . VksM a to Projected Daily Flow: 4+*6o GPD Number of bedrooms:14 Number of Occupants: $ mx a �{ Basement ❑Yes ,c{No Pump Required: ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: ❑ o expiration Authorized State Agent: :7�QLGN'L5 Date: C I2 -3I T7 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t of other permits. The permit holdef is responsible for checking with appropriate governing bodies in meeting their requirements. This site u subject to revocation if the site pian, plar, or the intended use changes. The Impra em 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 shill be mec Systems shall be installed in accordance with the attached system layout. p ISSUED TO: VO -6—c'15 �o,.r \a6M&5 PROPERTY LOCATION: Q% NIFPaskE S n-Att^ SUBDIVISION LOT # '4 - Facility Type: S ''O L'11S '`3�� New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 9" ""? 'T0 15-0[6 RGOvC, s 0 4 S y> (Initial) Wastewater Flow: yR 0 GPD (See note below, if applicable ❑) Pu cr%pT—o &sYo 4D'6D (Repair) Installation Requirements/Conditions Number of trenches L Septic Tank Size t °' gallons Pump Tank Size Ieaoo gallons Pump Requirements: (t. TDH vs. Conditions: Exact length of each trench 'ZOO feet Trenches shall be installed on contour at a Maximum Trench Depth of: a LJ inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover. 12 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type speciled is different from the type speciled an the application. / accept the specAcatianr of this permit. Signature: Date: This construction Authorization ss to revoado if the site plan, plat. or the intended use changes. The (onstrumon Authorization shall not be transferred when there is a change in ownership of the site. This construction Amboriaa( sInject t lance [% )siom 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: .-3 «ion Authorization Expiration Date: a3 laa, NTE# I-1—rj—'L4I6LAl Permit # x9656 Harnett County Department of Public Health Site .'ketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: Cl Pf0,0\E SQPL- F--f> ES SUBDIVISION Sync Eli -Int j LOT# a bLiv6(L i o�egoe{iS� Date: t I x-31 r� \ A \ D(Lf D� HaasE \ la -1, ' Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On -Site Wastewater Section Lot p: File p: SO"ITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: �- Address: Date Evaluated:�i� Proposed Facility: '— ... Design Flow (.1949): Property Siu: Location of Site: Property Recorded: Water Supply: © Public❑ Individual ❑ Well ❑ Spring ❑ other EvaluationMethod:0 Auger Boring ❑ Pit ❑ Cut Type of Wastewater: __Q Sewage ❑ Industrial Proem ❑ Mixed O I _ I I SOIL MORPHOLOGY I rinrRR t .l'V" L Landscape E Pmbcu/ s slope % Horizon Depth (In.) .1941 Stmctard Texture .1941 .1941 Cq sisasce Minaralmy -PROFILE FACTORS 1941 Soil .1943 .1956 .1944 PmHle Wetness/ Soil Sapro Rear Class Color Class Horiz & LIAR L 1 n Description Initial Repair System Other Factors (.1946): S Site Classification (.1948): Available S S (.194.Evaluated By : es 71i Others Present: - 1C—G �'4s�Yo'�rx�