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IPACHTE# 1--) Harnett County Department of Public Health 29659 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: KPayn10(L Y't LiffriNB KC) ISSUED TO: k\G )'T) -N SUBDIVISION LOT # NEW REPAIR ❑ ERP SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S'F�D (X60( Proposed Wastewater System Type: &Vw RFZiacs0N Y3TErn Projected Daily Flow. 3 6© GPD Number of bedrooms: 3 Number of Occupants: ra max Basement []Yes -:15<No Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >< Public ❑ Well Distance from well feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: Qfo ij Date: Q � 7 SEE ATTACHED SITE SKETCH The iswance of this permit by the Health Department in na way guarantee ssuana of other permits. The permit holder is respon able 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 vement 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 Permjttfor Building Permjtt The commuction 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: GKILP'Jkca-KG \—)� PROPERTY LOCATION: R P-)7 ry o�M Gl— A "a 2G1— A "a 2» SUBDIVISION LOT # Facility Type: 209 w-(.0 New ❑ Expansion ❑ Repair Basement? ❑ Yes �R No Basement Fixtures? ❑ Yes '�KNo Type of Wastewater System" _ 2.S'laGO V G'C x 0s.1 SY S�G� (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) ,Set v Installation Requirements/Conditions Septic Tank Size k m o gallons Pump Tank Size a ood gallons (.s'F e3 EChor Pump Requirements: it. TDM vs. _ Conditions: ,Ar.o . z)y5. (Repair) Number of trenches ) Exact length of each trench 30 Q feet Trenches shall be installed on contour at a Maximum Trench Depth of 3 q inches (Trench bottoms shall be level to +/_I/4" in all directions) _ GPM Trench Spacing: `I Feet on Center Soil Cover: 16 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 inches total **If a plicable: / underztand the r}rtem Ve rpecibed it different /iota the type specibed on the app/ication. / accept the rpecilcationr of this permit Signature: Date: This Construction Awhoriza 'ect 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 Construction Amhoriution is subject to with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Fu thorized State Agent =�5 Date: h a 11 Construction Authorization Expiration Date: a9 '2,9. HTE# I7 -5 -Li 1440 Permit # 'i -q Harnett County Depailinent of Public Health Site Sketch PROPERTY LOCATON: Raynac� f1 c LAM.6 ISSUED T0: Gala r16n KG AIw SUBDIVISION �� LOT # Authorized State Agent: \\� i15 61((fit Tot Yytp(E} Date: 6 � aql l � 70 b L- LA- 'tDl1 6rL,D 66 Q -D `VNO P�\ IOU �UG Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: tS bt 1! Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method:kAuger Boring ❑ Pit ❑ Cut Type of Wastewater: AkSewagc ❑ Industrial Process Sheet: Property ID: Lot #: File#: Coe: Property Size: ❑ Spring ❑ Mixed ❑ Other Description Initial Repair System Other Factors (.1946): Systepd Site Classification (. 1948):'i5 Available Space (.1945) 1 V I Evaluated By: 6\ 5 stem Type(s):: '3 S /. Qrl 5y 5 Others Present: Site L I AR 3 N rl. ` AV, P R O F 1 .1940 SOH, MORPHOLOGY OTHER .1941 PROFILE FACTORS L landscape E Position/ # Slope Yo Horizon Depth (In.) .1941 Structurd Texture C, sL .1941 Consistence Min .1942 Soil Wetness/ Color G Poi s jL .1913 Soil Ih IN. .1956 Sapro Class .1944 Restr Honz Profile Class & LTAR � 0' G sl GL�oF 3 C1 t,��ey WTns L5 17ora a� 3h .3 a�x6 S3 x C1. VIP, s�a� u 2 � �aG 3 S" P.s o ate G 5:_ v "� PS Description Initial Repair System Other Factors (.1946): Systepd Site Classification (. 1948):'i5 Available Space (.1945) 1 V I Evaluated By: 6\ 5 stem Type(s):: '3 S /. Qrl 5y 5 Others Present: Site L I AR 3 N rl. ` AV,