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IPACHTE# �gllgq Harnett County Department of Public Health 29582 Improvement Permit A building permit cannot be issued with only an Improvement Permit SL d44f \ PROPERTY LOCATION: Sy5 Ge e65 C inK Pr^- (Cln,4be ile- 5spn ISSUED T0: ,OrAQa-4-- L1(j.aiS, =0c:-- SUBDIVISION C -, L - n✓ LOT # NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3geL ( Iy. 61,K 3C', S t -b Proposed Wastewater System Type: Z,6, o 5 » . Projected Daily Flow: •3 h O GPD Number of bedrooms: 3 Number of Occupants: Amax Basement []Yes Pump Required: []Yes ❑ No D4i­y be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 0,� Ppbfic ❑ Well Distance from well feet Permit valid for. ( I�n Permit conditions: ❑ No expiration Authorized State Agent: l/ Date: 0-1/ u / u L-7 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 it responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject m 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 Lave and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The commission and installation requirements of Rules .1950, .1951, .1954, ASS, .1956, .1951, .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 TO: Con or L ►k attcs . U7�c PROPERTY LOCATION: 616 Ctc-65 d,:]! pr., /i i avLe lc s4,r,n ctd-) SUBDIVISION Ccrs6 L', n✓ 04 e — T a/S' Facility Type: gotC4z,6'lca(l) Sr`b l3illiew ❑ Expansion ❑ Repair Basement? ❑ Yes EJ --No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" ZSia 0,-i C3 . 5 a 4 Ae- � (Initial) Wastewater Flow: :3 GPD (See note below, if applicable ❑) Z5Io s1, -..l c.s,.o � S,s �c_� (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 10C>0 gallons Exact length of each trench ay feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: I B inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDM vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: 6 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 SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. G inches below pipe Z inches above pipe s z inches total " ff applicable: / underztand the system type specified it different from the type specified on the applicit on. / accept the specibrutiom o/ this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the sift 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 Authorization is subject ro 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:��s Date: v� / u (u L 1 Construction Authorization Expiration Date: u a / Zo / Z lC5 Zz HTE# l } — S — LI 1-1ci 4 Permit # Z Cl S8Z Harnett County Department of Public Health Site Sketch sn r V L/ PROPERTY LOCATON: LrnK D ISSUED T0: .rn�cf�[. 11/r.�,��sn/c SUBDIVISION Ca;66 L:ii1L Q`kc � - LOT # _ L/ GY M"� / LO / Z-6 1-7 Authorised State Agent: �rih_.✓�i��•5�5 Date: "I M,a M n --....n A^�A Z(3 �z.1`X36t r3xcp ty� IIge tot' I G!t-0 5S L t rJ K— tJ !L % v 4 N N 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•. (,&OC014 FIUHLS Address: Go f V-4 _C(4J3s t, A/` Date Evaluated: O-4 o P/ / T Proposed Facility:.gg2 S Design Flow (.1949): ✓jZO Location of Site: Property Recorded: AE3 Water Supply: ublic❑ Individual ❑ Well Evaluation Method:�ug-er Bop' ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: b • 56� 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 L1 &; d' � GQ SL Fi(f Z t 10o b -l(, If 3 y%v (2-11 5� Fr( 5g� vlPs I'i-3�l 3�C s� i l y�'y 1 �y�i����Z`�t I 34�' c�• 5c 2Z-� 6li SGL )"( q 0+ G. Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): vOSUt�lt�p\�/�fOV1SiCY4G�t�\� sihh�s-�G Available Space (.1945) Evaluated By: System Type(s) ' `o Others Present: 1-t {1 U (Y,�A -�. C. Cr In t e&5> %5 Site LTAR. 0-14