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IPACHTE# 11-5-41361 Harnett County Department of Public Health 29592 Improvement Permit A building permit cannot be issued with only an Improvement Permit // PROPERTY LOCATION: 61 u f Ek,.v5 f u . ( 52 y r/3GJ ISSUED TO' �OVi� Cn /czln l7G,hr/ LLL SUBDIVISION LOT # 3 NEW films REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: .3®2 Oaf X5$1 Proposed Wastewater System Type: 7-0 Lob rC talc S Projected Daily Flow: 3(o d GPD Number of bedrooms: 3 Number of Occupants: —C—max Basement ❑Yes © No Pump Required: Dyes ❑ No Type of Water Supply: ❑ Community Permit conditions: aLJ'M y b�quired based on final location and elevations of facilities L Public ❑ Well Distance from well feet Permit valid for: 2Tiveyears ❑ No expiration Authorized State Agent:: Date: o S/ a t / -z-c't 4 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iuuance of other permit. 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 to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .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: 6yak<n %Ow -h />✓o xis, GiG PROPERTY LOCATION: YG[414os " e; SlC iVSC) SUBDIVISION LOT # 3 Facility Type: VIZ III x531 5 ale -w ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" Z5io r n 5>J44r -, (Initial) Wastewater Flow: 9G 0 GPD (See note below, if applicable ❑) eyrAr L> zs%0 & ky'l- a s_, (Repair) Installation Requirements/Conditions Number of trenches 5L Septic Tank Size 10 Co gallons Exact length of each trench 45 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: /0 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDH vs. GPM Conditions: Trench Spacing 9 Feet on Center Soil Cover. G inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. 6 inches below pipe 2 inches above pipe t'f-- inches total I( applicable / understand the grtem type tpecfled it different from the type tpecif2ed on the app/ication. / accept the rpecillcationr 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 Authorisation shall not be trwuferred when there is a change in ownership of the site. This loAalrll[tlon Authomason is subject ta 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 Date: c>t3/0z / zot -4 Construction Authorization Expiration Date: ug/c,-0 wz-z— HTE# Permit # 2 9 69z Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Yy1 K LEI,t —< 2A . (51t I V 3 6 ) ISSUED T0: �i+ tkrn ?� c 1. 110 �i� , tic. SUBDIVISION LOT # 3 Authorized State Agent: �� Date: oBl6z / zut AN ryR �w C- rt N tCIO •z4' i i Pu MP � O Z$%v IQt Lrlaa ias+ v7- r Plk Amt=—A 2 Z 6r _ bN Lo 'r rq a> s N G P I V .t C.7•0^� S� I Ir J -'S (_µ� (�2pPOSa to N 14o,3s.= Barr 41 N ) µo C' t5O -44+ MA-rTAMa S rLT�, CsrL IL/3G) Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: -'--- ippplicant: Zl� ✓: L -e- -2-Trl-ti— Address: " ti -Address:(, SA44Lt- 6 &S R Date Evaluated: 61f3r(l'� Proposed Facility: Suet 31ra✓ Design Flow (.1949): 3(;O&M Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method:[q<kuger BBoy' g ❑ Pit ❑ Cut Type of Wastewater: [fr Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: i(04c. ❑ 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 Mmenilogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Salim Class .1944 Restr Horiz 1 LZ% or✓ Ls VR Site LTAR 0-3 O. 3 G'33 IDK CUEiI �S� 7.Sytflb93itt l�1Pb 33+ ikrrn{, httil ( tiµKr 3 3 0.3 oy 3 ' L zi U-8 &,4 Ls 'Ilk fyif<i 5Z4 l QG Wi3 3 _Z v. �i L Z% 0'6 GZ L5 W/ 0-33 1K 4AY r -1f 5� /1 7, S& -7f 33+ P` w AHI — 33 Fj•3 Description Initial Repair System Other Factors (.1946): System_ Site Classification (.1948): Pr'ev��i oam l� 5✓>F<b/-��CJitS�+r TR`!L. Available Space .1945 Evaluated By: Others Present: !� rtlic ro_- C-orr,'n , !J�/,fS System Te(s) 2 3 Site LTAR 0-3 O. 3