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IPACHTE# 11 -5-41-I41, Harnett County Department of Public Health 29689 Improvement Permit A building permit cannot be issued with only an Improvement Permit /� PROPERTY LOCATION: 0"ca STP6Cs P.a ISSUED TO: �oMFOQr, �,otnGg SUBDIVISION 0atFOo ohJoofl5 LOT# NEwW� REPAJft ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SF'D —t�'�30 Proposed Wastewater System Type: aS`/o TkiG0QCK1 V r Mv5:6r Projected Daily Flow: 3G0 GPD Number of bedrooms: 3 Number of Occupants: max Basement Dyes aK No Pump Required: Dyes ❑ No �,May be required based on final location and elevations of facilities �y Type of Water Supply: ❑ Community Pc/Public El Well Distance from well feet Permit valid for. ii Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: '413 1'T SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantee c oce of other permits. The permit holder is r sp�onsible 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 Im Yemeni Permit shall not be affected by a change in ownership of the site. This permit is subject m 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, .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 T0: —Ce e,S;O�r' K0 V'r---5 PROPERTY LOCATION: SUBDIVISION C,41eoao X14,003 LOT # 30 Facility Type: �,F�i`►'7 X36 ,� New ❑ Expansion ❑ Repair Basement? El Yes i No Basement Fixtures? El Yes No Type of Wastewater System" a S°� o p GovGS s U N ySS Grp (Initial) Wastewater Flow: 36 0 GPD (See note below, if applicable ❑) S°lw n ev 5 /S (&'J J (Repair) Installation Requirements/Conditions Number of trenches L Septic Tank Size to ect gallons Exact length of each trench '�QS feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 1"$ --.lLl 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: C—a- 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 applicable: l understand the system type specibed is different /mm the type specified on the app/icatim.. l accept the specifinwims of this permit. Owner/Legal Representative Signature: Date This Construction Authariaa6on is subje vocation i1 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 Authorization is b"ect to oomph wt visions 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: % 3 ) tiFtruction Authorization Expiration Date: '1-7. HTE# � S- t i11�1a Permit # o`cj "e Harnett County Department of Public Health Site Sketch ISSUED T0: r^ o onCS PROPS B VISIOLOCANN_OX"aZ S� i 600-5 LOT # 3a Authorized StateAgent: 1S14L,�f22 iou�SnoRF Date: -8 1.31 1� -4 t -►6 GLfA2GDoN G -S STUa ' el UMg)ft6 HG¢G R 0 6 C 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: LOM jO/f 110-"1i6 Address: Cnc CY.rd u-C.LAS t_D( SO Date Evaluated: 041 Z'T I I Proposed Facility: 332- 5 Fp Design Flow (.1949):6p GP n Location of Site: Property Recorded: � Water Supply: ublic❑ Individual ❑ Well Evaluation Method: Ter Borin ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: I . q A c- 0 ❑ 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 .1943.1956 Soil Depth (IN.) Sapro Class .1944 Restr Horiz I L 3o a-za (X 6L W- W -- �5 ;0& 0/6 5U- (f l4 -7-3Id11dF SV' e&f D. 0-1$ (4 We( SAY v PS ,3 L ay6 a- o cmc k 5ssry v i© -ILS, va oaa G ;I, VRL Nsj`c 1.1 t5-40 53x C4 s3)5P lvy2�)aP_' P5,1 0-30 �7_ S4 3a`il spxwc:, t=n ':5 � ,fir � -3C 3iJt Ga aj Description initial Repair System Other Factors (.1946): System,/ Site Classification (.1948):4-5 Available Space (.1945) Evaluated By: 0\ System Typos) /a Others Present: Site LTAR +y A