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IPACHTE# —6 Harnett County Department of Public Health 29205 Imarovement Permit Pump Required: []Yes Type of Water Supply: Permit conditions: ❑ No 'CI May be required based on final location and elevations of facilities ❑ Community G uublic ❑ Well Distance from well feet Permit valid for. Fars ❑ No expiration Authorized State Agent::�s��% Date: 0011 % zo r� 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 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 as 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 .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance with the attached system layout ISSUED TO: W n in PROPERTY LOCATION: 34£5 AQLS4 PCand Jac . 414wlxly.tk.V SB rya9 SUBDIVISION AJPAa 0ey*1 LOT# (v c) Facility Type: yg2 60'.x L,01 S• ©—Ie—w ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 2 s/o tZc C1 ,vim@ 'ori S s . (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) 255v tLe...l S�Z s _ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size /a cac-�> gallons Exact length of each trench feet Trench Spacing: `/ Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 8 inches Maximum Trench Depth of: 'o inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: inches below pipe Aggregate Depth: a inches above pipe I a inches total 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. **If applicable, l understand the system type speciled is different from the type speciled on the application. l accept the rpecihcatims 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 Authorization shall not be transferred when there is a change in ownership of the site. This construction Authomatio s is Authorized State Agent: with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: C*5/ i 4% t om Construction Authorization Expiration Date: v6/t-4l da A building permit cannot be issued with only an Improvement Permit 11��, PROPERTY LOCATION: `Sx 1 A�, e., 0086 0c . �Cb�l lyulLi /(cal Sd I iQe)l ISSUED TO: �b�' 56 LrE "m SUBDIVISION A�erI 0 LOT # NEW 2�- REPAIR ❑ EXPANSION ❑ _(10— Site Improvements required prior to Construction Authorization Issuance: Type of Structure: z/'32 !�p`ac LGs 5 r="� Proposed Wastewater System Type: 4,5in Cfe,� Lb cs n, 524 . Projected Daily Flow: vav GPD Number of bedrooms: `f— Number of Occupants: "v max Basement []Yes E No Pump Required: []Yes Type of Water Supply: Permit conditions: ❑ No 'CI May be required based on final location and elevations of facilities ❑ Community G uublic ❑ Well Distance from well feet Permit valid for. Fars ❑ No expiration Authorized State Agent::�s��% Date: 0011 % zo r� 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 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 as 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 .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance with the attached system layout ISSUED TO: W n in PROPERTY LOCATION: 34£5 AQLS4 PCand Jac . 414wlxly.tk.V SB rya9 SUBDIVISION AJPAa 0ey*1 LOT# (v c) Facility Type: yg2 60'.x L,01 S• ©—Ie—w ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 2 s/o tZc C1 ,vim@ 'ori S s . (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) 255v tLe...l S�Z s _ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size /a cac-�> gallons Exact length of each trench feet Trench Spacing: `/ Feet on (enter Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 8 inches Maximum Trench Depth of: 'o inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: inches below pipe Aggregate Depth: a inches above pipe I a inches total 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. **If applicable, l understand the system type speciled is different from the type speciled on the application. l accept the rpecihcatims 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 Authorization shall not be transferred when there is a change in ownership of the site. This construction Authomatio s is Authorized State Agent: with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: C*5/ i 4% t om Construction Authorization Expiration Date: v6/t-4l da HTE# S - S - g 190 7 Permit # a 9 a Os Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 3`/b A erg ISSUED T0: SUBDIVISION Qv.. Pu,c! si,r, LOT # C- O Authorized State Agent:���� �� Date: 1-4 I 462 (sol r 60' g33H' P"xEo-Y PO(L\OF Pu„P tnu,3 lic. r,Z„,rxzd bo.xd on C;,,k elt utk'��.q � Of pt�vnb: n7 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: Lam'`''" 46,151. Ln r . Address: LW --"j Pc.^z. LCA (Cc, Date Evaluated: 0101A.j I } Proposed Facility: Y,32- 5,c47 Design Flow (1949): Location of Site: Property Recorded: Water Supply: �,—,, A��. ublic❑ Individual ED Well Evaluation Method:�uger Boring-- ❑ Pit ❑ Cut Type of Wastewater: ED --Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size:0,6 `* A C— ED 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 1,3 L2`i� o-ly GZ�5 ✓ fS� V C'S 14-3cb lit( k`/L Z �YGIIIIC0-3r1° 38+ a� la -4o ��. 5"1 F/ fPf - 6Y ;i,03r' Yc5t U S/ Description Initial Repair System Other Factors (.1946): a S stem Site Classification (.1948): Vr)SJs-t4&Z[_./iic✓is,�n<A� 5...1,4le AvailableS ace(.1945) Evaluated By: AL,1t�lb.,J Curri System Ts) Z Z� /LGdi Others Present: Site LTAR p,