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IPACHTE# I%-5 ��°� Harnett County Department of Public Health 29702 Improvement Permit A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: g2oRaDl:Ay x" ISSUED T0: y v co.vflE C.4U'i SUBDIVISION C,i n_4aN NAM &-- = LOT # NEWX REPAIR ❑ EXSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Syo 06-r.,:31 r.,:3 J Proposed Wastewater System Type: C o "'JG Z' o N Az - Projected Daily Flow: 36© GPD Number of bedrooms: 3 Number of Occupants: Co max Basement ❑Yes 'KNo Pump Required: []Yes ❑ No 'May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ,'mow Public ❑ Well Distance from well feet Permit valid for. Permit conditions: Authorized State Agent:: � ' \ Amt The issuance of this permit by the Health Department in no way guarantees the m site is subject in revocation n the site plan, plat, or the intended use changes. The Impn the Uws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: XFive years ❑ No expiration SEE ATTACHED SITE SKETCH other permits. The permit holder is r{ponsible for checking with appropriate governing bodies in meeting their requirement. This vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Per�itl The concoction and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: y UC 0 6Q& C'IU -I- PROPERTY LOCATION: OaaOcS7rsA � O SUBDIVISION Cats14cZZE.P- LOT# Facility Type: `JFD 00 -' nO X New ❑ Expansion ❑ Repair Basement? ❑ Yes �E4 No Basement Fixtures? ❑ Yes X No Type of Wastewater System" co..rvgast urtp.t_ (Initial) Wastewater flow: 360 GPD (See note below, if applicable Cl) (—"q H -1 f -I'm to N ch, L (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size %o00 gallons Exact length of each trench ► 60 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 36"1$ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft, TDM vs. GPM Conditions: Trench Spacing: r Feet on (enter Soil (over. aH-% inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total 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. **If applicable: / anderstaord the system type specified is different hom the type specified on the application. / accept the rpealcatianJ of this permit. 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 Authorization is subject tom with the wons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: tV Date: 8 Z o ion Authorization Expiration Date: $ p— HTE# Permit # QL90 , Harnett County Department of Public Health Site .ketch PROPERTY LOCATON: li�6tAE\ID,4f�i ISSUED TO: yU Co rc C�'LU 1 SUBDIVISION LOT # -S Authorized State Agent: Date: 8I�D7 Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated:-%�X,)1 Proposed Facility: gsQeNF\ Design Flow (.1949): 30b Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Metho An or Boring ❑pit El cut Type of Wastewater: 5a Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% is Horizon Depth (In.) SOIL MORPHOLOGY l941 .1941 '1941 Structure/ Consistence Mineralo OTHER PROFILE FACTORS .1942 Sod .1943 .1943 .1956 Wetness/Texture $0i1 Sapro Color th (IN. Class .1944 Restr Horiz Profile Class & LTAR Description Initial Repair System S ste Site Other Factors (.1946): Classification (.IZ4 Evaluated B Others Present— Available 5 ace(. 19 5) S stem T e(s) co 1j V Site LTAR