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IPACHTE# 17 —'5-y**"Xq Harnett County Department of Public Health 29726 Improvement Permit A building permit cannot be issued with only an Improvement Permit n PROPERTY LOCATION: \4 11-1— S-voAS 6-J�h ISSUED TO: Cr.19ScLyd *L SUBDIVISION 'SW@F--yvc F2 LOT# _ NEW)X REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Pur nil aSla iZeo_Syg Projected Daily Flow: !=M Q GPD Number of bedrooms: L4 Number of Occupants: max Basement []Yes ><No Pump Required!' ` es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for. ><Five years Permit conditions: ' ❑ 110 expiration Authorized State Agent: -� Date: %.a 17 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o grouts. The permit holder is rsponable 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 Pe t 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 requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .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 t ISSUED TO: 1-91InN C. Cu a3S1"C'S s O N PROPERTY LOCATION: `rJ v� L Ly GA7 R fl SUBDIVISION Swe-m.4xcsrr_ LOT # Facility Type: Svc) U5 C� ' 509 New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** Pv M� 1 s -\,S %o (ZioRr( r%NC;N Sou i EavN (Initial) Wastewater Flow: LA 0 GPD (See note below, if applicable ❑) o/ py coq to Qs Yo R- (Repair) Installation Requirements/conditions Number of trenches T Septic Tank Size c © o o gallons Exact length of each trench 4i D 0 feet Trench Spacing: _ Feet on Center Pump Tank Size N C c gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of. N a-• inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: IT. TDH vs. GPM inches below pipe t, A regate Depth: inches above pipe Conditions: MItvavalVa OF (o Otr GOv&L NEGDED 014&2, DaDwa v&tors 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: /understand the system t)pe specified is different from the type specified on the app/icadon, / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This (onsvuclion Authorization it to t vacation 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 Authoriaation.0 wbied to comoliYn with visions of the laws and Rules for Sewage Treatment and Dimosal and to the conditions of this hermit SEE ATTACHED SITE SKETCH Authorized State Agent: 126-ts 5 Date: 1011 Con coon Authorization Exoiration Date: HTE# Permit # Z)'1—V ° Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: �I 1 Lv�gS ISSUED T0: P G aS v Lz 0 r SUBDIVISION 1 LOT #_ Authorized StaDate: 10116)j Iss X16 u5E � - z1q" SO�x50� 1ete�� D R J ISA,) -1 F— , 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: Address: Date Evaluated: Proposed Facility: Ir(3VA-n Design Flow (.1949): Lf Location of Site: Property Recorded: Water Supply: �KPublic❑ Individual ❑ Well Evaluation Method�:q Auger Boring ❑ Pit ❑ Cut Type of Wastewater: '51- 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% 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 L 5l Q z Q -lo C, SL VFR �vS!`t'P T_LN0 58x o vti o-� 5 Lr �- 9g K C* Fa s�sP R �$ t% 58x G VP,, 51? Qi L) C -5 \M 54( 3 � 56)4t, C f �F� 31e Description Initial R air System Other Factors (.1946): SysterV Site Classification (.1948)((3 Available Space (.1945) Evaluated Byp-� System Type(s) Others Present: Site LTAR