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IPAC RHTE# 1'I 5 - u Harnett County Department of Public Health 29234 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:_ Z63 4 e_r� QC,��Y pn ISSUED T0: a c L' er o SUBDIVISION i ive NEW EPAIR ❑ EXPANSION ❑ LOT # '3—!- Type of Structure: a cco L _ Site Improvements required prior to Construction Authorization Issuance: Proposed Wastewater System Type: ZS%, 4e4 1 - n S � Projected Daily Flow: 3r, o GPD Number of bedrooms: �3 Number of Occupants: 6 max Basement ❑Yes L7ryo Pump Required: ❑Yes ❑ No 2 -ay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community I�ic ❑ Well Distance from well feet Permit conditions: Permit valid for. ve years ❑ No expiration Authorized State Agent:: r gam,, jG� Date / y/ 13 as rR The issuance of this permit by the Nealth Department in no way guarantees the issuance of other permits. The permit holder is responsible fm chedin with co date SEE ATTACHED SITE SKETCH is site is subject m 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 appropriate permit is a bjectsto compliance in meeting with the rprovisssionshof 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 Auks .1958..1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordance with she attached system layout ISSUED TO: I- 3Or, COns�JC `urt =,, r PROPERTY LOCATION: aS'3 Aj a. �aP nd 9 SUBDIVISION I/ LOT # Facility type: o X Ga 5 a=t, ❑ New ❑ Expansion ❑ Repan Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" a '- tie s, uEtor_ 5 (See note below, if applicable ❑) (Initial) Wastewater Flow: 3C O GPD A — t a,lP 6 S (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /'Wc� gallons Exact length of each trench ao feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of.- 80 inches (Trench bottoms shall be level to +/.I/4" in all directions) Pump Requirements: ft. TON vs. _ GPM Conditions: Trench Spacing: 7 Feet on Center Soil Cover: Ea� 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. "If applicable- / ondeatand the s}otem type speciled it different hvfn the type specified on the app/kation. / accept the .rpecilcations o/ thif permit Representative ims tonstruction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authmmion shall not be transferr Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: 4^+rxt,;7a C_t-a2.,w Construction Authorization E Date: is a change m ownerhip mf the site. This SEE ATTACHED SITE SKETCH Date: 131 a o t tion Date: _/0/t3 / aoaa HTE# I-4- 5 —4 a�;4`i2 Permit # 'a+c4 -as 5/ Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 2,'-3 q Benz Pon�1 �c ISSUED TO: >aA nn —SUBDIVISION Amu-,, 9> „. ' LOT # . 7� Authorized State Agent:ate: t U 1 t3 /;totem Ix i \ U� cam'' G / v N% foo` v�ot t3 JN dw- o Oa Gai ' 5y,. 332 sx%> t�15e5� Av S4 -t -Y 47aan o2t_ L A 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: W on C_C'n5trtX�Jle . �. Address: Qv[� PGA( 404, , Date Evaluated: I o/��Kf I I Proposed Faci}(ty: r„/ q' t Design Flow (.1949)/✓ Location of Site: �/�Y� �!r-�' Property Recorded: Y3 Water Supply: j2 rublic❑ Individual ❑ Well Evaluation Method: [1,Airg—er B ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: (Z" - �eD Property Size: ❑ 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 Mineraloav .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz L kA, 0-18 ca L5 14Z ��� Ps 1$-5 3,1 sLt 3Gl v� ark ias is Gff L5 ✓r�ty,! 5aC2. n� 41- 3 v a-sia o -1s rte- �s ✓/aZ �if� (2- 5 L-;1-57> 0-a" ✓le fYP✓ Ps su- %/ s if r4 `I,5`�2a1,� 3s3" o, y Description InitialRepair System Other Factors (.1946): S stem Site Classification (.1948): �jrt5v%�hfG��ro �t3�o ralLj Svi� Available S ace (.1945) Evaluated By: System Te(s) Others Present: Site LTAR p, . r(