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IPACHTE# I-5-4a4rs� Harnett County Department of Public Health 29243 Improvement Permit A building permit cannot be issued with only an Improvement Permit ISSUED TO: cSUr As—it6W.5 PROPERTY LOCATION: 2<. 1- a"I"Z Iv b /Cda (`02 2aN� NEW ❑�SUBDIVISION LOT # REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '13L- Ga `x Sae S= Proposed Wastewater System Type: 'ZS jo 'LC' -k_ C �Z - s Projected Daily Flow: Y f3c� GPD Number of bedrooms: —I/ Number of Occupants: `� max Basement ❑Yes L:1.N6 Pump Required: ❑Yes ❑ NoaL91l'-y be fired based on final location and elevations of facilities Type of Water Supply: ❑ Community Well Distance from well Permit conditions: het Permit valid for.vC}Pve years ❑ No expiration Authorized State Agent.: / � Date ie hal The issuance of this permit by the Health Department in no way guarantees rlhe issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies ATTACHED ED SITE eir SKETCHnn. This 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 site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and ro conditions of this permit. Construction Authorization The construction attached and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .195 , .11red 9 8. andr.169591aam incorporatedbyby references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED 70: S2QL T \ �a PROPERTY LOCATION:a r,r ntc 4 Mb !i1 Sri Goya ) SUBDIVISION `r Facility Type: H32 C av x S�� �Aew ❑ Expansion ❑ Repair LOT # Basement? ❑ Yes E; -NF— Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** ZS% .rc_'16 (Initial) Wastewater Flow: �` (See note below, if applicable ❑) fJe� GPD Z-5 o�5 af�1=1!)A (Repair) Installation Requirements/Conditions Number of trenches Z— Septic Tank Size vCYx> gallons Exact length of each trench qO feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of 7- C6 inches (Trench bottoms shall be level to in all directions) +/-1/4w Pump Requirements: ft. TDH vs. _ GPM Conditions: Trench Spacing: Feet on Center Soil Cover: / inches (Maximum soil cover shall not exceed 36" above the trench bottom) ? inches below pipe Aggregate Depth: A+A inches above pipe 'u, A inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable- / undeataod the system type specified is different from the type specifAed on the application. / accept the rpecifcationt of this permit Owner/Legal Representative Signature: This Construction Authorization u subject to revoution if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when theretheis a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Lave and Rules for Sewage Treatment and Disposal and co the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ��� Date: Iv —v'o701'� � C-v2rt,a-J Construction Authorization Expiration Date: LC- HTE# -y a 4(,a Permit # � `� U Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: yZt1) ,L « ra,,,,b rZ.A (52 2044 ISSUED T0: 2� Seo t SUBDIVISION LOT # Authorized State Agent: 4v9rG4g-.J c �CrGi Date: 1yI ac, /ao1-;� 2ti.y t,30 — MGLA.a..�13 rzc� Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On -Site Wastewater Section Property ID: Lot #: SOIL/SITE EVALUATION File #: for ON-SITE WASTEWATER SYSTEM Code: x/11 4c ,j Owner: Z�W-6-.Applicant � qz->C�\ Address: 44 ry�r- -�w� Date Evaluated: t l C4 Proposed Facili Design Flow 1949 Location of Site: LJ2- S '45 g (' ) `% Gds, Property Size:(y Property Recorded: ciG54A� ZSF� Water Supply: Property Individual Evaluation Method: Well El Spring ❑ Other. �U L� ❑�rtiger Borin ❑ pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process4S I- E ❑ Mixed R O F SOILMORPHOLOGY 1 L .1940 .1941 OTHER Landscape Horizon PROFILE FACTORS E # PosSlope Depth .1941 .1942 Slope % (In.) Structure/ .1941 Consistence Soil Soil Wetness/ .1943 1956 .1944 Profile Texture Mineralo Color Soil Sapro Restr Class � S � c,'tio th (IN.) Class Horiz & LTAR J y -G 6 G2 65 ✓rl SSfp� P 4� v. V-4 SAI L 4-6°t, I© -ft IG L5 I ✓LR fsiPy j Y�_P' L v -&i j 0-3Y f,,Z_ LS ✓liCSSi`y Ps 34Ua 6C sw /�pr� 7-sYQ -77rr. Other Factors (.1946): Site Classification (1948): tiLL) f✓ .� bti Evaluated By. Others Present: 0--b C err; r R�,qs