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IPACHTEHarnett County Department of Public Health 29739 ImDrovement Permit A building permit cannot be issued with only an Improvement Permit Q PROPERTY LOCATION: DoE G'. _I hO ISSUED T0: �Oy6 / L NS SUBDIVISION C.No Cc .v s L.N LOT # it - PN NEW' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: bVC) C7,jy'xy� Proposed Wastewater System Type: Projected Daily Flow: rail 0 GPD Number of bedrooms: &- Number of Occupants: _4 ax Basement []Yes 'g No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >� Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: i o 131 I I-) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance other permits. The permit holder is resllunsible for checking with appropriate governing bodies in meeting their requirements. This site is subject be, 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 to conditions of this permit.. Construction Authorization squired for Building Permit) The construction and installation requirements of Rules .1958, .1957, .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 ISSUED T0: Re p.r6y �tL1 3-.5 PROPERTY LOCATION: ..O E Co L-,-),4 S 99 9 SUBDIVISION Coo Co f->- i> 5 L -as LOT # Facility Type: SF"Z) p x i�� A New ❑ Expansion ❑ Repair Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" C.ov-4,46 rSlow L (Initial) Wastewater Flow: ay© GPD (See note below, if applicable ❑) Co at -4 6-'eC O N Dv t.. (Repair) Installation Re uirements/Conditns Number of trenches Septic Tank Size1�gallons Ll Exact length of each trench -1$ feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 11 "3.0 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. C inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total "If applicable: / understand the system type spealed it different Imm the type specfled on the application. / accept the spe6hinadons of this permit. Signature: Date: This Construction Autboieam" ro revoati d 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 Authorieationt ro com`plMhc�ms of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: y<< QF - Date: Authorization Expiration Date: 101ll 11a HTE# Permit # 3A Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: S o E C.o ut-. NS ISSUED TO: r SUBDIVISION C.aa CgLt-1 e,s Lr+ LOT # ��Dc Authorized State Agent: `lb LOONCLDate:V 01 .311)7 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: M).,O) o Proposed Facility: a. 1901"" Design Flow (.1949): D,4o Location of Site: Property Recorded: Water Supply: 12,�ublic❑ Individual ❑ Well Evaluation Method, AugerBoring ❑ Pit ❑ Cut Type of Wastewater: 29 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/ .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz System Type(s) L.7 a -s Others Present: +Texture Site LTAR 3 11yV sgt� C- F25(P is •3 7 O ti 3 G t VFiL v t4 i3_3q �I< C_ �r PS s Description Initial Repair System Other Factors (.1946): System/ Site Classification (.1948): e Available S ce(.1945) Evaluated By: o"` System Type(s) C.) v coe Others Present: Site LTAR 3 I.1+-1 d e d �A .