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IPAC R1I---'> -14D-mss:L 29777 HTE# 11-5-46 tii�2.Harnett County Department of Public Health hDrovement Permit A building permit cannot be issued with only an Improvement Permit S`L 14('C., ` PROPERTY LOCATION: i -D, 4-A Cpt, gn,1 Ln . �GId S {cY st-�-. 5.1 ISSUED TO: 1 L'3 i 11x Cors SUBDIVISION`a .:.s LOT # NEW f� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Const tion Authorization Issuance: Type of Structure: 325.2 14 aY-1o' s;t� Proposed Wastewater System Type: Q6 - Projected Daily Flow: 3 (. Ce GPD Number of bedrooms: Number of Occupants: G max Basement ❑Yes L�"tt�o Pump Required: ❑Yes L9'No ❑ May aired based on final location and elevations of facilities /' Type of Water Supply: ❑ Community 11 Well Distance from well feet Permit valid for. IvG3'F a years Permit conditions: ❑ No expiration Authorized State Agent: �`�i1 Date: + Wit) tT atom SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guanntees the iuuance of other permib. The permit holder is responsible 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 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 Reouired for Buildin¢ Permit The construction and installation requiremenb of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in aaorelance with the attached system layout 52 ISSUED T0: a-* 0z;j L,3 11i�r PROPERTY LOCATION: Zj, n el Q�nn Ln. Cc-,lc1 S!- ty xXl,t �u SUBDIVISION iL:c1Cs = ,vim. P cam, LOT # 5;e Facility Type: 33 t 5,,s'44 ( 2) LY New ❑ Expansion ❑ Repair Basement? ❑ Yes2" to Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** a 5 5p 2� a s ca -.w (Initial) Wastewater Flow: 3(oQ GPD (See note below, if applicable ❑) ('Qt14 fe c: st5%-* 2(Repair) Installation Requirements/Conditions Number of s Septic Tank Size t oc e> gallons Exact length of each trench tic; feet ' Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C inches Maximum Trench Depth of: 142) inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe 0 L�-fox i�I:• Aggregate Depth: - — inches above pipe Conditions: an c -ca 4.,aK 2;7 ,cam\ a;�� � �� inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type speeded is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The tonstrunion Authomation shall not he transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the lames and Riles for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: IQl I t I 2ts14 kV -4 2) Construction Authorization Expiration Date: I '� (ss I acya 1� - S - �/a�i�5 cz.• HTE# ?`f$2 Permit # Harnett County Department of Public Health Site Sketch 52 vtl PROPERTY LOCATON: 1�� ra CiIuS i 1 n lri w t[ta so ISSUED T0: 2:c ttti SUBDIVISION a.,oC•-� Sine -k— Pay. LOT # Sy Authorized State Agent:Date:I iv (1 I� • S Y's t t- -y( n7Lv,Iee-� Voc I Jerk Se��C�L cYZ�;�,.�,s1 IJ M I I d ¢,ckts 7 if Pcv�e by s'ronS � � �:t� I a J MGv-tlF� �C_ SYi plc �� tQ J I t c1S�t�o r\ da J � 2et, I7 . w I I 3&Z, 5LzrAia III 7 Q I I 2Era� �T�o w tj x N J \ da 2et, . w I I 3&Z, 5LzrAia III 431 !� I o"t 6r- c., Q v t '� t� r> .� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner:l[.aj 4*P4'A�licant: 2;mleJ A/m/ni'-d Address: 44 U &h 4ulee (-A Date Evaluated: pg/u y/! Proposed Facility: aa(L 5�M/F-.Design Flow(. 1949):. Y p Location of Site: Property Recorded: ,106 Water Supply: ublic❑ Individual ❑ Well Evaluation Method: ager Boring ❑ Pit ❑ Cut Type of Wastewater: wage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: (t'�� kC ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E q Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy 1942 Soil Wetness/ Color ,1943 Soil Depth (M.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR r8 -3Z /f� SGC �� ,f � f� �, i�'/ � 3� �•'i o - Description Initial jRepjairSystem Other Factors(.1946):S stem Site Classification (.1948):Evaluated By: /�1S stem T e(s) t-� w Site LTAR Others Present: Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: W,'(IApplicant: �Lttj wV(ikl Address: /�J}� t{2f Q.a�" (.rL Date Evaluated: 0 j /D Proposed Facility: 1L I� Design Flow (.1949): (06 Location of Site: Property Recorded: Water Supply: 5ZPuhlic❑ Individual Well Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: 12 --sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: (t,95 [I 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 Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz 1 G -1B 611 S- t'5 is -yo 0/l c f1SPS Z.5►'Q �3�n q04 y Z �,-36 6� fGG �f P5 ZSY� 4'i 3Gf 0. DescriptionInitial Repair System Other Factors (.1946): S st Site Classification (.1948): P Available Space (.1945) Evaluated By: AAdrev,y System Type(s) ° "' Others Present: Site LTAR 0.