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IPACHTE# Harnett County Department of Public Health 29866 Improvement Permit A building permit cannot be issued with only an Improvement Permit �16 PROPERTY LOCATION: ` & —t tuff ljr,C5 Q— -YISSUED T0: / c� ttlCo C -5{x t jd5 LLC SUBDIVISION w Yc n,� t 4 \` S LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: _ �lhrL GD�Sit. 41 r Proposed Wastewater System Type: = % a .j Projected Daily Flow: 2S GPD Number of bedrooms: Number of Occupants: So max Basement []Yes Pump Required: E3 es ❑ No ❑ MMay bemire a—,red based on final location and elevations of facilities Type of Water Supply: ❑ Community 9 u is ❑ Well Distance from well feet Permit valid for.21i—ve —years Permit conditions: ❑ No expiration Authorized State Agent:� Date: // CV f I t3 �� ac>V P SEE ATTACHED SITE SKETCH � The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. 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 (Required for Building Permit) The construction and installation requirements of Rules .1950, .19S2, .1954, .1955, .1956, .19ST, .1958. and .1959 ase incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: L4a,km(r� C_vStc�rt\ PROPERTY LOCATION: S_ �� t t . (n x t /ts1 S2 I I/tn Facility Type: �Cvi 2 �� ck t s S SUBDIVISION e— _ Cc}--We—ww ❑ Expansion ❑ _ \r n , \ F l ; I J LOT # GS` Repair Basement? ❑ Yes Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** _Q,y , >r� �5%, 2 r y�f�,t (Initial) Wastewater Flow: 3(-C> GPD (See note below, if applicable ❑) 2134V o26c-/d.� 4" _ ami (Repair) Installation Requirements/Conditions Number of trenches 5 Septic Tank Size I c3c r-, gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size t gallons Trenches shall be installed on contour at a Soil (over: inches Maximum Trench Depth of: o? C> 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: ft. TDH vs. GPM N R inches below pipe Aggregate Depth: t.3X inches above pipe Conditions: Qc t( �i ��s t to.� n f 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: / understand the ryrtem type spechfed it different from the type rpecibed on the app/kation. / arreo the rpecif ationr of thi permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject m revoption if the site plan, plaA car the intended use changes. The Construction Authorization shall trot be transferred when there is a change in ownership of the sire. This sonammon Autrronrahon IS inflect to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: a Date: of I aia/a;yu Gaa�© J c v.2�t rJ Construction Authorization Expiration Date: Gf 17(' I -a, .0 2 HTE# Ii Permit # a q 5 (o Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 5c� � C r� (Zd 52 1110 ISSUED T0: Z Grn(n L��kc^ 61AS . LLC_ SUBDIVISION oO;c„\ N. I\S LOT # (A Authorized State Agent: Date: �1 I aL I c7G� C- -. rts-LA Y QJrnP AX> O-rbpyc jE�t7„�,1 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: L-j,,r, L` l -c,^ Btds Address: L61- Lo]on:,/,J143 Date Evaluated: Cbl /o /'I RCG0 Proposed Facility:F={� Design Flow (.1949):.5" � Location of Site: Property Recorded:y—� Water Supply:ublic❑ Individual ❑ Well Evaluation Method�r g E] pit El cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: O 4 4-G ❑ Spring ❑ Other ❑ Mixed P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (1n.) 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 4i } raJf C ' S l vv eZ, fie - FL 5 P Y 1'S 4v4 Oma ti „tom C. S Description Initial Repair System Other Factors (.1946): D System, Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) 2zme 2C Others Present: Site LTAR