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IPACHTE# I1 -5-1-431G3 Harnett County Department of Public Health 29837 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Hon, -d Esc C. ISSUED TO: Ns L; .rC b (, Cc H Sri • v SUBDIVISION S W c"P'6I. LOT # y6 NEW)J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: ZSw/e 2.e0'Jc,' spas Sy3. Projected Daily Flow: SG C GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -IN Public ❑ Well Distance from well feet Permit valid for. lirFive years Permit conditions: ❑ No expiration Authorized State Agent:: :��� 7!�� BU+5 Date: la. l s� SEE ATTACHED SITE SKETCH The issuance of this permit by the Heald Department in no way guarantees W�ncN21s a of other permits. The permit holder is resposu ble for checking with appropriate governing bodies in meeting their requirements. This site is subject m revivalism if the site plan, plat or the intended use changes. The Impar Bement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the taws 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, .1952, .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 TO: C°^e3t • lie, PROPERTY LOCATION: N00-J!G3r �* SUBDIVISION Swrz&11 ,� LOT # t11 Facility Type: SFO Lajas Kj 3� � New ❑ Expansion ❑ Repair Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" 0C )f 'QGOvcrs , o „s S»4 sag. (Initial) Wastewater Flow: 0 GPD (See note below, if applicable ❑) "L57„ V.f30, Sys. (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size x a gallons Exact length of each trench 2.40 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 5a. inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: c1 Feet on Center Soil Cover. 'SO -40 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 sXtem type specified it different from the type specified on the application. / accept the rpecilcationr of this permit Representative Signature: Construction Authorization the site plan, plat or the intended use not the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: eoY+5 Date: ti32 ConIsftction Authorization Expiration Date: a Date: is a change in ownership of she site. This SEE ATTACHED SITE SKETCH HTE# 11 - 5- X3163 Harnett County Permit # a 5 13-7 Department of Public Health Site Sketch PROPERTY LOCATON: C— . ISSUED TO: KS L-AN'S,C, CZ "3 4C, SUBDIVISION 1 LOT # LIb Authorized State Agent: loL�vFsL��LYs�oRF Date: til t�� l8 B5 p�A 1 � NO�5L 1+1 Ij6`Si C: 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: Proposed Facility: -5 ti9R.d Design Flow (.1949):}1'0 Location of Site: Property Recorded: Water Supply:\ ublic❑ Individual ElWell Evaluation Method: uger Bo 'ng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy 1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR LS o-� 1D -'A3. sgk cU V -n �c crL Ssl,e rs,� Description Inittal System Other Factors (1946): S s Site Classification (.1948): Available Space (.1945) Evaluated By: C\ Sstem T e(s) 'k w Others Present: Site LAR