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IPACHTE# 1`� s-43 i� Harnett County Department of Public Health 29872 Improvement Permit A building permit cannot be issued with only an Impprovement Permit �/_ PROPERTY LOCATION: CihC.bLnc� L-tyht R". --05(- Iyl;jl ISSUED TO I \ t��,,l l nto� i�Fc SUBDIVISION LOT # �-l— NEW P'�' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 4.42 58sX4at51:—%� Proposed Wastewater System Type: cab$ 6 /LQd�i Projected Daily Flow: VCO GPD Number of bedrooms:6Z Number of Occupants: �' max Basement ❑Yes E-Fo Pump Required: ❑Yes Qffo'� ❑ May be re d based on final location and elevations of facilities Type of Water Supply: ❑ Community Ladublic ❑ Well Distance from well feet Permit conditions: Permit valid for. wf ❑ No expiration Authorized State Agent.:/!�/1¢ll` Date: Ua 114 I aUl �' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Departinmt in no wry guamntees the inuanm of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This site is subject to revocation if the am 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, .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: M i li-sx\ Qat,-,lb kApm!o� PROPERTY LOCATION: C)Ar,b'(fc A Q-�- CSn- T`)I�?i SUBDIVISION z LOT # 3 / Facility Type: 116(L e], �ew ❑ Expansion ❑ Repair Basement? ❑ Yes E3- o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System"* A 4 (Initial) Wastewater Flow: GPD (See note below, if applicable ❑)/� l'a rT �5% �!1 0 - 5 T F (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size f 3 6 o gallons Exact length of each trench /00 feet Trench Spacing: 9 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ';�-k inches Maximum Trench Depth of: 3c7 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. TDM vs. GPM inches below pipe AqR$$regate Depth: d+dn` inches above pipe Conditions: \ �ttin ' L? �sC �uu� �: S�st�itio �y',c�p�a ie�� inches total 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. "'If applicable: / ondetrtand the system type specified is different from the type sixecfed on the app/ic2den. / accept the roecifiitnims of thin permit Owner/Legal Representative Signature: Date: This Construction Authorization u subject to revocation if 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 tomtrudmn Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IALMLU Silt SKLILH Authorized State Agent: �— /1 7� Date:y a' l `i aC>14., Construction Authorization Expiration Date: c�afly I aod,3 HTE# 31 4(.. Permit # a9 S q� Harnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: G1�ri5�:�!\ L�iT.� Qz ,. sp- Iwo\ SUBDIVISION LOT # _3 Date:114 1 a"E�, sc, c si;zs, I � 01 � h m kl t©ry CaryEc,.x- —o�c y�rc6,3b _;J . 3� I �S %� n..•��c,Tv I� � p• N GN2 xS l Itis" i_t C,(�v —\ a—ta&A:> Ca-- 14 1 aJ Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SORASITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: —applicant: %%4�`� Address:LuE 3 c,t r�s(,fy /�" - Date Evaluated: c'W/ 14/1 m Proposed Facility: y{32 $ Design Flow(. 1949): Location of Site: roperty Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: ger Borin ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet Property ID: Lot #: File #: Code: Property Size: G•Ga 4-c,— ❑ 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 Sapm Class .1944 Reslr Horiz 6,2� 'Ir4-- l P.S iV 3�i gK. 6 U f 3 L 4-G2, la CR Lj Vim PS ►a -3c ��. su- fl' p 3� � .�- Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Qrov," g, vn titer 5 i -1–+Yi� Available Space(. 1945) Evaluated By: System Type(s) 0 CtA Others Present: Site LTAR a,