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IPACHTE# IC6-5 -43aI( Harnett County Department of Public Health 29876 Improvement Permit T� A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 030 —% r---1 cza t 4 15:b ISSUED TO: SUBDIVISION -r— 1 , c- C>o i LOT # 14 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3Bt SVeyu )( 3d6e° 5:-t> Proposed Wastewater System Type: 35i /U4xfgLcn 5,c . Projected Daily Flow: 3 G 6 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yeso Pump Required: es ❑ No ❑ May uired based on final location and elevations of facilities �-� Type of Water Supply: ❑ Community Public E-1WellDistance from well feet Permit valid for. iveears Permit conditions: ❑ No expiration Authorized State Agent: �f,-"' GECr, Date: Ga 1 t6 / ? a 8 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Deparunent in no way guarantees t e issuan� m 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, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layout. IattGssj TCrs� ISSUED TO: loo MQ -5 PROPERTY LOCATION: 45a) SUBDIVISION —, LOT # I G Facility Type: 362 Sq'f' X 3<� `r li3ew ❑ Expansion ❑ Repair Basement? ❑ Yes Erfo Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** PQM Lc, a 5 jv s Ge— (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) %ze+a kr, «.c &�epair) Installation Requirements/Conditions Number of trenches _3 Septic Tank Size gallons Exact length of each trench 45 feet Trench Spacing: Feet on Center Pump Tank Size l CX;C;, gallons Trenches shall be installed on contour at a Soil Cover. G inches Maximum Trench Depth of: /8 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: (t. TDH vs. GPM inches below pipe Aggregate Depth: r -t 4 inches above pipe Conditions: On Ccnlce t0e),,( ON inches total WATER LINES (INCLUDING IRRIGATIONS MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the Tatem type rpeciled it different from the type tpeciled on the application. l accept the tpecilcatiom of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to revocation if the sire 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 Authorization is subject to compliance with the provisions of she Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IALHLD Slit SKLILH Authorized State Agent: Date: C' -31I oft e gaJe�a a c v¢ czL ti Construction Authorization Expiration Date: 0'?/ t5 / auu HTE# fwd -5-43 SIG Permit # 2qA=-r� Harnett County Department of Public Health Site Sketch mer 5 �2 �- � PROPERTY LOLATON: 83o �c bye, fu\ . I�ISa� ISSUED T0: TG -rt LuS `W rn N O ^�� SUBDIVISION koC' Po , rvke. LOT # 1(e Authorized State Agent. �t� ��yT�� s Date C' " l l5 l amt a loo CGCv1CC,,G 0 PTH 5r Ac- CM�nC- 0 P 0 4-"1 Sy S C l9� �a 9• yi' YeL\)JE Lo VCE— n—�ti1> (, 52. 1450?) Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Tunh 0&,Ol 'pplicant: k ostc CWOAAa Address: bob, 16 TOIo� per; Date Evaluated: 09//5/fig Proposed Facility: Design Flow (.1949): 3Go 6P9� Location of Site:g25� roperty Recorded: yea Water Supply: ublic❑ Individual ❑ Well Sheet Property ID: Lot #: File #: Code: Property Size: ci. //6 / A -G ❑ Spring ❑ Other Evaluation Method: Auger Bonn ❑ Pit ❑ Cut Type of Wastewater: U -Sewage ❑ Industrial Process ❑ 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 Strueturei Texture .1941 Consistence Mineralogy ,1942 Soil Wetness/ Color .1943 Soil Depth (M J .1956 Sapm Class .1944 Restr Horiz IV Y 3K Su F/ 4 / Y.y -76 Alt 9 -,Qt, 0. 0-16 (� [5 vr4 5; /dam Pb 16-38 3� F/ S I ?,5Y2�fi ✓ 3G° 3Yi o•"i= ��. La.q� tt I©- )0 9� pct rl f PY�G 7 5rlL�%I `i /i3y c�0 IJt�S Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): V tK,.c ktible� prw istonp)� S vr. Available Space (.1945) Evaluated By: System Type(s) 5 c 6t5 41 41CA- Others Present: Site LTAR O .