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IPACHTE# IC6-5-143al6 Harnett County Department of Public Health 29881 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 53es R2.- 52 t56c ISSUED T0: SUBDIVISION LOT # NEW E�— REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 36eL "S-'e5'/r 5s� Proposed Wastewater System Type: R6 io Projected Daily Flow: 3&C> GPD Number of bedrooms: Number of Occupants: max Basement es ❑ No Pump Required: ❑Yes ❑ No �ayl� M "bt ired based on final location and elevations of facilities Type of Water Supply: ❑ Community( PS ubllc ❑ Well Distance from well t--Ji-i feet Permit conditions: Permit valid for. vld�Pf-e years ❑ No expiration Authorized State Agent:: � � Date: Cs Q / a7 / a" ce. SEE ATTACHED SITE SKETCH The issuance of this permit by the Nealth Deparone��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 on conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirement 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: tXsac1C\ PROPERTY LOCATION: _ E>30 Coxae. Co. • cstt- t5CG SUBDIVISION LOT # Facility Type: � w El Expansion El Repair Basement? Yes El No Basement Fixtures? LTJ Yes ❑ No Type of Wastewater System** 'i'bY% 4;,nM (Initial) Wastewater flow: 3C- 0 GPD (See note below, if applicable ❑) ✓ a6'10 Kec c 6 '-.c\ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size t (--:sac�3 gallons Exact length of each trench 90 feet Trench Spacing: i Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 1 a inches Maximum Trench Depth of: 9 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 Q inches below pipe Aggregate Depth: N A inches above pipe Condit 0� Cour-4t. e eau\ Q:SEs',boor� 2=> est rs a inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / ondexrtand the system type specified it different from the type specified on the application. / accept the Jpealicanims 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 Construction Authorization shall not be mnsfemed when there is a change in ownership of the site. This mmtm<ton Authorization is sublect to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: f Date: Construction Authorization Expiration Date: 0 of I6 3 HTE# 1 IZ5- s--y3alg Permit # a 1 reel Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: Sao L,,-- ISSUED .pISSUED TO: SUBDIVISION LOT # Authorized State Agent: U — ��yC � � / -yam Date: v / w / Q ws Tt / I rls� CG STC: viZ 21=PA�1 p.2�y`L, SYS. 9nre. TCi Pc�Pi= LJi✓�� :L� SkZ i p,Waosr s� 5Pb �) fas3gof, �-Q ofl- \i VE - 8 IE S�sl� 47��cd ons•-� �' S�yj`m lcxK� : n ctesctr�n� Wim -lcti�� e: MrS P�iP -fc��c rn� he- rzLu �, �'c�,li C0.(l 11Ci'i �IrLK%'l1�.Yle.�, i� lSGE C3�.�nrgn'c s��b�c� * Tcxl IG tri ut I�— 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: %'D -n e0 "r - Address:, -3o Address:530 equ. Gsv_ a_.(- Date Evaluated: 091141114 Proposed Facility: $6,1- SF'9 Design Flow (.1949): 366 GO'i> Location of Site:,� Property Recorded: W . Water Supply: D rublic❑ Individual ❑ Well Evaluation Method: Auger ❑ Pit El cut Bori Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: (.6,44hc ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Stmcture/ Texture .1941 Consistence MineralogyColor .1942 Soil Wetness/ .1943 Soil th (IN.) .1956 Sapro Class .1944Profile Restr Horiz Class & LTAR L 4-` I) L ( a LS ✓*c so/* P5 L 14-% 0 62 4,6 ✓2 ✓ �o�JY2=%Cl�r N� .SNS C LIJ. ver af3 4a 4K 5LL- sifP��, PS v • L� Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): Available S ace (.1945) Evaluated By: - System T e(s) 4 Others Present: AnJ.ti..o Site LTAR