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IPACHTE# $-5-� i Harnett County Department of Public Health 29885 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Lc rw-- 2C, A c S2 1Qc,al ISSUED T0: �` onn� (- i.zw0" C\ SUBDIVISION LOT # -d- NEW NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 30(1 1/9 '1-43 1 SFS Proposed Wastewater System Type: a59LN l",aic-6'1-�A Sys Projected Daily Flow: 3(,0 GPD Number of bedrooms: Number of Occupants:.max Basement ❑Yes o Pump Required: ❑Yes ❑ Noay be aced on final location and elevations of facilities Type of Water Supply: El ❑ chic ❑ Well Distance from well feet Permit conditions: Permit valid for.ivB F e years ❑ No expiration Authorized State Agent: Date: p9 / d (2! 9Cx� SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit hold�nsible for thxking wish 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 pmvisiom 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 .1958, .1957, .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 T0: So 0n� �oc�.a • 7 PROPERTY LOCATION: CLcxad c..`0(Z- lc(�>©oa) � � SUBDIVISION LOT # L Facility Type: 2 `�/� xcf3' S f I� LYNew ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** as 6.90 , — sv� (Initial) Wastewater Flow: 36 -CS GPD (See note below, if applicable ❑) '05% rs 5s�(Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size ICXD�5 gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of I C6 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: N. TDH vs. GPM (onditions: - \---.-60,c i`. Trench Spacing: Feet on Center Soil Cover: 6 inches (Maximum soil cover shall not exceed 36" above the trench bottom) "k inches below pipe Depth: tJ P. inches above pipe r1 N inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the # xiem type speeded is different from the type spedTed on the application. / accept the speaticatiom 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 transferred when there is a change in ownership of the site. This Construction 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 SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 0 a �� �G?CY& r1A}�CZc� <veC�lny Construction Authorization Expiration Date: c�a HTE# I f3-3-433aCi Permit # a9<a,66 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: LC,1 2exci C 52 666)0) ISSUED TO: SUBDIVISION LOT # _f_ Authorized State Agent ��4zy� Date: U Q 001 56r, ietoUi a(" ,d 4AR.46�c 36 Appm 362 45' '597r� I 1'o <-1,t 1 6v-LuUn v2at,.>t (ems 'Sl\ A PUMP T � 2r PRiti nrLr`/� I I a uy,o3' LA�JE, zvrLT�:t. (_S2 Ii5Da) Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: Owner: Applicant: 5o11%Gocl�`t� Address: � (L.o "Date Evaluated: 0119'3/ RCA £i Proposed Facility: 3iS2 5: Design Flow (.1949): 3606Po Property Size: Location of Site: Property Recorded: Water Supply: ;blit❑ Individual [_1 Well El Spring L) Other Evaluation Method: ager Bio �g ❑ Pit ❑ Cut Type of Wastewater: _-J�j 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 Structure/ Texture .1941 Consistence Minemlogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz f�-48 a,� < <a�-� C, PA,-, 7,SUL-s� @_33,1' Description Initial R it System Other Factors (.1946): System Site ClassificationEvaluated By): V11:xli%�e Available Space (.1945) l �c-OviSwMnl) $,ai �v(p System Type(s) v Others Present: An CJ rE.J C . rr Site LTAR