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IPAC 69HTE# I - 5- 43X( Harnett County Department of Public Health 29895 hDrovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: A!v :!x, 1curC 2A- ` ISSUED T0: LCACACX3 �..a°sEc,.^i� SUBDIVISION LVfi� n P 1�-n Se.�:nr� LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 302 Cant"45,51 SF�� Proposed Wastewater System Type: 0 rCe �n Projected Daily Flow: 3(o0 GPD Number of bedrooms: Number of Occupants: r— max Basement ❑Yes D10 Pump Required: ❑Yes ❑ No Ea' b�°ired based on final location and elevations of facilities Type of Water Supply: ❑ Community 'ay L.d�Public ❑ Well Distance from well feet Permit valid for. ars Permit conditions: ❑ No expiration Authorized State Agent: zrl -L�— leg -f Date:03'Jo f I DOi$;1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and m conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout pp ISSUED TO: �"(V" C.Y'ic:xrn ©Ic s PROPERTY LOCATION: q(o Scio4'ecn 0 Lcklz C< xx. SUBDIVISION G\ C>rc— n 01w. cs n LOT # 3 Facility Type: :300- (,$ RY 5!!-, R -New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** a:lla, tl.A.a[-4--.c>rt S,i Ee-M (Initial) Wastewater Flow: 2r—C>GPD (See note below, if applicable ❑) o`i5% CI 5 a 6 (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1 COC> gallons Exact length of each trench feet Trench Spacing: % Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of. 04- 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. TON vs. GPM Aggregate Depth: Conditions: 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. %. J N inches below pipe N!\ inches above pipe t�z t`,- inches total **If applicable: / underrrend the system type specified is different from the type specified on the app/icatim. / accept the fpecifIcatiom o/ this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to revoavon if the site plan, plat or the intended use changes. The contraction Authorization shall not be transferred when there is a change in ownership of the site. This Lonttruction Authomation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. 5tt AI IALIMU SIIt MtIIN Authorized State Agent: �� ����� -„ Date: 03 f of h506 AW.N r..d as Construction Authorization Expiration Date: 031cl loaV3 HTE# CU' S'4 3aCocj Permit # C) C/ �A Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: NO QNaj_a � CLr --L Cl A 5 t�+� ISSUED TO: L o me o Cv&Ar",N g1c S SUBDIVISION C ��n RrW6tk,,on LOT # _ Authorized State Agent: i z— _ %:� Date:y3 / of C-) 12> :�rv�a�..o c— XZEL�sv �.J%> fl.EaxZto i Ct-F-Frkk 2 Art EnA � 5�0 �S�J - .° o 3(32 50� E4 ttL� P L AC,� 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: L-L,r c %W5 Address: Date Evaluated: va19Q/18 Proposed Facility: L• \, 3 Design Flow (.1949): g6O cv�> Location of Site: Property Recorded: Water Supply: ublic❑ Individual El Well Evaluation Method: ager B ❑ Pit ❑ Cut Type of Wastewater: jrj Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: G. 6,?> ❑ 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(INJ .1956 Sapro Class .1944 Restr Horiz 1 L 4 a% 0-1 � GQ L5 be u,�// PS Ia 4a oK 544_ FL s � %.64 11-YI `� a L Gad, o-* (dL Ls VrL �SvP y QS �.�-- Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Qr-p.1Pb�onv\(l� Sa�k,.�lo� Available Space (.1945) Evaluated By:Syst Site LIAR e(s) a Others Present: o,