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IPAC 74HTE# ) a- 6- 43a-74 Harnett County Department of Public Health 29900 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: .95 So c Place ( GlcstL � 52 SID ISSUED TO cuKc, Lu Gx+� it SUBDIVISION G� rc-' do LOT # 3� NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 30(1-- arSa�t u4 a` S�� Proposed Wastewater System Type: a_SJyf> Linn sax, Projected Daily Flow: C-C>GPD _T Number of bedrooms:Number of Occupants: -Gmax Basement ❑Yes 210 - Pump Required: ❑Yes ❑ No LXMay b re based on final location and elevations of facilities Type of Water Supply: ❑ Community ub Well Distance from well feet Permit valid for. Permit conditions: f ❑ No expiration Authorized State Agent: Date: G3i61 aol q-) 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 far checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation H 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 Permjtt 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 imtalled is accordance with the attached system layout. ISSUED TO: Lc.rn(,�C' Lyb'as"\ PROPERTY LOCATION: LwT*' 2A' SUBDIVISION Gyr ctn Sw� �aor� LOT # 3-4 Facility Type: 302 a� tX 4 as 5TH 14"11ew ❑ Expansion ❑ Repair Basement? ❑ Yes 9-1115o� Basement Fixtures? ^^❑ Yes ❑ No Type of Wastewater System** 'dS"/ YIQLiJC�.I(7( Sys 6e- n (Initial) Wastewater Flow: 3 GC> GPD (See note below, if applicable ❑) Qi ne v -(Repair) Installation Requirements/Conditions NuftrenSes 3 Septic Tank Size f LXX gallons Exact length of each trench --5 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of �? �L- inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: c Trench Spacing. Feet on Center Soil Cover: 1.2 inches (Maximum soil cover shall not exceed 36" above the trench bottom) t`1A inches below pipe Aggregate Depth: JQN inches above pipe r-xP 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: / underrtanJ the fyrrem type rpeciled it different ham the type rperiled an the app/iration. / a«ept the rperilraGonr o/thir pemrit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoation if the site plan• plat or the intended use changes. The construction Authentication 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: c 3lvf I av)P� ltr-1�jtt�� cConstruction Authorization Expiration Date:y3Iol)ao,-5 HTE# I ,- S - Ll3a7y- Permit # a Ci 9 cc-_, Harnett County Department of F' iblic Health Site Sketch PROPERTY LOCATON: :7J So,r SGS C'1�ce? ( cam ((� S't- iI a; l ISSUED T0: G�MCl� i J` M Q1, SUBDIVISION G cr:n R1.�r\\,%�-u\ r LOT # 39 i Authorized State Agent: Date: 03 s o U ; V- E2 P L-kCE 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_ .co C,�6-kr rvl. Gidkl _ Address: Currin Date Evaluated: CQ/de//e_ Proposed Facility: Lc,- 3q Design Flow (.1949): 3 G O Location of Site: Property Recorded: � Water Supply: lic❑ Individual F-1Well Evaluation Method uger Borg ❑Pit cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: O.C,5 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 Minendogy _1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapm Class .1944 Restr Horiz LA2 Description Initial Repair Se Other Factors (.1946): System Site Classification (.1948): Pr-oV ,, 6,C,,,i r _ Available Space (.1945) Evaluated By: System T s 5' 2a Others Present: IN rj M.A ✓Wy_(5 Site LTAR V,