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IPAC 76HTE# 19- s—y:R:?r� Harnett County Department of Public Health 29902 hDrovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: I �C)V-c C(-1TV--;td 5q-I,k ISSUED TO: ©NcV::, SUBDIVISION C.>,crTc,, D\ n LOT#mac NEW Q,"' REPAIR ❑ Is EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'are_ SI )e #1y Sf Proposed Wastewater System Type: 25.51,2 Projected Daily Flow: '.Z L.CU GPD Number of bedrooms: 3 Number of Occupants: _S�max Basement ❑Yes 21TO �� Pump Required: ❑Yes El No f� Mayfbired based on final location and elevations of facilities Type of Water Supply: ❑ Communityf P� ublic ❑ Well Distance from well feet Permit valid for. Permit conditions: 11-F TrywrS ❑ No expiration Authorized State Agent: Date: o/ 1 ;20/8 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 she 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 requirement o1 Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: i 1cis PROPERTY LOCATION: 1:5 P1caLe- (Lj r1L QA SL \laP)f SUBDIVISION C.l�t—clt, �A�4J4(Qn LOT # 4fil.6 J Facility Type: 36(L- SlTygS STS Cd --Ne ❑ Expansion ❑ Repair Basement? ❑ Yes E1-4116–�Basement fixtures? ❑ Yes ❑ No Type of Wastewater System** a5c/v (Initial) Wastewater Flow: 3C- 0) GPD (See note below, if applicable ❑) 25% nzA'r,4'or1 �g.6 (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size L OOv gallons Exact length of each trench 0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: / f& inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDM vs. GPM Conditions: Trench Spacing: 9 feet on Center Soil (over. Go inches (Maximum soil cover shall not exceed 36' above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. z`S inches below pipe S A inches above pipe .Iv Ar inches total **If applicable: / understand the system type specified is different from the type rpecifted on the application. / accept the rpeciftcationr of thir permit Owner/Legal Representative Signature: Date: This construction Authorization is subject to revocation if the site plan, plat. or the intended use changes. The concoction Authorization shall not be transferred when there is a change in ownership of the site. This s.onstuction mumor¢aton is whlect 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.)3 F>cJ� GJQCLI� Construction Authorization Expiration Date: �3I d I RC\a 1 HTE# 1(3- 5 - N -5 R Z - C& Permit # 3 c"l 9 C-) d Harnett County Department of Public Health Site Sketch PROPERTY LOCATOR: $ Sou4--'u n Aja 52 LlDJ ISSUED TO: SUBDIVISION Cvc e AV -.n 1 r,n LOT # (4 Authorized State Agent Date: C- a/c) /00) f8 I Ic�c5rfo �-�ov��� oto Awn — n U s fit AI P it 11 I stcr� SON y 4q) 3a2 sv=� SUJr14 rZ4�t--'3 W P LAhG E- SO *3q5(4-- U� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner:Qr Applicant: Cs.Mto +7ev�ko.�n OKsTnE Address: l�Jrc�A Pltint'wn Date Evaluated: vR)2Qj6 Proposed Facility: Lok Design Flow (.1949): -3C.C)ry�> Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: ager Borin El Pit ❑Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: C>,�G� .,/�_ ' ❑ 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 (IN I .1956 Sapro Class .1944 Restr Horiz O -Lb K su SY/ ejfl 7-Sr¢�, 931)I Yo v. � gk. 6a- fit- S,Y ItG��n !i0 c.Ll Description kInitial Repair System Other Factors (.1946): Site Classification (.1948):Available S ace (.1945) Evaluated By: System T e(s) r'v Others Present:�� Site LTAR