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IPACNTE# 1Q-6-434(Py Harnett County Department of Public Health 29920 hDrovement Permit A building permit cannot be issued with only an Ira rovement Permit `fin,� - AC� PROPERTY LOCATION: iG�Ca fo n �L9"k N:, ISSUED T0: SUBDIVISION �(� :. is LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: i o rz- 6L4',< '50_51 5 Proposed Wastewater System Type: oi5�fo 4ab i�can 5 s Projected Daily flow. 3& P> GPD Number of bedrooms:Number of Occupants: max Basement ❑Yes 310 Pump Required: ❑Yes ❑ No 91ay be aced on final location and elevations of facilities Type of Water Supply: ❑ Community ublic ❑ Well Distance from well het Permit valid for. Permit conditions: ❑ No expiration Authorized State Agent:: ��Q���� Date: Cis �/ f �� w/ R 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 chediag 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 he affected by a change in ownership of the site. This permit is subject m 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 Permjt) The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. SCL tcs� ISSUED TO: C_6,nCor-l- Enos, L lC PROPERTY LOCATION: :7d C.G1c',� t t SUBDIVISION C3 a< Q- LOT # _ Facility Type: El-- lew ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement fixtures? ❑ Yes ❑ No Type of Wastewater System" �> o a r Ai c n45�j, s-4tm (Initial) Wastewater Flow:�i GPD (See nate below, if applicable ❑� Ga, & X'> n�.(Repair) Installation Requirements/Conditions Number of trenches ,— Septic Tank Size 1 C-� gallons Exact length of each trench a ate_ feet Trench Spacing: % Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches Maximum Trench Depth of: 1 `6 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: h. TON vs. GPM NA inches below pipe Aggregate Depth: �� inches above pipe Conditions: ( S 1 a t ns�1a Lt� i~ JC Aggregate _mak inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA, NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. `"If applicable l understand the ryttem type specified it different from the type rpeciled on the application. l accept the Jpecifcationf of thir permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to resection 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 sonsmucnon Authorization is subject to amphana with the providons of the Laws and Rules for Sewage Treatment and Disposal and on the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Ca3/&Awe INrJsjrz,,�, Construction Authorization Expiration Date: 03 HTE# —IS -5-t-5q(,q ISSUED TO: Permit # a 9 cy db Harnett County Department of Public Health Authorized State Agent: Site Sketch I ©ocd PROPERTY LOCATON: GC cr Acln 'L (01A S}Lxje_( 0. tJ� SUBDIVISION C) 1C.CcrA k a LOT # / A�haFw c:.wrzE7.t,.:, D uaso cxwb L ;z: ") v -v tr a. N 3� A 1-G2hnC- 9*0 44EVV6XI0 1- 3a2 sT:t> 5 4` x 5x.61 C,t,ati��" �>C.>,--) C.7%� Date: C73 / !G/ � �I `ted s,i� 'G atk k�w_ a5 to COn6,x gllp,.J Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM idofS T `� Owner. ) r—'Applicant: C.owt�� v^ / �Ui� Address: C)y&Crd-`� (ck7/ Date Evaluated: 6 Proposed Facility: 39�-`JDesign Flow (.1949): ,�GU(oQP Location of Site: roperty Recorded: Water Supply: ublic Individual ❑ Well Evaluation Method: Auger B g ❑pit r-1 cut Type of Waste 6i: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: 0.9Q5 qG ❑ 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 .1943.1956 Soil Depth (IN.) SatanRestr Class .1944 Horiz 1 L ti' � O -A Get L -s tie Ngo I-`fv qv sw r -ti 55� US tfl�r Pc�rr�, � 9,3 Lyjo dg Coo �5 I}iGP r�5 s7� 3(, FIIG Sw 12 �iX' 1 5✓/[ /l X71° 5G G•`IC;P Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (. 1945)c Evaluated By: rt System T e(s) Others Present: Site LTAR ,