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IPACHTE# K3-5- 43g0fi Harnett County Department of Public Health 29921 Improvement Permit A building permit cannot be issued with only an Improvement Permit ` PROPERTY LOCATION: Gly 6�: Creed c5ar Rzjj ISSUED T0: �0.tvtrz� Gres c �� SUBDIVISION LOT # NEW REPAIR ❑ hPANSION ❑ Type of Structure: 146e 5=i,> Proposed Wastewater System Type,: 0,! 1X !to Sas . Projected Daily FloGPD I Number of bedrooms: tTt-�f-- Number of Occupants: max Ratnmant rlYpt Fa is Pump Required: []Yes Type of Water Supply: Permit conditions: Site Improvements required prior to Construction Authorization Issuance: ❑ No 514ay bfired based on final location and elevations of facilities ❑ Community Public ❑ Well Distance from well feet Permit valid for. 2-5v�eyears ❑ No expiration Authorized State Agent: = C— o Date:y31 ap/ oZyl £S 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 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 provisiom 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 .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 TO: �Gt t:%J i✓c e�t_g 2.� PROPERTY LOCATION:6uze'6 Gree -at a",. C5 TiJ SUBDIVISION LOT # Facility Type: K6CL- 015 t t `S`^n E New ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 5,v5 tic- x (Initial) Wastewater Flow: 025 C) GPD (See note below, if applicable ❑) ne QNS /22 ci> 5s (Repair) Installation Requirements/Conditions Number nt 3 Septic Tank Size S a50 gallons Exact length of each trench I OG feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. la inches Maximum Trench Depth of: 0 4" 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: ft. TDH vs. GPM ti /+. inches below pipe Aggregate Depth: A.iA inches above pipe Conditions: ©c\ bu-Li:Q,a ✓,3.4- inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the swem type specified is different from the type specified on the application. / accept the rpeci inions o/ 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 Authorized State Agent: dons of the Laws and Rules for Sewage Treatment and Disposal Construction Authorization and in the conditions of this permit. SEE ATTACHED SITE SKETCH Date: 03 / Golavlg tion Date: 03/a0/aaa3 HTE# Permit # �ig921 Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: GIS Pivi�s LreetL ail .� e L '0�1) ISSUED T0: T�MvS� rer�cvs SUBDIVISION LOT # Authorized State Agent: Z'_�r�rrz r�H i 2 Date: 3 /v �ro.n S� in prox�rx; `aka \o A\b a FwU f a 'Skog �+.Jeln 7v M",6 : r F— -kJ Y tPVJia cnE,�JP-vlX,, % Nt, 6 ,0 '3150/o2iD:->L,C_-L:1C,,,� . 301-- — — + 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: `yar-4t,, Address: alb Gi�ftLrrarc.2b, Date Evaluated: 03lpj/,9&1� Proposed Facility: ytj2, 5W Design Flow (.1949): f/�YJ 6l'P Location of Site: Property Recorded: h%S Water Supply: ublic❑ Individual ❑ Well Evaluation Method: Auger g ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: 44 3 .3q hL ❑ 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.) .1956 Sapro Class .1944 Restr Hooz L 3-406 vl�t � e5 as f,. y- 3 a8 q1L sw 7.15 �.� s l- 3 5yo o -aa L-5 VM "./W 2d4b 3w uv Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): "lot,_ Available Space 1.1945) Evaluated By:System Type(s) 5` acce Others Present: ` Site LTAR