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IPACHTE# S -S•-43C,5-7 Harnett County Department of Public Health 29932 Improvement Permit A building permit cannot be issued with only an Improv- ement Permit p PROPERTY LOCATION: r� 1� (0ISSUED TO•!rn�� N'\c\r'-(a SUBDIVISION LOT #NEW I� REPAIR ❑ EXPANSIM ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 36& W'C'0 y (04,4j1 517�� Proposed Wastewater System Type: a]Sic rGt1.a'o n Sas Projected Daily Flow: 3(,b GP Number of bedrooms: Number of Occu ants: —(.—Max Basement ❑Yes � //y Pump Required: ❑Yes ❑ No aLtl�'M� y �be ' d based on final location and elevati ns of facilities Type of Water Supply: ❑ Community uC�P blic ❑ Well Distance from wellQc,_ feet Permit valid for. 1v[�3'Fears _ Permit conditions: ❑ No expiration Authorized State Agent:: Date: d d 9 CV 18 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees she issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 to conditions of this permit.. WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. =Owner/LegalRepresentative applicable- the rystem type rpeaked it different from the type rperiled an the app/icatioa / arrept the rperifiraboar o/ this perm![ Signature: Date: ibis construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Commonness Aumanudon shag not be transferred when there is a change in owneeshiD of the site. This Authorized State Agent: mm me provisions or the laws and Rules tot Sewage Treatment and W4.g t '1-� Construction Authorization conditions of this permit SEE ATTACHED SITE SKETCH Date: Date: Construction Authorization (Required for Building Permit) The construction and instillation requirement of Rules .1950, with the attached system layout. .1952, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance ISSUED TO:&e� A�e. p \ 6c ♦toll 40"Y CC PROPERTY LOCATION: rca' acs r (S2 1zf� I it v Facility Type: �lZ claR tx V U ht SUBDIVISION � � IJ Expansion El Repair y LOT # Basement? I—]YesI�VBasement Fixtures? ❑ Yes ❑ No Type of Wastewater System" o "Zlzo 5 s&430 (Initial) Wastewater Flow: 2a(&6— GPD (See note below, if applicable ❑) aS%i, CZc� 3 n SSs • (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size A 000 gallons _ Exact length of each trench 9b feet q Trench Spacing: 1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: I �_ inches Maximum Trench Depth oL�� inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-I/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDM vs. _ GPM N M inches below pipe Conditions: 0 c r' —px-),e ii� .ate \ •SEs' b„ pts Aggregate Depth: tJR inches above pipe ---��_ inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. =Owner/LegalRepresentative applicable- the rystem type rpeaked it different from the type rperiled an the app/icatioa / arrept the rperifiraboar o/ this perm![ Signature: Date: ibis construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Commonness Aumanudon shag not be transferred when there is a change in owneeshiD of the site. This Authorized State Agent: mm me provisions or the laws and Rules tot Sewage Treatment and W4.g t '1-� Construction Authorization conditions of this permit SEE ATTACHED SITE SKETCH Date: Date: HTE#Permit # 01 (C/ 0) Harnett County Department of Public Health Site Sketch p u�) PROPERTY LOCATON: 1-c,6rq rUy� � _ C� ISSUED T0: X SUBDIVISION LOT # Authorized State Agent: _. Date: © C`R) o7J) 8 1�^�vrL6:-.5 G�t2.CL1iv asb a / QsPA o Apt_! M (5C5� tot M r� ,1E YItJAL Loe'k-net" o1= cvzv rtc 6j r-� CtiPifC. D °c� � flR; LtL�°�T rz-ECav5-r -cANK LOO– Oa LCSt , N �utt_D, tiG �— 2ci, a-7at yu P2oCt75rn ci Q 2 5 Q 3 Lo V) 0 C a ty W "TZ7 F7�S2�t2v�1r�� 2� 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: aft Address: 50ic? ad 2L, Date Evaluated: Proposed Facility: 782 6-3� Design Flow 1.1949):.�C� Location of Site: Jam" pew Recorded: El well Water Supply: ublic❑ Individual ❑Well Evaluation Method: uger Bo i ❑Pit El cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: % 80 A C ❑ Spring ❑ Other ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Minendogy 1942 Soil Wetness/ Color .1943 Soil Depth M. .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR 3 L 4",6 Cdc i 5 Wt (V -1/7d 14-�(li (s/i SCL : v yfp tK7� CL -0c,,/ elf- ,moi a8 -ala btz �w F2 Ssf/ (�.S a-�- Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): Pco.,i5t -o1alt ��"srtzeg_ Available Space(. 1945) Evaluated By: System Type(s) Others Present: AnA-e> Site LTAR p, �,