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IPACHTE# 63.4g3:7av Harnett County Department of Public Health 29942 Improvement Permit A building permit cannot be issued with only an Improvement Perm` \ ,��y� ,, ` PROPERTY LOCATION: ©lci s•t R 5`� C F�Cr ) ISSUED TO: tk"C,E//_. G«�C SUBDIVISION LOT # J— NEW lwl-� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 1AAaJ "i w-_ 6,41,c a6s1 5v� Proposed Wastewater System Type:o�75 (1c/ A - 5 543n^A Projected Daily Flow: 360 GPD Number of bedrooms: 3--*mber of Occupants: _max Basement ❑Yes 916 -- Pump Required: Dyes ❑ No ay be required b on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ ❑ Well Distance from well —J )v— feet Permit conditions: Permit valid for. live a years ❑ No expiration Authorized State Agent.: �w/_�. ire✓✓f1` Date: o'�a?ti/da/� SEE ATTACHED SITE SKETCH The issuance of this permit by the health Department in way guannmes the issuan . 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 the 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 requirements of 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: lAa�4 Cis-c-Sf�' PROPERTY LOCATION: OIa 4l�ty. R�. �• �SG( ICY�� SUBDIVISION o LOT # Facility Type: aA0..-� Norte- GYtxar Sim &--New ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 24%z, 4Z L tA4;,r% �! ^� (Initial) Wastewater Flow: S6o GPD (See note below, if applicable Eli 5 (Repair) Installation Requirements/Conditions Number of trenc2es 3 q Septic Tank Size SOGC> gallons Exact length of each trench feet Trench Spacing: / Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 96 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDM vs. GPM Conditions: in Soil Cover. /f inches (Maximum soil cover shall not exceed 36" above the trench bottom) i inches below pipe Depth: hlP inches above pipe J��a4e inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable, / understand the system type speciled is different Iron the type spedfied on the app/icarioa / accept the specifications of 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 tnnshrred when there is a change in ownership of the size. This Construction Authorization is subject to compliance with the provisions of the laws and Rules for Authorized State Agent: G v2c-T,1 *> Construction Authorization and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: Cjp�ayc��o?(JI� pion Date://a3 HTE# j%-5- y3ga0 Permit # a 99y�? Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: bici s���e 2A N' (-a ICCL ISSUED TO: SUBDIVISION,// LOT # Authorized State Agent: Date: cy//aL� /-;?C")ce� R tvOR%b� Gu 22i ti- _ — 5i' Fu2E — LidTu y yo; $rn21k(,E yon 5r,n T1 0 I Po -")V) G vI-.-> M n on r-- D - ecsC `tp Cit_F> B-rkGrlz� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER lSYS—TEEM Owner: W= V Applicant: (AJA AS '—__ Address Oi�_ �*X R,j, ti7 , Date Evaluated: Proposed Facility: Q� Design Flow (.1949): Location of Site: 3%'� Property Recorded: W Water Supply:ublic❑ Individual ❑ Well Evaluation Method: tger Bo ng ❑ Pit ❑ Cut Type of Wastewater:Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: V.904 -C1 ❑ Spring ❑ Other ❑ Mixed P R O F 1 L E 4 .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 Horiz ✓k n-Svi°4 ';2k g/// bis C> yu, 54, a- s Mo qS Description Initial Repair System Other Factors (.1946): —System Site Classification (.1948): s ``v Available Space S ace (.1945) Evaluated By: Q�t[) W� y(� System T e(s)E Others Present: Site LTAR . us r�[5