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IPACHTE# V? -5-43811 Harnett County Department of Public Health 29945 hDrovement Permit A building permit cannot be issued with only an Improvement Permit 5 tt— 14 Uq _,..�� PROPERTY LOCATION: �3q s c��ft I r ISSUED T0: X<— c,, raw, i?Q!!ri. L — SUBDIVISION Los LOT # 68 NEW �� REIPAIR ❑ EXPANSION ❑ Site Improvements require prior to Construction Authorization Issuance: Type of Structure: 3GQ- Sa Y X SS L 5 99 Proposed Wastewater System Type: Q'Im Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement 0 e 4,06 Pump Required: es ❑ No ❑ Mayb re based on final location and elevations of facilities Type of Water Supply: ❑ Community Public El Well Distance from well �," feet Permit valid for: Olive years Permit conditions: ❑ No expiration Authorized State Agent: Date: cy J x, J.-to/6 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 the provisions of the laws and Rules sor Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .195D, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be net Systems shall be installed in accordance with the attached system layout oq/ ,--1 sn 1 , 07N ISSUED T0: TlunJ Ie. Ikt-�ra.� Pros. r LLL- PROPERTY LOCATION: �53� %Iw�bya—y Pr~c{/. C..cve iGobte�sn.t �. SUBDIVISION Cc>PcGr4/� LOT ## Facility Type: 362- Sa Ix 2 --New ❑ Expansion ❑ Repair V Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" p)%W@ -LQ1a5%a fZe��x� taa� S,a (Initial) Wastewater Flow: 3r, GPD (See note below, if applicable EI) Ramp - amp {rs 267o (lel� S9 5_ (Repair) Installation Reouirements/Conditions f Number of trenches i Septic Tank Size 1000 gallons Exact length of each trench Q'y feet Trench Spacing: 9 Feet on Center Pump Tank Size 1Q(:)Q:>_ gallons Trenches shall be installed on contour at a Soil (over. Ce3 inches Maximum Trench Depth of: 1 (0 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. TDM vs. GPM cJ inches below pipe Aggregate Depth: "A inches above pipe Conditions: Ta-,90rL-7- sc) s t_ MA.`K 3%c- 2c�ytQ ZEST rLA inches total 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. "If applicable: / undersand the system type specified it different from the type JpedTed on the application. / accept the specifications of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat at 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 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: 041-26/auFs N--?,aa-e� Construction Authorization Expiration Date: c>&?/ a& IRo--�3 HTE# 1I Permit # 4-5 Harnett County Department of Public Health Site Sketcb S(?___ )qr� PROPERTY LOCATON: Ci 3 4 P ovt, (- t c, cGk�jb xI Q,��, ISSUED TO: C i \ m -c- 0-c6. LLC- SUBDIVISION C- K&,b uuu LOT # C� Fi Authorized State Agent: Date: C3 C, -Ula Sc3it MLlV (�� 2E�uiSZc1� 5YSf�a u st{4[L- C3� - C��ft2a-� UM - A�-G21>l�� aU;b sr Pa,c��os� 5s' u 52' 3Ci(-L- cotL`cS8u2Y PAn� �Atii= 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: �(3C%(b1.e_ 44rj L� QrC6, Address:QAe,,b�r,)P6N [vl[_(6Date Evaluated: cW/R& Proposed Facility: 36 Design Flow (.1949): 3EG U� Location of Site: Property Recorded: Water Supply:nblit❑ Individual ❑Well Evaluation Method: ager Bon ❑ Pit ❑ Cur Type of Wastewater: ewage ❑ Industrial Process Sheet Property ID: Lot #: File #: Code: Property Size: G fT L ❑ 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 Rear Horiz L 2-3"b r,-ia c ✓r�sfi'Y UPS is-ag r� su.. r.� sssPY 7.sV,G�1(GaG" aPi e, fkIP� la 3fy W- 5rc.- tt 7.3 y6l, i 36 a 3 (rla � VDL n6e r4l ssl s -7.60(E2y" ;�b C) Description InitialRepair System Other Factors (.1946): System Site Classification(. 1948): V(t,5 piKAe— /Pfvur`sP ACJ(> Available Space(. 1945) Evaluated By: //�� � � System T s) Others Present: rutdt`C-� C-.,rr: n/+_tS Site LTAR