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IPACHTE# t' 5 --438 Harnett County Department of Public Health 29949 Imarovement Permit A building permit cannot be issued with only an Improvement Permit �� PROPERTY LOCATION: Atw 'Ekrimk( (Lw&r- 04, S4- )q 05 ISSUED T0: c�anCcu SUBDIVISION �"uto�s� i (LS Lc 5c�: va A l L<- =1- LOT # ��� NEW REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: S ( Sir Type of Structure: 'qGn- (eb\X ) Proposed Wastewater System Type: S s. Projected Daily Flow: CS C- GPD Number of bedrooms: �a'aii Number of Occupants: g max Basement Dyes ICI No Pump Required: ❑Yes ❑ No a©'M y be r based on final location and elevations of facilities Type of Water Supply: ❑ Community ublic ❑ Well Distance from well N4 feet Permit valid for. Ellive years Permit Conditions: ❑ No expiration Authorized State Agent: _ GAG Date: c!NK 1o�� ort>/ E3 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 avocation 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 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 Permit) The constmcdon and installation requirements of Rules .1958, .1957, .1954, ASS, .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: -S2,cec �j (ZAz)4 k PROPERTY LOCATION: Kca rii SED ( R r f aL\. sooQi SUBDIVISION c ik 8K -4- LOT # Wof, 45rt Facility Type: 4/8ti D%+41+ GOSx?}i 51-K ❑ Expansion Repair L Basement? ❑ Yes or Basement Fixtures? ❑ Yes ❑ No / Type of Wastewater System"* C�r� , a5�pil, Co 6- (Initial) Wastewater flow: 4A C GPD (See note below, if applicable ❑) r� SAS 1-yegF tv a676aeA- 5,t:S (Repair) µqK Installation Requirements/Conditions Number of trenches Septic Tank Size Aa!SO gallons Exact length of each trench *5 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of:�I inches (french bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 5 Feet on Center Soil Cover. Ciga inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / onderrtaad the ryrtem type rpedled it different /mm the type rpealed on the appl2ation. / accept the specillcationr 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 Authorisation 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: C.'�loT-]c?U/8 .g3Q/fj�a.,.> G J �'LtLt av Construction Authorization Expiration Date: 05/6iw/ go;;Z3 HTE# VS -S -'138C6 Permit # 0(39 q� Harnett County Department of 1-`nblic Health Site Sketch PROPERTY LOCATON: Y�Igrie 5��k ice'„xrfLa S(L t146 ISSUED TO: T�Et"t� 2onclw�� SUBDIVISION Cwpint, L 6n� LOT #`/`1/d,45M Authorized State A ent: cG� sq - Date: �����! Date: C_ 5 o- 1 as t S 11� tcn� 7� Lie G I `^ taS.J M4X Yvn Cone -,x S �e11 of �P�raee� So,� 2o�v�ro Z e `_"l (AU 0 H I+ -D E S C1V-K3V IT4k3( jE _ I —i r c ^P U Y 47„51 (`tI MRn�C�; STYt� rT 3�?t 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:vy J�� n",7 a t k�A Address: Ct)plw16 " Date Evaluated: Proposed Facility: y32 t,wMa Design Flow (.1949): 3(] &5> Location of Site: V Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method:uger Bo ' ElPit cut Type of Wastewater: a Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: A6_ ❑ 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 Horiz I,a3 L ( fb-ia csL 6L ss� iw Lb " s� vYQ o-ia a- 1a-qtl 0'L fz,,- PA, 5P 7.sY'idl-;)'�' �T D, Description Initial Repair Syst Other Factors (.1946): System Site Classification (. 1948): Ultr}u'q�pQ4'>U t�St Ciztct,(( 5-vt Available S ce(.1945) Evaluated By: System Type(s) Others Present: Site LTAR