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IPACHTE# N -S -4'105{b Harnett County Department of Public Health 30113 Improvement Permit A building permit cannot be issued with only an Impprovement Permit PROPERTY LOCATION: W s I -A- �-VC'Ks ISSUED TO: C- Co-syca CVCs N SUBDIVISION SNCC-rs\-41D Ca- LOT# JJ— NEWS(REPAIR ❑ R4NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: r'. sM L%'a i '57t J Proposed Wastewater System Ty e: 9-/a\o,J SySS6 n Projected Daily Flow: Z f2f GPD Number of bedrooms: ux Number of Occupants: �-I, max Basement ❑Yes X No Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. X Five years Permit conditions: I ❑ No expiration Authorized State Agent:: � Yb-Yt5 Date: 615 �\`S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guaramees the of other permits. The permit hot er 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance with the attached system layout ISSUED TO: K-1 R A s Ci CC0-as,2lx,S tO s PROPERTY LOCATION: 90 SUBDIVISION S w %G-, w.A A iUL. LOT # Y 9 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ElYes 1-1No Type of Wastewater System** =70 R so uUi, a v %) 5CE rc+ (Initial) Wastewater Flow: 49 C) GPD (See note below, if applicable ❑) Installation Requirements/Conditions Septic Tank Size i 0 4z 4Z) gallons Pump Tank Size gallons Pump Requirements: ft. TDM vs. Conditions: 9,15-0u0Ta0u %yS (Repair) Number of trenches I Exact length of each trench O' O feet Trenches shall be installed on contour at a Maximum Trench Depth of: a""I-36 inches (Trench bottoms shall be level to +/•1/4" in all directions) _ GPM Trench Spacing: Feet on Center Soil Cover: Yd.aL3 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total **If applicable: / understand the rynem type spedfved is different from the type specf6ed on the app/icadon. / accept the rpec;*miom of thir permit. Owner/Legal Representative Signature: Date: This Construction Authorization is ruble ation 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 wkek4to cumplian cions 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: 6 1Q ruction Authorization Expiration Date: 6 1 S HTE# �l - 5- LI UOS Permit # 3©� Harnett County Department of 1"ublic Health Site Sketch PROPERTY LOCATON: \AiLL— LyGpN ISSUED T0: �Si �N1Srt vGS ON SUBDIVISION Sw eSNtCSQ- LOT Authorized State Agent: SNS 0tad E,),—) 0 vY Tr Date: � 5' 1)y qA,N K.a-4� ` 7T. 1-14 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: Address: Date Evaluated: Proposed Facility: L.,P�!)(2 , Design Flow (.1949): l Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other 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 .1943.1956 Soil Depth (IN.) Sapro Class .1944 Restr Horiz G s , Vin "5N9 2ziL7B G 3 � N3 a d zit G Description InitialR air System Other Factors (.1946): 45 S st Site Classification (.1948): Available Space(. 1945) Evaluated By: System Type(s) 1a -fl Others Present: Site LTAR Is -S