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IPACHTE# 19'5-" 1-20 Harnett County Department of Public Health 30125 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: `$LsSC R -o. ISSUED TO: CL-Yor' 99<) l�S o N SUBDIVISION 6. "0- % Mo ti LOT # -L— NEWV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: V) P%ag- V3otrc, C.s'j*1�7C , Proposed Wastewater System Type: 2t-S°lo P" ,c%iLr 'TGtr Projected Daily Flow: 341:y GPD Number of bedrooms: S Number of Occupants: max Basement ❑Yes ANo Pump Required: Dyes XNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community X Public El Well Distance from well i O feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent: 5 Date: 13) )E SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the a of other permim. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to rerau6on if the site plan, plat or the intended use changes. The Impr ment 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 instillation requirements of Rules .1950, .1952, .1954, .1955, .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: pyo Fr pros 1600 PROPERTY LOCATION: 751 Ess e 2., `` SUBDIVISION Sa-Now% McLrcgri LOT # _ Facility Type: Mw,,. t10 �E VT 5'�O� New ❑ Expansion ❑ Repair Basement? ❑ Yes 75� No Basement Fixtures? El Yes El No Type of Wastewater System** &- 'L- P-EDjcAi.uN S-Y.iGan (Initial) Wastewater Flow: 3C0 GPD (See note below, if applicable ❑) a..5°�e . (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size L© ©C gallons Exact length of each trench ea 1S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. S"J, inches Maximum Trench Depth ofi as1 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: h. TDM vs. GPM Aggregate Depth: Conditions: 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. inches below pipe inches above pipe inches total ."If applicable: / understand the system type specified is diKerw from the type speciried on the app/ica6en. / accept the roedrications o! this permit Uwner/Legal Representative Signature: Date This Construction n n subject to revocation 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 Authim anion i b ect to rump th 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: RG—N�b Date: S �3 1 Construction Authorization Expiration Date: 6 113 3 HTE# 1I —5-L)L4 )33 Permit # 30I-lS Harnett (bounty Dehailment of 1'nblic Health Site Sketch PROPERTY LOCATON: J cssE QZ ISSUED T0: 6 QF >TS SON SUBDIVISION 6�Noa. , lnL j>.w LOT # Authorized State Agent: 6(PLIDate: .-70 � 2EaaS2 I -so X45. o Y17 C. / Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: Owner: Applicant: C'\'\N6 Address: Date Evaluated: 1 Proposed Facility: 39'x'^ Design Flow (.1949): 36 0Y Property Size: Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well ❑ Spring Evaluation MethodV. Aug Boring [IPit El cut Type of Wastewater: "ewage ❑ Industrial Process ❑ 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 dLkA 15Y- Gz F, Sj��e P5y ca e-xL C 5 L "rm �9- 53,t CL \-A SIT 3 SL vti-n rZO"v �%A Description Initial LRepair System Other Factors (.1946): S em Site Classification (.1948)✓ Available Space (.1945 Evaluated By: System T e(s) 0..'� 9 Others Present: Site LTAR }.