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IPACHTE# ,a _s .yqg39 Harnett County Department of Public Health 30080 Improvement Permit sz 1 N43 A building permit cannot be issued with only an Improvement Permit /� PROPERTY LOCATION: C� �ZcxIL_�+� ISSUED TO: '4117"?4c r t6�{(\ -cyt rUK SUBDIVISIONC-.Z&,,s (Z -C. Cj'C LOT # NEW Iff,PAIR`d 16PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 946cL 53rxK4t r4�� Proposed Wastewater System T pe: Qf %. n h -Q kiG N S s. Projected Daily Flaw: 530 OPD Number of bedrooms: � Number of Occupants: 8 max Basement ❑Yes Pump Required: []Yes ❑ No aL_W_I1 �y a�ired based on final location and elevations of facilities �� Type of Water Supply: ❑ Community PfJ' oblic ❑ Well Distance from well 100+ feet Permit valid for: Live years Permit conditions: ❑ No expiration Authorized State Agent:!—���'/� Date: a`D& �?' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for -checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation it 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 pr isiam of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization squired for Building Permit) The construction and installation requirements of Rules .195D, .1957, .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. ff ,4jsL I 'tlfcjt�3 ISSUED TO: PROPERTY LOCATION: _ C—Q.�G acc. Tr) SUBDIVISION c`PXcss i ccnC C LOT # Facility Type: (ict, S3re9tx �s S�� Wl ew ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** nae-Np 41-D.. L 'nn 5 , AGM (Initial) Wastewater Flow: �— GPD (See note below, if applicable ❑) lar". L0'4 a5�'o Wvc k; on 6-t�_(Repair) 1I��\ En,+� oC7 Sim Installation Requirements/Conditions Number of trenches 6 - Septic Septic Tank Size V gallons Exact length of each trench feet Trench Spacing: I Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches Maximum Trench Depth of: I eA— inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: N. TDH vs. GPM tum inches below pipe Aggregate Depth: tm inches above pipe (onditions: cf)e,jsgszs� 111¢ 11;feel t -)P\, 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 rpeciled it different from the type rpec/led on the app/icadon. / accept the rpecilcationr 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 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: dC- Ice �✓� o�i�' ,g� V cz,9,,,k—Jonstruction Authorization Expiration Date: OWacilr7�d3 HTE# T b ._5 - Li`l a39 Permit # 3cb8a Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: C e (1cctC Tr I ((c,v tZj ISSUED TO: —re� (L012 n zsml-k SUBDIVISION C s x 1 LOT # Authorized State Agent:Date: O�,cr"i^>/S *Meek ons; -Le, cc�ur to i/licc�ll � M�'�e� on5•� ccE '��Sk.S\ ko ,oue� s�bu.c.cGs � 0 n cAn6cwc- ©-Oox � Jct,\ c1.�sbs•:1ro�or� ��,;,� 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: 6 Nj& ao6� y(` Sm� Address: 6&�ar Qcr4-co Date Evaluated: C41,, Proposed Facility: y3/,_ 7 Design Flow(. 1949): UCt�/d Location of Site: Property Recorded: 16 Water Supply: ublic _.Individual ❑ Well Evaluation Method: Auger Bori Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: tt,Qj(1'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 Sttvcturel Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943.1956 Soil Depth (IN .I Sapro Class .1944 Restr Horiz ),� -la GrZ- 6L vac cl) sw 3� L GAA, (&L L�6 ✓ir- ,testa Lee 14- 36 3 ' sLi�' rt SSso P.5 CZ, 5L Q-26 544- F/ � Co IL li>_s r-i5P3 �- 1 a " Description Initial Repair System Oth actors (.1946): System Site Classification (.1948): Available Space(. 1945) Evaluated By: Sys em Type(s) ° Others Present: Site LTAR �7 o J$