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IPACHTE# 13-51t-)LA340 Harnett County Department of Public Health 3 01 41 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: F.zQ.Rw—f Qf, ISSUED TO: O ClJ —)rn LN Q S SUBDIVISION LOT # NEW lea REPAIR ❑ EXP SON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SPO (7D �SZi Proposed Wastewater System T pe: Cor Projected Daily Flow: X14 GPD Number of bedrooms: LA Number of Occupants: $ max Basement ❑Yes 'KNo Pump Required: []Yes �KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '�< Public ❑ Well Distance from well feet Permit valid for: >Vive years Permit conditions: ❑ No expiration Authorized State Agent: (E� The issuance of this permit by the Health Department in no way guarantees t site is subject in revocation if the site plan, plat or the intended use changes. The the laws and Rules for Sewage Treatment and Disposal and to conditions of this pe Date: T�)`jj SEE ATTACHED SITE SKETCH of otter permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. 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 T0: -)2>QA9 Gy.rrnly L' S PROPERTY LOCATION: Fu Qv PJ 9-0 SUBDIVISION LOT # Facility Type: S@9 ( 76 x -:LZ New ❑ Expansion ❑ Repair Basement? ❑ Yes 19� No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** (\�psvv br 51 v r4 k L' (Initial) Wastewater Flow: yy d GPD (See note below, if applicable ❑) a.5!e �.C6pv 4:4 t u..7 (Repair) Installation Requirements/Conditions Number of trenches T Septic Tank Size 1 o O Q gallons Exact length of each trench w D 0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: N-96Xat inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TON vs. GPM Conditions: Trench Spacing: °I Feet on Center Soil Cover. C — ):k- inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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 syuem type rpecifed is different from the type specified on the application. / accept the rpecifcatimr of this permit. Date: This Construction Authoma 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 Authotizationsr,�ect to ce witlr4ht2rovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: W'*6 Date: onstruction Authorization Expiration Date: HTE# Zig 314© Permit # 301 L:i ) Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: �V Q V Av Q ISSUED TO: m rn (. SUBDIVISION 1 LOT # Authorized State Date: —7 131 \1 ' GSL. vq i F) vO Q v C5� CCY y � �a�j14�U.9fC�Or1 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,, g9Qrx1 Design Flow (.1949): W G erap) Location of Site: Property Recorded: JJ1I Water Supply: Public❑ Individual El well Evaluation Method Aug B ring El F1 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 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz I SI35 0-30 G 752 A t-4 �• a � G s a V(�2 � CL. Description Initial Repair System Other Factors (.1946): Sstem Site Classification (.1948):0'$ Available Space (.1945) EvaluatedBy:Q'S System T e(s) CCNaS� Y14-9 Others Present: Site LTAR -U,