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IPACHTE# rl°5- T)c (60 Harnett County Department of Public Health Imurovement Permit 2 6 7 4 5 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: V)c,Qc3 32 GP I ISSUED TO: C~UtvS-SQ'IXX\oX1 ANC.., SUBDIVISION Susnt~,E~ZZti\ tl.- LOT # NEW;q REPAIR E~ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~ C) Q C c)-t;0 l® Proposed Wastewater System Type: Projected Daily Flow: 3(_0 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well 1®O feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Q_C_ The issuance of this permit by the Health Department in no way guarantees the is site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: 1 171 1 \ SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This hkent 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, .1951, .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: \IyNN C-0 Ns-saavcxXat4C- PROPERTY LOCATION: ~(Af') ouca+-o V,-D / SUBDIVISION Sv Y~c~t~1t1.- LOT # 1$ Facility Type: S c~0 4(.0 0) X New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No Type of Wastewater System" a5 u~ 0 t.f S~ 57 Esc (Initial) Wastewater Flow: 3~ Q _GPD (See note below, if applicable 11VIo 'P\Covc O N SyS ~ Esr (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 1 O C) 0 gallons Exact length of each trench 010 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches Maximum Trench Depth of. N1 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: ft. TDH vs. GPM Conditions: Aggregate Depth: inches below pipe 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: /under fond the system type specired is different from the type speciped on the app/nation. /accept the specifications of this permit. Owner/Legal Representative -Siggature: Date: This Construction Authorization is subject to revocaia a site plan, t, 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 subjoEt_to cLmpliance with flkprong ofthe and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 4.C~S Date: a '7 Constr ' Authorization Expiration Date: 'Z HTE# Permit # (~-C) L6 Harnett County Department of iblic Health Site Sketch ` PROPERTY LOCATON: Gp G U 6 p.Lp ISSUED TO: ~sS(L1)C:a1orJ t~vG.) SUBDIVISION Svcr,~,FtZh~~LL LOT # 1 Authorized State Agent: Qf~~S 7.}.Y ooLXSO®2F Date: 52)'7~11 S `i C"'C" . 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 Facility3C-Jct cc &3 Design Flow (.1949): 3 6 ® a 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 i 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon 1941 PROFILE FACTORS E # Position/ Slope % Depth (In.) .1941 Structure/ .1941 Consistence .1942 Soil .1943 .1956 Wetnes / .1944 Profile j S Texture Mineralogy s Soil oil Sapro Color D th IN. Class Restr Class i - Horiz & LTAR ~~32 513 G 5s) Z v'y ~ ' 3 P 5 V a0~3~ s~jit ~Z ~51P IG14Z~ L 3~1 10 3~ 3 5 -16 c' e S, Description Initial , Repair System Other Factors (.1946): Available S ace .1945) S st Site Classification (.1948): P) S stem T s) Evaluated By:~ Site LTAR Others Present: 13 Y n