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IPACHTE#_ f 5-5 3-169 I Harnett County Department of Public Health 2875 Improvement Permit A building permit cannot be issued with only an Improvement Pe�1it PROPERTY LOCATION: 'Ti m 6 w ISSUED TO: $ s i—> Ca.. 4'Llc— SUBDIVISIONgT4'4 LOT # NEy REPAIR q EXPAKkION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure:5 FD l�5^"�1 Is J Proposed Wastewater Sattem Type: e -S 'I e iks:ou, .r, t o.J YSTfjrl Projected Daily Flow: �7� GPD Number of bedrooms: Number of Occupants: max Basement []Yes No Pump Required: Oyes ❑ No ';Kj9ay be required based on final location and elevations of Facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 10 0 Net Permit valid for. Five years Permit conditions: c ❑ No expiration Authorized State Agent.: Date: i I T7I LG SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan er permits. The permit holder is responsible or checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, pla4 or the intended use changes. The Improvement ermit 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 .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in amrdana with the attached systemlayout ISSUED TO: s a L C4, Q.,- )-10 rue's PROPERTY LOCATION: f s tv 66a y R o SUBDIVISION tvS ° I WT LOT # S )_ Facility Type: S (55 i 1a5� New ❑ Expansion ❑ Repair Basement? ❑ Yes 19., No Basement Fixtures? ❑ Yes No Type of Wastewater System** la 12efl u(:x\- p Sy s TC—w\ (Initial) Wastewater Flow: 34Qb GPD (See note below, if applicable ❑ �v4'142 - `�S°�I Q60,�s (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size a © C2 C7 gallons Pump Tank Size ' gallons Pump Requirements: fC TON vs. Conditions: Exact length of each trench s 3.'O feet Trenches shall be installed on contour at a Maximum Trench Depth of: I'q inches (Trench bottoms shall be level to +/.I/4" in all directions) GPM Trench Spacing:9 Feet on Center Soil Cover: C-D.z inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATIONS 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: / anderrtand the ryriem type rpedhed it different from the type speci/xed on the app/iretion. / accept the rpedhrutionr of this permit L Owner/Legal Representative Signature: Date: This Construction Authorization ss.- ect m revocation d the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership of the site. This Construction Authorization u subj�a m mmpli the p(ornions of the taws and Rules for Sewage treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 1/ 1-7 )1 Rt truction Authorization Expiration Date:t' HTE# 5-7'6'�j Permit# '�-%IS) Harnett County Department of Y' ihlic Health Site Sketch PROPERTY LOCATON: -Ti QD ISSUED T0: C�-P2-L Y�O SUBDIVISION ATSo S DINT LOT # Authorized State Agent: (u� b L v Lxs9 Date: IR QUr,p \s IJG�j6p ��n V^11T1A� Sv i'�Grl iN 1 TIgL S: O LgpP,,lt �CL6iTS r \\'� pn.,6a 1� ov5 E 1. 11 2 3�l v , C— �Frt Co�usrn- Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: lDOan Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ,Public❑ Individual ❑ Well Evaluation Methog� Auger Boring ❑ Pit ❑ Cut Type of Wastewater: \ PSewage ❑ 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 Minentlogy .1942 Soil Wetness/ Color .1943 Soil Depth (RJ.) .1956 Sapro Class .1944 Restr Horiz Description Initial Repair System Other Factors (.1946): S ste Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) c7.I QQtith Others Present: Site LIAR r$ 1 x "'�0 L 1`t -'- 4 "