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IPACH T E # / a-s= d- e /V? Harnett County Department of Public Health Improvement Permit 2 6 7 8 9 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: \,oc.IJ-1P_J. ISSUED TO: W~rtvt ~onr~ruc r SUBDIVISION t y-c 44,kr r f-1 l S ~ LOT # ~d7 NEW f' REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: ~ CF t) ~ 7 X,37 Proposed Wastewater System Type: a J' yd Red c-{' ocn fvf Projected Daily Flow: 3b 0 GPD Number of bedrooms: J Number of Occupants: max Basement ❑Yes C~4o Pump Required: Zfes ❑ No ❑ Ma be required based on final location and elevations of facilities _ Type of Water Supply: E] Community Public ❑ Well Distance from well feet Permit valid for: tJ,Five years Permit conditions: ❑ No expiration Authorized State Agent:: 20C SEE ATTACHED SITE SKETCH The issuance of this permit by e Health Department in no way guaran ees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if 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 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 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: CO n1" 4v-UC4"'y' PROPERTY LOCATION: SUBDIVISION lro °Ee~ f ~e-- d s~ LOT # Facility Type: lf'F D C2/New ❑ Expansion ❑ Repair Basement? ❑ Yes No p Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** / ~.--A l a f f r ~ (Initial) Wastewater Flow: GPD (See note below, if applicable / n2J-71 eeec,uc~t'.GI~ fJ (Repair) Installation Requirements/Conditions Number of trenches o2 Septic Tank Size / b o o gallons Exact length of each trench 7 r5` feet Pump Tank Size i 0 o a gallons Trenches shall be installed on contour at a Maximum Trench Depth of.. -7 q- 3 Ca inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: y Feet on Center Soil Cover: /k_ / 8 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 different from the type specified on the app/ication. /accept the specifications o/this permit. Owner/Legal Representative Signature: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Construction Authorization is subject to compliance with the Date: shall not be transferred when there is a of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Authorized State Agent:. wta;,./l~ Date: Construction Authorization Expiration Date: vZ a in ownership of the site. This SEE ATTACHED SITE SKETCH HTE# 02 t 1 9 q Permit # _ a b-~ 69 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: s ~cl - ISSUED T0: vJ_T-~ SUBDIVISION LOT # S ? Authorized State Agent: Date: fl z~ z i76r lay t oZSr r2eJ v~~.~ fti~ j t r J r ~ /C)ul 37 Q~ Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow (.1949): Property Size: Location of Site: ~ Property Recorded: Water Supply: LJ yublic❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method:( Auger Boring ❑ pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY OTHER I .1940 1941 PRt1Fir .F FArTADQ E Position/ v # Slope % Depth jj (In. 1941 Structure/ Texture C- Lr .1942 .1941 Soil Consistence Wetness/ Mineralo Color .1943 Soil Depth (D --tk Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): f Available Space .1945) System Type(s) Evaluated By: r Others Present: Site LTAR o .1956 Sapro .1944 Profile Restr Class Horiz & LTAR S_E l G