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IPACHTE# 1a 5-3ti1 Harnett County Department of Public Health Improvement Permit 2 6 8 9 0 A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: SP,,,,C~zas~ G; ISSUED TO: N 61 V(L1-e5 --06S SUBDIVISION Sd C r c)NC LOT # NEW'>< REPAIR ❑ € 1ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -Z"7-'D (LA A S Proposed Wastewater System Type: Qg-\ a -::710 0yG,loaJ Projected Daily Flow: `5 .6d GPD Number of bedrooms: 7--5 Number of Occupants: C max Basement ❑Yes No Pump Required: E~%' ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supp : Community Public ❑ Well Distance from well L®~ feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: c;NS Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit holder is re ronsible 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, .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: ,z.oG-Z-S PROPERTY LOCATION: Sa,~ xz~~s G-~ C SUBDIVISION LOT # 3J-~ ab Xv } Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'IR, No Basement Fixtures? ❑ Yes ~K No Type of Wastewater System** 9v-r4 7e, `a. /o 1ZQQvc:, w,► Sys K' (Initial) Wastewater Flow:? GPD (See note below, if applicable pvrn o b S,UcsNGN (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size gallons Exact length of each trench Cc (Z) feet Trench Spacing: cl Feet on Center - - Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: nches -AV Maximum Trench Depth of. a -3O 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 inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INCLUDING 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 specified is different from the type speciled on the application. / accept the specifications of this permit. Owner/Legal Representative Sig ture: Date: This Construction Authorization is subject to revocation if t Lan, p r the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization i compliance he Pro n ws Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ~S Date: Q a I I Construction orization Expiration Date: 2 HTE# S"2-~23L1 Permit # a~~ Harnett County Department of 1"ablic Health Site Sketch ISSUED TO: H Authorized State Agent: © = q, r-) E Date: 1 1 ~d PROPERTY LOCATON: S~~ a ss C-, SUBDIVISION Q;go I C. LOT # t 4~~r gRF.55 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 Facility: 3 GMD(~&,;, 5 Design Flow (.1949): 3E Qy) Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method;, Au-. e.~r, ~Boj~ng ❑ pit ❑ Cut Type of Wastewater: L' 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 .1941 Structure/ Consistence .1942 Soil 1943 / 1 Wetn .1944 profile L S Texture Mineralogy Lp ess Soil Sapro Color D th IN. Class Restr Class •~s ~ > Horiz & LTAR S~SGL t~lL 5-0 5 rtip.« ~ 3f~ : 2.c,caL t>-3q ~L, i >C ScL. ~2 s~SC (2 5 3 O .L D -6' ,.Y 3 Description Initial Re air System Other Factors (.1946): Available S ace .1945) S st Site Cl assification ( 1948): S stein T s) r S {Z e tJ V<J~ Evaluated By: Others Present - Site LTAR :