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IPACHTE# 6 2- 5'- Harnett County Department of Public Health Improvement Permit 26824 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION;--/77..3 ISSUED TO: B-CM 13jv!-r b -pie S SUBDIVISION LOT # NEW 2r' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: IS F i') Proposed Wastewater System Type: 29014 1Z66Q ?,0 Projected Daily Flow: 36,0 GPD Number of bedrooms:- Number of Occupants: max Basement ❑Yes L.~ No f Pump Required: ❑Yes ❑ No 2Ma~i~e required based on final location and elevations of facilities Type of Water Supply: ❑ Community ICJ Public ❑ Well Distance from well feet Permit conditions: Permit valid for: 2-Five years ❑ No expiration Authorized State Age Ybiye Date: '7 Ae ' f L SEE ATTACHED SITE SKETCH The issuance of this permealth Depart ment in no way guarantees 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 revocatite 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 T0: PROPERTY LOCATION: JiE.--I7Z7 &-°L,.,lcr /Z SUBDIVISION LOT # Facility Type: Imo'( New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes AD Type of Wastewater System" 25% s)P02 (Initial) Wastewater flow: '3& GPD (See note below, if applicable 2'Jv Itfi1 (Repair) Installation Requirements/Conditions Number of tr nches Z- Septic Septic Tank Size L!a gallons Exact length of each trench feet Trench Spacing: / Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. 3Z-/g 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: 17- inches total 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. **If applicable: /under fond the system type speciped is di/ferent from the type speciTed on the application. / accept the specipcationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is 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 Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Ag Date: 2- -16 / z Construction Authorization Expiration Date: 7 =f-- 0 7 HTE# ZERO Permit # 2-&C-72 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:4!f?j.r7,j 3 ISSUED TO: SUBDIVISION LOT # Authorized State Age Date: 1 Z-- t C I f~ ij Department of Environment; Health and Natural Resources x Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER Code: SYSTEM Owner: Applicant: Address: Proposed Facility: Date Evaluated: 2 /4 -YZ - Location of Site: Design Flow (.1949): Property Size: Water Supply. Property Recorded: Public❑ I di i n v dual ❑ Well Evaluation Method: Auger Bo i ❑ Spring Type of Wastewater: ng r ❑ Pit ❑ 0-'Sewage ❑ Indust i l P Cut r a rocess ❑ Mixed P R O F 1 .1940 SOIL MORPHOLOGY L Landscape Horizon .1941 PROF E Position/ Depth # Slope /o (In.) .1941 Structure) .1941 .1942 Soil Consistence Texture Mineralo Wetness/ 1 L Color D ~J 34: 4f fG. sG 32" Z C ° q Z St., ~Z~ y~ SCa ~ i ± ti ❑ Other OTHER !LE FAC .1943 Soil 1956 .1944 Profile Sapro Restr Class Class Horiz & LTAR e 5Z_ ✓f(g SQL A-- .7, rtl V. f Repair System Other Factors (.1946): Site Classification (.1948): 1`5 Evaluated By: Other s Present: r,