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IPACHTE# to-s ae '/,37 Harnett County Department of Public Health Improvement Permit 2 6 9 Q 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ,n/C .Z? ISSUED TO. V-~ y nn Ca115'4rU'Z_- _%Q1\ SUBDIVISION T=„ ~'~-•ti~ e LOT # >t9 - NEW Q REPAIR El " EXPANSION 13 Site Improvements required prior to Construction Autho rization Issuance: Type of Structure: t _SP D 7 1/ X 3E Proposed Wastewater System Type: 1 5" 2ed yLF:cw~ S rfe~ Projected Daily Flow: 3 L U GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes 2/'No Pump Required: ❑Yes G/ No ❑ be required based on final location and elevations of facilities Ma Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: 2"-Five years Permit conditions: ❑ No expiration Authorized State Agent:: 42~,- _',,e~/ f Date: 3 z x O0 2_ SEE ATTACHED SITE SKETCH The issuance of this permit by the Healt~rtment 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 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: 0 Xt/7n CQAJ"fhs(. --rjA PROPERTY LOCATION: Al(- 1, 2W SUBDIVISION %1 Ps;.',A Js- LOT # 11 Facility Type: J New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** (Initial) Wastewater Flow: _3(, ;,6 GPD (See note below, if applicable ) (Repair) Installation Requirements/Conditions Number of trenches Ll Septic Tank Size /bpc gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench ('0 feet Trenches shall be installed on contour at a Maximum Trench Depth of: / G - Ry inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: C- tZ inches (Maximum soil cover shall not exceed 36" above the trench bottom) 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: /understand the system type specified is different from the type specified on the application. /accept the specipcations 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.I At Al IALHtV Slit SRtILH Authorized State Agent: Date: Construction Authorization Expiration Date: 3 j~~ 17 HTE # %a - 5-- A 8 5 3 7 Permit # 121 k. ` Cy I Marnett County Department of Public Health Site R(Atell PROPERTY LOCATON: /✓c cyJ ISSUED TO: n n Car~rr~uc uzn SUBDIVISION LOT # Authorized State Agent: le Date: 3 /-;Z- Aw 2- f l ~c l r t3 ( `i U oJsL t3 ~ I I ~ J.r7 f JA 11 -Z~ t`.ve_ 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: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: LJ Public❑ Individual ❑ Well Evaluation Method: ger B,,Ong ❑ 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/ Depth Slope % (In.) .1941 Structure/ .1941 Consistence •1942 Soil .1943 .1956 Wetness/ .1944 Profile Texture Mineralo D th Soil Color Class Restr Class Horiz & LTAR L> ' , -y~ c- /,5L- ✓ tiro Description Initial Repair System Other Factors (.1946): A il S ste Site Classification ( 1948): ~f va able S ace .1945) S stem T e(s) ~S . Evaluated By: Site LTAR C, Others Present: