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IPACHTE# /o2-S--o1,U Harnett County Department of Public Health Improvement Permit 2 6 9 2 9 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: X73 Gw t ISSUED TO: Y 't J ot- /M • Lo Piz- SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: ,M oA V 1 6 `f Proposed Wastewater System Type: cZ51, J`Aµ- Projected Daily Flow: ✓ 6 CJ GPD Number of bedrooms: 3 Number of Occupants: C max Basement ❑Yes ©'No Pump Required: ❑Yes ❑ No L"_f M2 be required based on final location and elevations of facilities Type of Water Supply: El Community " L Public ❑ Well Distance from well feet Permit valid for: L`7 Five years Permit conditions: ❑ No expiration Authorized State Agent:: ,Z 7.1 Date: I/ //7 t ;L-! 2- SEE ATTACHED SITE SKETCH The issuance of this permit by th ealth Department 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.` /~c~ etc w n ISSUED TO: Vic ~to r /1 = Lcsp zz PROPERTY LOCATION: 31 .7 SUBDIVISION LOT # Facility Type: ~aa yC y 2 ""New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** of5-7v ~td -c. (Initial) Wastewater Flow: 6 O GPD (See note below, if applicable ,2y-r- -Sd':L, (Repair) Installation Requirements/Conditions Number of trenches ,3 Septic Tank Size 0 gallons Exact length of each trench 5-0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: le inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: b inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: 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: /under fond the system type specified is diI/event from the type specified on the application. / accept the specifications 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 AITACHED SITE SKETCH Authorized State Agent: Date: / 7 0l2 Construction Authorization Expiration Date: Y / 7 avf HTE# _/,~-s'P, 8(~- 8 5 Permit # A 9 z 9 r r Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: / Address: v~ Z ~Z Date Evaluated: `a i ~7 Proposed Facility: Design Flow (.194 Property Size: Location of Site: Water Su l : Property Recorded: 13 y pp A Public❑ Individual [I Well ❑ Spring Evaluation Method:C uger Boring ❑ Pit ❑ Cut T e of Wastewater: yp Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY I .1940 L Landscape Horizon .1941 PRO] .1942 E Position/ Depth .1941 .1941 Soil # Slope % (In.) Structure/ Consistence Wetness/ Texture Mineralogy Color Ar L/ v ❑ Other OTHER [LE FAC 1943 Soil .1956 .1944 Profile Sapro Restr Class Class Horiz & LTAR d _o IZJ Description Initial Repair S stem Other Factors (.1946): S stem Site Classification (.1948): Available S ace .1945) Evaluated By: r+. S stein T e(s) .2t° l~ aJ" v Others Present: Site LTAR