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IPACHTE# to-s-5s~ Harnett County Department of Public Health Improvement Permit 27053 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: )No m-f_5 1_LC. SUBDIVISION LOT # 1'9 NEW)< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5'`O( S} Proposed Wastewater System Type: Z-S'*16 ~Efl y ~f aN ;5:~ Projected Daily Flow: o GPD Number of bedrooms: Number of Occupants: $ max Basement ❑Yes XNo Pump Required: ❑Yes -191o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >k Public ❑ Well Distance from well 1 C? 0 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 5 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department i no way guarantee the issr u}Ee of other permits. The permit holder is respoisible 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 Impr ement 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, .1950. 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: Savvy ~iov, us LL (7, PROPERTY LOCATION: W In.-_ 9__0 SUBDIVISION LOT # ti't Facility Type: 5F0 'X New ❑ Expansion ❑ Repair Basement? ❑ Yes "X No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** W 1/e ?-NZ QQc tya J tern (Initial) Wastewater Flow: LAY U GPD (See note below, if applicable} 9~M-4 I<L, %Lo G14-- (Repair) Installation Requirements/Conditions Number of trenches 'Z- Septic Tank Size tO0 gallons Exact length of each trench -1 !9' feet Trench Spacing: ~ Feet on Center Pump Tank Size gallons Trenches shall be installe on con o Soil Cover: -2% inches MiM Trench Depth f. 40 1 hes (Maximum soil cover shall not exceed (Trench bottoms shall be le 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM s V Conditions: \v G'S"~C.. rL.F,~+G'~c} NA 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: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representatl ature: Date: This Construction Authorization is voc ' - the site plan, t 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 su ` liance wit ro " of the sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: ZuL Cons "n Authorization Expiration Date: HTE# Permit # a~ 053 Harnett Connty Department of It lip Health Site Sketch ISSUED TO: s Authorized State Agent: PROPERTY LOCATON: W 14.F Qx, SUBDIVISION k~v`„Aea ~S LOT # -~5 Date: Sla~l' 1~- N e ¢ v , 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: 4 f1' V_QS Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F SOIL MORPHOLOGY I .1940 .1941 OTHER PROFILE FACTORS L Landsjape E Positio.1941 # Slope Structure/ Texture .1941 Consistence Mineralo .1942 Soil Wetness/ Color .1943 Soil D th IN. .1956 Sapro Class • Restr str Horiz Profile Class & LTAR C' TC31<'~C,I~r r t-Yl'~J ~c 5 L nt t N\R 5g~. Sc.~. ~R y 5 ~ f Description Initial S st Repair System Other Factors (.1946): Site Classification (.1948): QS Available S ace .1945) Evaluated By:~ S stem T e(s) nc Others Present: Site LTAR _ Q,n