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IPACHTE# 2 -5" 2:)_3~7 Harnett County Department of Public Health Improvement Permit 2 7 01 8 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:20 J I hlrl-=4 3 fife ISSUED TO- r SUBDIVISION 5 FF-/ c LOT # 19- NEW 9, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 34----b Proposed Wastewater System Type: Z-' Zed Io2) Projected Daily Flow: j GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes 21 No 11-11 Pump Required: QYes ❑ No ❑~Moe required based on final location and elevations of facilities Type of Water Supply: ❑ Community IQ Public ❑ Well Distance from well feet Permit conditions: Permit valid for: 2! Five years ❑ No expiration Authorized State Agen Tte Date: -1 - 9 °7 - l L SEE ATTACHED SITE SKETCH The issuance of this permit alth 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 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: 7 ~zF PROPERTY LOCATION:, ZV{ SUBDIVISION S%'rr s LOT # Facility Type: -0 10" New ❑ Expansion ❑ Repair Basement? El Yes RT" No Basement Fixtures? El Yes 2 No Type of Wastewater System" M ~`o~'• ~ ~ZL~~~~Uc'US~ ~ (Initial) Wastewater Flow: 0 GPD (See note below, if applicable M. (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size "/CL L) gallons Exact length of each trench Gib feet Pump Tank Size c G'J e, gallons Trenches shall be installed on contour at a t 11 Maximum Trench Depth of inches qt V63 (Trench bottoms shall be level to +/-1/4" , R41tA-17-1 in all directions) Pump Requirements: L ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover:_ 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the ryatem type specified is different from the type specired on the app/ication. /accept the apeciTcations 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 A Date: Construction Authorization Expiration Date: 1`- t`7 HTE#27-3 !J7 Permit # A I C I R Harnett County Department of iblic Health Site Sketch PROPERTY LOCATON: ISSUED TO: SUBDIVISION LOT # Authorized State Age Date: '7--7 ,/Z, tom} 06, /n C o,,,> - N-2- 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: 7' 16 s Z Proposed Facility: lwS Design Flow (.1949):3tc-t-D 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 I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR tr L-7 ~1 Q 30 5L fa-o SGT Sys' L- o- Zq 5L C~cv' v• ~ ~~.+L~. ~C'Y ~ • f J ~ Z~ U~ F Description Initial System Repair System Other Factors (.1946): Site Classification (.1948* Available Space(. 1945) Evaluated By: C System T e(s) Others Present: 2,_ Site LTAR