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IPACHTE# N--)- "J-2- 0Q Harnett County Department of Public Health hDrovement Permit 27185 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: D ®GS ISSUED TO: t l L y ,z, 0c) ryl r-- S U— <1 SUBDIVISION Q A�,^�arr; LOT # 2Z, NEW REPAIR ❑ F ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 56-- Q) (k® Proposed Wastewater System Type: 2S -S S75 err Projected Daily Flow: C>(!:) GPD Number of bedrooms: Number of Occupants: YO max Basement ❑Yes No Pump Required: ❑Yes �!< No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community —K Public ❑ Well Distance from well 4 ®C) feet Permit valid for: JK,, Five years Permit conditions: ❑ No expiration Authorized State Agent:: `������" gj-'t�s Date: 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the i uattce 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 T0: PROPERTY LOCATION: DOc,s SUBDIVISION 0 t47 LOT # Facility Type: '5�Q � "� New ❑ Expansion ❑ Repair Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes -,No Type of Wastewater System ** S °l@ RGOV C;5-, o s f Sy (Initial) Wastewater Flow: r�,G 0 GPD (See note below, if applicable ❑) ,i '-'Ys —, Gm (Repair) Installation Requirements /Conditions Number of trenches 3 Septic Tank Size 1 a.S © gallons Exact length of each trench 1 C� feet Trench Spacin '&: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (® inches Maximum Trench Depth of. 15-36 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: 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: I understand the system type speciled is different from the type speciled on the application. / accept the specilcations of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is- mbieet -tn revocation if the site Dian, 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 complian;;yit oviftLjof the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: p on tion Authorization Expiration Date: HTE# VD-- '� - a- `�c}�� Permit # 2L�l 1`85 Harnett County Depailment of N-t lic Health Site Sketch PROPERTY LOCATON: C)oc..s �-p ISSUED TO: LL C— SUBDIVISION CJY y —".o TqS 11 LOT # Authorized State Agent: -To 2. y,. D(SO Date: ,;�Nvl / R t � t � D � 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: '�O`) ) Proposed Facility: Design Flow (.1949):QCC Location of Site: Property Recorded: Water Supply: . VPublic❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ❑'Sewage El Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz %-Z) L C J L NMI, 3 �3, c= s laC=s� r�hf Description Initial Systm Repair System Other Factors (.1946): Site Classification (.1948): S Evaluated By: 0 Others Present: — Available Space(. 1945) System Type(s) -1, 1 Site LTAR '7