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IPACHTE# 1� 5' tC� Harnett County Department Tic Health Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1 -1 N6QN ISSUED TO: 215 o SUBDIVISION PV "N5) z5 Qco -,,.,-'C' LOT # 5'�R_ NEW K, REPAIg ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: .S Type of Structure: ' ptS3xL10 Proposed Wastewater System Type: Projected Daily Flow: 3 © GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑Yes No Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community A Public ❑ Well Distance from well ld O feet Permit valid for: X Five years Permit conditions: ❑ No expiration Authorized State Agent:: iZ (-N5 Date: 1�A 13111 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarant issuance of other permits. Th�ilholder 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 tended 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. Reouired for Building Permit The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: 6 -5 PROPERTY LOCATION: J Q 1 SUBDIVISION 0P,17 0 mS Pt,,,- S LOT # M facility Type: SrO3-xu�� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes K, No Type of Wastewater System ** �Qlo 9-E Vc^-;s 0 1,' (Initial) Wastewater Flow: --"40 GPD (See note below, if applicable ❑) Q-OUens ON SJ- 51C -r1\ (Repair) Installation Requirements/Conditions Septic Tank Size IC)D® gallons Exact length of each trench �X1aQ feet Trench Spacing: 01 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G° )2L inches Maximum Trench Depth of: 1� -a�-1 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 * *If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit Owner /Legal Representative Stgitatuxe This Construction Authorization is subject to i of the site. This Constructidi4Wwization is Authorized State Agent: Date: plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership e provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Date: i-. ) Constructs uthorization Expiration Date: )a. t3 1` HTE# 5'101 'Q Permit # 90- V- ( rnett county Department of 1"llbl i ca e(a th Site sketch PROPERTY LOCATON: ! c HQ E� ISSUED T0: '—'- C-Z- P� �� V s� SUBDIVISION ?DM c) A s Poi ,r7 LOT Authorized State Agent: � ate: 3 1 C) r C1 J J f to ®v sG- N 36 v� �5� 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: S E3 6,oq` ? O `7 Design Flow (.1949): 3600) Location of Site: Property Recorded: J Water Supply: ublic❑ Individual ❑ Well Evaluation MethodAugei Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 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 �`6 f Description Initial S ste Repair System Other Factors (.1946): Site Classification (.1948)._5 Evaluated By: Others Present: Available Space (.1945) System Type(s) o Site LTAR _Z �`6