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IPAC RHTE# 1 Harnett County Department of Public Health Improvement Permit 27437 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:_ ISSUED TO: C-L) 0 T;N SUBDIVISION Ce�o oL—N LOT #4n NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S�9 Proposed Wastewater System Type: S° a ' �U d Ty Projected Daily Flow: 3 r,,, ® GPD Number of bedrooms: Number of "Occupants: max Basement ❑Yes No Pump Required: ❑Yes N No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community Public El Well Distance from well 1 Q O feet Permit valid for: Five years Permit conditions: C^� ❑ No expiration Authorized State Agent:: k-S Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees A issuane other permits. The permit holde 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 TO: C- v ,iD 110mE✓S PROPERTY LOCATION: Po �1--0 SUBDIVISION Coot —�-j Q sso 0S LOT # `1 Facility Type: S -FO New ❑ Expansion ❑ Repair Basement? ❑ Yes '�K No Basement Fixtures? ❑ Yes X No Type of Wastewater System ** �),S °h Rem, C7 b sv Sig ACM (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) Q �ca,vE� aJLOG�— (Repair) Installation Requirements /Conditions Number of trenches a Septic Tank Size 1 (0 ©0 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench I Trenches shall be installed on contour at a Maximum Trench Depth of 1%' 3 d (Trench bottoms shall be level to +/ -1/4" in all directions) GPM feet Trench Spacing: c l Feet on Center Soil Cover: !:�, inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total * *If applicable: l understand the system type specified is different from the type specified on the applicatiom l accept the specifications ofthis permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subjeziZO r tion 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 oo`ompliance wild t e 'sio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: q�a Constru ' Authorization Expiration Date: L-)r HTE# 13- 5'30G�t0{Z Permit # ^1 l �� Harnett County Deptartment of Public Health Site sketch PROPERTY LOCATON: Po r,4 p 6CLU s N ISSUED TO: C°'"�' i E'+ Uc�E SUBDIVISION LOT # g`1 Authorized State Agent: �S �o1 Date: Li P0;.1J CQ A 12 12_ 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: 3 Q� Design Flow (.1949): '?5 Location of Site: Property Recorded: Water Supply: ` Public❑ Individual El Well Evaluation Method: j — Au Bo ing ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other 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 ::I:D:th 43 il (IN.) — .1956 Sapro Class .1944 Restr Horiz S'J� fit- tis ��v� fs L10 C W J-6 Description Initial system Repair System Other Factors (.1946): Site Classification (.1948): Evaluated B<K Others Present: '~ Available Space (.1945) System Type(s) Site LTAR 16