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IPACHTE# l �° ����33 Harnett County Department of Public Health 27765 Imurovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: No2cf,, =a�ca�t ISSUED T0: SUBDIVISION LOT # NEW)< REPAIR ❑ (XPANSLON El-, Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'i` f.'o , 1 -toes, �1 "_7 6 1 Proposed Wastewater System Type: aS O/o - - ov01 ;\ uega '-2)ybTE rn Projected Daily Flow: 3�® GPD Number of bedrooms: ?a Number of Occupants: max Basement ❑Yes 'K No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community "-,< Public ❑ Well Distance from well L0 4 feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent:: ! ` Date: \ = )45 113 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu er permits. The permit holder is resp nsible 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 Improvemen mit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization Reauired 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: GU M PROPERTY LOCATION: N ©tLSLe r,,) C—, o ( SUBDIVISION LOT # Facility Type. M f-£a \A o rr-�E. ` ^'���� New ❑ Expansion ❑ Repair Basement? ❑ Yes '�X No Basement fixtures? ❑ Yes XNo Type of Wastewater System ** c� 1P 0 a a► `> --Y5 f-- r., (Initial) Wastewater Flow: 3C CJ GPD (See note below, if applicable ❑) �. c, Q- �nv���n N � >5 -� (Repair) Installation Requirements /Conditions Number of trenches 1 Septic Tank Size 1 ® C-) 0 gallons Exact length of each trench \ . Q) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 1'i ° inches (Trench bottoms shall be level to +/ -1/4" in all directions) Pump Requirements: 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: 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. inches below pipe inches above pipe inches total * *If applicable: /understand the system type specified is different tram the type specified on the app lication. / accept the specipcations of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject ion 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 subjectwto %qRpliance witr`t{ "ons of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ,'�\-'S-�5 Date: rl on Authorization Expiration Date: I')., HTE# Permit # I � Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 1Z)q1CL-v1) C-10 ISSUED TO: SUBDIVISION LOT # Authorized State Agent: Date: 4-4 �')3 T jj '3 C, .• 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: Proposed Facility: 3 Location of Site: Water Supply: Evaluation Method: Type of Wastewater: Sheet: Property ID: Lot #: File #: Code: Date Evaluated: ?>Ca�'fi Design Flow (.1949): t j Property Size: Property Recorded: ublic❑ Individual ❑ Well r_1 Spring Auger n g ❑ Pit ❑ Cut McSewage ❑ Industrial Process ❑ 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 Fth .1956 Sapro Class .1944 Restr Horiz 145 0- AQ G :5,- -,'Prz 1 F L Description Initial system Repair System Other Factors (.1946): Site Classification (.I 948)R Evaluated By: <:I—\ Others Present: Available Space (.1945) System Type(s) f zOi , Site LTAR j A46- 145 s Ix�rjC1