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IPACHTE# 14 --5- 32N4'1 Harnett County Department of Public Health 27790 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: W —W--A �Ab I-gr --rd Xf ISSUED TO: SAVY7i lAn-cS L,LC_ SUBDIVISION MKM`c— Q, P--, C) e LOT # _ NEW'[ REPAIR ❑ JPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 6FO ( 54& 0- g Proposed Wastewater System Type: �- O/, QX--DvG 10,,4 SYs �G.rYti Projected Daily Flow: L-V i ® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well V n0 feet Permit valid for: AFive years Permit conditions: ❑ No expiration Authorized State Agent: '��.\ S A) Date: 17 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss a other permits. The permit holder is rest onsible 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 Improve ermit 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: SQ-N -f y 5 1. —.4--C' PROPERTY LOCATION: fbca- z.R,Ao,,iiN �oN '�)y- 'gP -Lt— ,ocC LOT # Facility Type: IS7 -0( �6 �`��� X New ❑ Expansion ❑ Repair Basement? ❑ Yes -�W No Basement Fixtures? ❑ Yes No Type of Wastewater System ** �le, Uc/v ) Q L,) S :j :zT-6 fY1 (Initial) Wastewater Flow: L4 O GIRD (See note below, if applicable ❑) `� `�_S 7 c, 0 (Repair) Installation Requirements /Conditions Number of trenches I Septic Tank Size t C5 d o gallons Exact length of each trench `3(�d feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. \� 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 c7 t� Aggregate Depth: inches above pipe p Conditions: Ti—l�5 ��,M. i i�A. p J W l W905N J_ VaGKN �p2L�C,p�.l1� L--SS 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: l understand the system type specired is different from the type speciped on the application. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subie - - to- rexo_cation if the site plan. plat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in nwnershin of rho alto Thk Construction Authorization is s��omplianc t visio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3-' Con tion Authorization Expiration Date: SUBDIVISION 'iIf,m�G ' 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: l understand the system type specired is different from the type speciped on the application. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subie - - to- rexo_cation if the site plan. plat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in nwnershin of rho alto Thk Construction Authorization is s��omplianc t visio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3-' Con tion Authorization Expiration Date: HTE # 14 — 5- `3ALA Permit # %mr Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ISSUED T0: Sc�Y �tt L-LC.. SUBDIVISION LOT # G`1 Authorized State Agent: �O �� v i 0�' Date: a3ae 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: �- 5. _-ALA Design Flow(. 1949):1WZ` , Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method-.9 A er Bo ing ❑ 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 '3't? L.S• s G G L.S vFR e�3 S G4 V gin- Ns�iP Description Initial Systgan Re air System Other Factors (.1946): V` Site Classification (.1948): '1 --1 Evaluated Byzj Others Present: v-� C, Available S ace (.1945) System Type(s) V ' r Site LTAR 5 '3't?