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IPAC
iTE#i4-4�3-29q5/L Harnett County Department ' Public ' I. J .. Improvement Permit A building permit cannot be issued with only an Improvement Permit 3 PROPERTY LOCATION: 1rWiLt t9 ISSUED r SUBDIVISION p _ LOT # NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type:' Projected Daily Flow: (Clb GPD Number of bedrooms: — Number of Occupants: max Basement ❑Yes L?r No Pump Required: ❑Yes ❑ No +Pu(blic required based on final location and elevations of facilities Type of Water Supply: El Community ❑ Well Distance from well feet Permit valid for: 2rFIve years Permit conditions: ❑ No expiration Authorized State Agen • Z Date: — — 1 SEE ATTACHED SITE SKETCH The issuance of this permit by t y alth Department in no way guarantees the issuance 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 TO: � sa , �, PROPERTY LOCATION: 32)'W j &WI25064 0'irC44IJ /24 ��,/ SUBDIVISION Si..� ,� — LOT # Facility Type: 2" New ❑ Expansion ❑ Repair Basement? ❑ Yes ®'' No Basement Fixtures? ❑ Yes E210 Type of Wastewater System ** 7�% Rlit� c,t`Z,e-, v,-S 49— (Initial) Wastewater Flow: 3 �Z GPD (See note below, if applicable ❑) Lai ! ) (Repair) Installation Requirements /Conditions Number of trenches 1Z Septic Tank Size d) gallons Exact length of each trench 1 2- 0 feet Trench Spacing: t Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: a inches Maximum Trench Depth of: ZK 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 Aggregate Depth: Conditions: 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 'i inches above pipe 7— inches total * *If applicable: /understand the system type specified is different from the type specified on the app lication. / accept the specipcations of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to revocation 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 to Authorized State with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Date: Construction Authorization Expiration Date: 2- 2-b -- t Mz HTE# 37'6 49 !Z Permit # 2 �7 Harnett Count-v Department of ibllc Health Site Sketch \ r4p 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: V Date Evaluated: 2- Proposed Facility: 5; Design Flow (.1949):.C.� F Location of Site: Property Recorded: Water Supply: ❑- Public❑ Individual El Well Evaluation Method: ©`Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ff 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 .1942 Soil Wetness/ Color .1943 Soil Depth (IN. .1956 Sapro Class .1944 Restr Horiz Ul- � "fo (• f 5) - Y �L 64v A41,LP AL 573 4-3, • �L �.� L �� _5 1i b 3G L 64, o w 7 Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: Available Space (.1945) System Type(s) >.- Z---- Site LTAR Ul- �