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IPACJTE# Al -5- -33 ZI 2 Harnett County Department J Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION B Y rZ 01-b 34-)K-1-5 ISSUED TO;, - ✓���' SUBDIVISION 0- C.t'txr LOT # Z-0 NEW ©°` REPAIR ❑ EXPANSION Ef Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Z 6� Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: max Basement ❑Ye_s_ , ETIN Pump Required: QYes ❑ No C�$a be required based on final location and elevations of facilities Type 'of Water Supply: ❑ Community E, Public ❑ Well Distance from well feet Permit valid for: ive years Permit conditions: ❑ No expiration Authorized State <L— Date: 9 i 4 SEE ATTACHED SITE SKETCH The issuance of this permit by e H Ith Department in no way gua antees 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 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 Permio 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 T0: PROPERTY LOCATION: zl ev °7iJ — i SU 'VISION S , �= %_ LOT # Z0 Facility Type: P-A �� ❑ New Expansion ❑ Repair Basement? El Yes R No Basement Fixtures? El Yes No Type of Wastewater System ** L / c.� - (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) (Repair) Installation Requirements /Conditions Number of tre ches I Septic Tank Size &t-rs gallons Exact length of each trench *00 L feet Trench Spacing: / Feet on Center Pump Tank Size t t� t� gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. 2- 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 _ 11 Aggregate Depth: 2, inches above pipe Conditions: 5 d 7`d c /Z. inches total €4.w ts - t°`a tal t f � WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. n-- ' NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. * *If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subiect 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Age Date: 7.3 - (" Construction Authorization Expiration Date: !--1 —2 - HTE# I q-57- 35 -2 12- Permit # 22 Harnett County Department of Public Health Site Sketch PROPERTY LOCATO A0 ISSUED TO: I KZ OXi�� 2 Ile-,4-56, - SUBDIVISION LOT # Authorized State A Date: t -23 -jq ,t?: V, I 0 /C fe 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: Location of Site: Water Supply: Evaluation Method:[ Type of Wastewater: Date Evaluated: Design Flow (.1949): Property Recorded: ❑ Public❑ Individual ❑ Well ] Auger Boring ❑ Pit ❑ Cut ❑ 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 .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz I, 2, .l &-3v sL 'f�.- Sri- Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948): j Evaluated By:_ Others Present: Available Space( 1945) System Type(s) Site LTAR 75