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IPACHTE #-I 'A -5-3ti6,—) s Harnett County Department of Public Health 28174 Improvement Permit A building permit cannot be issued with only Improvement Permit PROPERTY LOCATION: o *1Z'FXU'5A Qm ISSUED T0: SUBDIVISIONg,o.3 LOT # NEW REPAIR ❑ €I ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5c"9 t37 �"6C1' Proposed Wastewater System Type: Qv cc*—"V— Projected Daily Flow: Li'%Q) GPD L' Number of bedrooms: Number of Occupants: `�L max Basement []Yes �!o Pump Requires ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 (Jd feet Permit valid for: Five years Permit conditions: _ ❑ No expiration Authorized State Agent:: Date: 1/SIS SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees Ihe ` f 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 Imp v 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: ''ti-� ��''��- UmGr' PROPERTY LOCATION: PnNS�ES2,o54a RD SUBDIVISION C-P�fXP L) NJ�P, S&PSQNS LOT # % Facility Type:S�fl C37 'C/ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? El Yes No Type of Wastewater System** w m P—) e C->N):5z-Gsr (Initial) Wastewater Flow: �+3Q GPD (See note below, if applicable ❑) _ / (� ��� Qu rnP� �©la �-Z-ZVCM0 (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size NO ® rJ gallons Exact length of each trench ® feet Trench Spacing: cl Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1�4: it inches Maximum Trench Depth of: 9--L+-30 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 Aggregate Depth: inches above pipe Conditions: inches total 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. **If applicable: 1 understand the system type specired is different from the type speciTed on the application. l accept the specipcations of this permit. Owner/Legal sentative Signature: Date: This Construction Authorization is subject to n 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 subta compliancelrstlthe pro m of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: _ Cons on Authorization Expiration Date: HTE# `—S"3L-)51 5 Permit # MI -7 4 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: �og.1 O&C1 s A ISSUED TO:OSUBDIVISION LOT # Authorized State Agent:ZZ, I'% Date: M Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: 1 1 7`��t C Design Flow(. 1949): L,5�Q1 Property Size: Location of Site: Property Recorded: �� Water Supply:lic❑ Individual El well El Spring Evaluation Method: ugXBoulg ❑ Pit ❑ Cut Type of Wastewater: 1!3�ewage ❑ 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 .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz \J 1)1 \ k 7 PC, G, _ as -7 J2 Description Initial Re air System Other Factors (.1946): system/ Site Classification (.1948):, Available Space (.1945) Evaluated By:O : System Type(s) v�� 5 ' Others Present: Site LTAR