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IPAC RHTE# "5-5 -3r."9►s-0, Harnett County Department of Public Health 28536 Improvement Permit A building permit cannot be issued with only an ]in rovement Permit PROPERTY LOCATION: Z.t.ntxo Q,D ISSUED T0: R>Ca -Cl -9Q�V�s_-� �s G� SUBDIVISION _4 coo©bN 96N -r5 -E. LOT # 11 NEVP < REPAIR ❑ e CYPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SCQ (Sh 71407 Proposed Wastewater System Type: vrnP -\ d 4J6'/6 Eo�sc �• G s Projected Daily Flow: 3C0C> GPD Number of bedrooms: Number of Occupants: C- max Basement []YesNo Pump Requirecl�es o No ❑ May be required based on final location and elevations of facilitW1 Type of Water Supply: ❑ Community X Public ❑ Well Distance from well i 0Q) feet Permit valid for. Five years Permit conditions_ ❑ o expiration Authorized State Agent: Date: 't 1 7 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance a entries. The permit holder respons le for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation i1 the site plan, plat, or the intended use changes. The Improvement a 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 convention and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .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: C317PQ � �»—� 1NC� PROPERTY LOCATION: ?. )P L')-Wd RD / SUBDIVISION H 4190 11,7N`P o, N G LOT # 11 G? Facility Type: 5V''Q(5q :L'lla New ❑ Expansion ❑ Repair Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes o Type of Wastewater System" (-u me � 0 2S'/ o S i5 • (Initial) Wastewater Flow: 3�- GPD (See note below, if applicable ❑) / 4Vrn? la V -&j (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size too gallons Exact length of each trench 300 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of Tom' 16 inches (Trench bottoms shall be level to +/•1/4" in all directions) Pump Requirements: ft TON vs. GPM Trench Spacing: 1 Feet on Center Soil Cover. 9 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: ra Of Gov GA- N G6�EiD 0,J D Q AwFlE 7.p WATER LINES (IN[LUDING 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 inches above pipe inches total '"If applicable: / understand the ryrtem type rpecibed is different from the type spedged on the application. l accept the specification of this permit Date: This Construction Authodation is s v revocation if th sit u plan, plat or the intended use changes. The Constmdion Authorization shall not be tnnsferad when there is a change in ownership of the site. This Construction Authorization is subject to compli a prop o 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: `T Ift'slAKtion Authorization Expiration Date: HTE# Permit# 2Q53( - Harnett 53( - Harnett County Department of Public Health ISSUED TO: Authorized State Agent: Site Sketch p PROPERTY LOCATON: aAL� PR fl W t i C I N SUBDIVISION LOT # Date: cy'Fogjoq lO.E IJ21J(, 1Q5i 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: Design Flow (.1949): $(e,;J) Location of Site: Property Recorded: Water Supply: Public[] Individual ❑ Well Evaluation Method: [j Auger Boring Q�Pit ❑ Cut Type of Wastewater: IT"Sewage ❑ Industrial Process Sheet: Property ID: Lot M File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 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 D IN. .1956 Salim Class .1944 Resn Horiz It 'A !_ � a- jb Yy IIc.cr S�st,"�•�� , 2,3 v 2Y ►.sem-t sL Lcn Description Initial Repair System Other Factors (.1946): system Site Classification (.1948): Available Space( 1945) Evaluated By: System Type(s)) Others Present: Site LTAR