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IPACHTE# IS Harnett County Department of Public Health 28549 Improvement Permit A building permit cannot be issued with only an ImprovemenhPermit PROPERTY LOCATION: _Deas �Y o ISSUED TO: H -+1j Co-*55cs.vC,,sOtyles SUBDIVISION Oore..er0N- LOT# _ NEWX REPAµ El�yI PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: s�OlX3t'i"J Proposed Wastewater System Type: D tJ 53.1 Projected Daily Flow: LTID GPD Number of bedrooms: L- Number of Occupants: '�b max Basement ❑Yes ''No Pump Required: ❑Yes ';E<No ❑ May be required based on final location and elevations of facilities Type of Water Sup I : ❑ Community Public ❑ Well Distance from well l00 feet Permit valid for. Five years Permit conditions: n ❑ No expiration Authorized State Agent:: lJ�����t6��5 Date: IOI:z-T I Ff SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantee: ,rea of other permits. The permit holder is mr i for checking with appropriate governing bodies in meeting their requirements. This site is subject to revoation if the site pian, plat, or the intended use changes. The ro ent 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 insullation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1952, .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 p ISSUED TO: 11 ' C.o N�oy f, 6 CL3 PROPERTY LOCATION:n9 �� SUBDIVISION ©CazChonrS LOT # 9 `I Facility Type:',IK New ❑ Expansion ❑ Repair Basement? ❑ Yes �4R No Basement fixtures? ❑ Yes 'b<No Type of Wastewater System** _rS°% o �pV (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) as- Installation sInstallation Requirements/Conditions Septic Tank Size %b © 4 gallons Pump Tank Size gallons Pump Requirements: ft. TON vs. Conditions: VCEo vc,S • d r% (Repair) Number of trenches Exact length of each trench 1 O feet Trenches shall be installed on contour at a Maximum Trench Depth of: GIOL1 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: feet on Center Soil Cover. N a inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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: / ondeatand the r)rtem type rpeuled it different from the type rpecifed on the app/icapon. / accept the specifcadonr 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 Autboruatim shall not be transferred when there is a change in ownership of the site. This (instruction Authorization b to co ! a with the prowbiam of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: W_T`6 Date: I b Z7 lS onitaibAuthorrization Expiration Date: 1 HTE# Permit # '.I5zi� Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: O o c5 ISSUED T0: SUBDIVISION LOT # Authorized State Aeen� Tjs (0LN�'Tavf- nC�i Date: tOl2A5- GHM,Z,y )�ltz_ okZ IN l i 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: %),36Q 0, Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method Aug'q B ing ❑ Pit ❑ Cut Type of Wastewater: 1754 Sewage ❑ Industrial Process Sheet: Property ID: Lot #: 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 Mincialogy .1942 Soil Wetness/ Calor .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz a G 33 G ..61rR Description Initial Repair System Other Factors (.1946): Systeo Site Classification (.1948):'�� Available Space(. 1945) Evaluated By: <!� System Type(s) Others Present: Site LTAR