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IPACHTE# 1 5-53F7"3 Harnett County Department of Public Health 28628 hDrovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: -qr s , srr( ISSUCD TO: S )I a,� V oro SUBDIVISION N E—s N 0Q,,-1-0 NLOT # NEREPAIR'❑ €%PENSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S =0`5c i" 1� 5 J Proposed Wastewater System Tyype: Pv mv— 25 a V4ZVcM0,hJ Projected Daily flow: 36© GPD Number of bedrooms:— u ber of Occupants: C, max Basement ❑YesNo Pump Required�es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X, Public ❑ Well Distance from well l OCA feet Permit valid for. Five years Permit coni e ❑ No expiration Authorized State Agellt: `5 Date: T11 I� TS SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the in s`f other permits The permit holde�nsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to reroration H 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 provisiom of the taws and Rules for Sewage Treatment and Disposal and in conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .19SS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acmrdance with the attached system layout ISSUED TO: S)-DP,N U050 S4 PROPERTY LOCATION: S AnL C)6 SUBDIVISION NCw "MC Z -°1J LOT# i Facility Type: 5s0 �S� �S New ❑ Expansion ❑ Repair Basement? ❑ Yes �X No Basement Fixtures?., ❑ Yes Type of Wastewater System** P v lyv P 1 d Qom'/ -o Q.EAQ cTN 0 >J (Initial) Wastewater Flow: 3G GPD (See note below, if applicable ❑) n n � v �+,p —7-0 `� Ioy�ED (Repair) Installation Requirements/Conditions Number of trenches `1 Septic Tank Size I O o O gallons Exact length of each trench9-:L1 0— feet Trench Spacing: Feet on Center Pump Tank Size v o ° gallons Trenches shall be installed on contour at a Soil (over. C S inches Maximum Trench Depth of. \%'2tO 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 Conditions: inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFF. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type tpetified it different from the type sperifed on the app/iwion. / azrept the rpezi6oa6onr of thin permit Date: This Construction Authorization is subject to d the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when Mere is a change in ownership of the site. This construction Authorization ism to snmplian th Me s of the laws and Rules for Sewage Treatment and Disposal and to Me conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: RG -3 5 Date: 12 Authorization Expiration Date: HTE# � S " 5- 3� C63 Permit # D.RraZ Harnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: �Q� r 0a, SUBDIVISION N LOT # 13 t_t Date: I I Y Co 51 NOUs� i � _ D ATLfi{� 1 2 s � S a21,Gtr} OrL- Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: ` Proposed Facility: Q 1 s^ Design Flow (.1949): 3 b 0\A Location of Site: Property Recorded: Water Supply:ublic❑ Individual [3 well Evaluation Methodbk Aug): o 'ng ❑ Pit E] cut Type of Wastewater: 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 Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz �� x S3Y SC,L 1k V.L J 31A Description Initial Repair System Other Factors (.1946): p Systeny Site Classification (.1948): lJ Available S ce .1945 Evaluated By: S tem 7 e(s ✓vr� l Others Present: �- SiteLTAR I at,>