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IPACHTE#15 - 5-3? X03 Harnett County Department of Public Health 28633 Improvement Permit A building permit cannot be issued with only an Improvement Permit t PROPERTY LOCATION: W f �O vJ W A� ISSUED T0: `t'�EPUG11— lO0fE 1 SUBDIVISION T-`s0mma5 1"1wr„rAZ LOT # NEW IWREPAIR ❑ -f)(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 512 C5cxa5 Proposed Wastewater System Type: Pu me io a - 05 ))O I Projected Daily Flow: 360 GPD Number of bedrooms: 3 Number of Occupants: S max Basement ❑Yet ')< No Pump Required: lies ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ', Public ❑ Well Distance from well S©d feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: V4 -"A5 Date: Y 5 l 6 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t e nm of other permits. Be permit holder is resp nsi6le far checking with appropriate Ramming bodies in meeting their requirements This site is subject to revocation if the site plan, plat or the intended use changes. The Imp rement 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 constmc6nn and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, AS& 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: W Nome* N c. PROPERTY LOCATION: W Tocsaonf W Ay SUBDIVISIONi NotncS Mp..vc - LOT # 7 Facility Type: `6"6`1 New ❑ Expansion ❑ Repair Basement? ❑ Yes 'I!K No �r� Basement Fixtures? El Yes No Type of Wastewater System** t Uhf Osy (Initial) Wastewater Flow: 368 GPD (See note below, if applicable ❑) _ V y� R Is 0 G W (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size V- 04Z!> o gallons Exact length of each trench Go feet Pump Tank Size n 0(�10 gallons Trenches shall be installed on contour at a Maximum Trench Depth of: V%-aL) inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TON vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover: 6-T- inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / modetrtaad the grtem type rpeciled it different from the type rpeciled on the application. / accept the Jpeafica6ror of this permit Owner/legal Date: This construction Authorization is subje reroudon if the site plan, plat or the intended use changer The Construction Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization is subiett to comiial wwi orations 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: 1 C�dilbtKuction Authorization Expiration Date: NTE# 'VS—s-n-703 Permit # 1''gG33 Harnett County Department of Public Health Site 'ketch PROPERTY LOCATON: t'OC�GN �fi ISSUED TO: 1CSL Ho�E� 1�' C rr SUBDIVISION LOT # Authorized State Agent: `GZ, Date: I $I u 1ac- 1!j 10 13- 'N 1(3k6—caw \N $I"\/ 3Z+ Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOHJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 0 94 Design Flow (.1949):366 x C Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method:❑ -�4ger Boring ❑ Pit ❑ Cut Type of Wastewater: wage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Positioa/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Stntcuaw Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil IN. .1956 Sapro Class .1944 Rear Horiz aA . ,o 30 R( C 5 L_ JF' s, L oad cs �,tcl,�j �D3hs�3VSf� �-n 3� Y_ 16`12 ��� Q;'Jl o- j C. S v (=a ­oV Description Initial Repair System Other Factors (.1946): SystaA Site Classification (.1948): Available Space( 1945) Evaluated By: System Type(s) V 4 Others Present: Site LTAR