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IPACHTE# I i.-5 - 3-7 Harnett County Department of Public Health 28678 hDrovement Permit A building permit cannot be issued with only an Improvement Permit y— PROPERTY LOCATIORI .? e --!o ISSUED TY/CSI SUBDIVISION i7iAvc /licQii LOT # Z_ NEW Id REPAIR ❑ EXPANSION Site Improvements requl ed prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: 25'a', 1-7l316vt8'=-d?J Projected Daily Flow: 4 0 o GPD Number of bedrooms: 4 Number of Occupants: max Basement []Yes a No Pump Required: Dyes ❑ No E 'May be required based on final location and elevations of facilities Type of Water Supply: 1-1CommunityE Public ❑ Well Distance from well feet Permit valid for: fs Frve years Permit conditions: ❑ No expiration Authorized State Agen Date: / - Z o - / % SEE ATTACHED SITE SKETCH The issuance of this permit byealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject m revoation i( a site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This pemit 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 installadan requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in aaordance with the attached system layout. ISSUED T0: IKU J b? PROPERTY LOCATION: x/4/8 SUBDIVISION /Zi4 AAt , /73'c11frm LOT # z Facility Type: 571�a 2rNew ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes �la Type of Wastewater System" 2'SPa r2t�2ZUc-rY.ufl rte— (Initial) Wastewater Flow: yw GPD (See note below, if applicable 1✓ (Repair) Installation Requirements/Conditions Number of trenches ,— Septic Tank Size / ZG gallons Exact length of each trench / y feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour ata Soil (aver. inches Maximum Trench Depth of ZZ""'XI"Xinches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: h. TDH vs. GPM inches below pipe Aggregate Depth: Z inches above pipe Conditions: / Z inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. If applicable: /understand the rystem type spechfied is different from die type rpecAed on the application. / accept the specAdtionr 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 Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AIIALITU) lilt AtILIf —� Authorized State Agor-:) / 4� I � Date: / - Z P� /6 Construction Authorization Expiration Date: / LGv Zf HTE# IL 6 -37836 Permit # ZQG,7g Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: /- r� ISSUED T0: /1 t �i� S���z�j SUBDIVISION lL LOT # Z Authorized State Date: I /- Z e - T 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: i"� 5 Address: Date Evaluated: Proposed Facility: �/,5i-% Design Flow (.1949):[.£2 Location of Site: Property Recorded: Water Supply: �ru-blic❑ Individual ❑ Well Evaluation Method:Q—Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ❑ age ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 landscapeHorizon Position/ Slope % Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineraloav .1942 Soil wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz 3•ra y- 3G Scc t r 15,3 1- 6 , C' 32-3 N P., _ 3 Description Initial I Repair System Other Factors (.1946): System I Site Classification (.1948): Available Space (.1945) Evaluated By: Site LTAR System Type(s) > Others Present: j