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IPACNTE# — -3815 Harnett County Department of Public Health 28808 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATIONO'YI—Ni!ii dFa tz-6 ISSUED TO' l 1 &-Lcsg. l TSK SUBDIVISION s'7 o, e_ 2 cP7 LOT # S NEW REPAIR'[] EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: ZSR GZ s+ o Projected Daily Flow: 3c. -c GPD Number of bedrooms: -3 Number of Occupants: Cr max Basement Dyes 3'No �/ Pump Required: Dyes 1:1 No LTJ NMaa required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 01`ve years Permit conditions: ❑ No expiration Authorized Stateent: Date: 3 - 1—((a SEE ATTACHED SITE SKETCH The issuance of this permit be Ith Department in no war 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 to revoc, 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 provisions of the laws and Rules for Sewage Treatment and Deposal and in conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1952, .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: PROPERTY LOCATION: evUV/9 SUBDIVISION 4Zi&94e_ LOT # Facility Type: 5 LTJ New �❑1 Expansion ❑ Repair Basement? El Yes No Basement Fixtures? 1-1YesL� No Type of Wastewater System** Z:5-913 (Initial) Wastewater Flow: 66 GPD (See note below, if applicable ❑) - (Repair) Installation Requirements/Conditions Number of trenches' Z. oR- 3 Septic Tank Size /oma 0 gallons Exact length of each trench 1&> esc 80 feet Pump Tank Size /o 0 o gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 2 Z inches (Trench bottoms shall be level to +/-1/4" in all directions) Trench Spacing: Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) Pump Requirements: h. TDH vs. GPMinches below pipe — Aggregate Depth: �inches above pipe Conditions: ,14, OLV /--ce:-/— ow .5 ZZ i r_• ,/ytiti �s -T-J-5 rwl! inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l ondeatand the system type specified is different from the type speafed on the application. l accept the specifcafonr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject an 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 Wristrucoon numonaahon is subject to compliance with the provisions 01 the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IAt"tn Nlt )Rtlln Authorized State n /`/_�IfH7-IL, Date: Z-1 t, -1b Construction Authorization Expiration Date: 3 - m =-- 27 HTE# /%- 5 - 3`815` Permit # ?Ego S Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: M I,// 'y %r ISSUED TO: _/� �SK SUBDIVISION Authorized State ABpnL��G� — �� �_ ®"//?aJ� Date: LOT # `a Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Al Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: ❑ Type of Wastewater: rlicant: Lrs1- Sheet: Property ID: Lot #: File #: Code: Date Evaluated: fZb Design Flow (.I949):3te 0 Property Size: Property Recorded: ❑ Public❑ Individual' ❑ Well ❑ Spring Auger Boring © Pit ❑ Cut Q Sewage ❑ Industrial Process ❑ 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 t / — 3. 38 s« t r fi�k.5 . � 3G -3G Description Initial Repair System Other Factors (.1946): System J Site Classification (.1948): Available Space(. 1945) lr Evaluated By: �.. System Type(s) Others Present: _ Site LTAR l