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IPACHTE# Jg-:5--5901 Harnett County Department of Public Health 28821 ImDrovement Permit Authorized State Ag A4f:ot f ` Date: `I - I - 1 (.0 SEE ATTACHED SITE SKETCH Be issuance of this permit bye nedlth 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 to revocation icille-une 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 Disposal and to conditions of this permit.. Construction Authorization Required for Buildin¢ Permit The construction and installation 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 accordance with she attached system layout ISSUED TO: ��Uh . ^�r� 41-2C. PROPERTY LOCATION: y3? BA3-CGrt+�cSt SUBDIVISION �'3A �Cra+ �_G' A-)doC-C� LOT # 17 Facility Type: lir New 0. Expansion ❑ Repair Basement? ❑ Yes D� No Basement Fixtures? ❑ Yes ❑'No Type of Wastewater System** _75—�'b'e767*),U2JIA—) (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) (Repair) Installation Requirements/Conditions v Number of trenches I ox - Septic Tank Size by o gallons Exact length of each trench32c) °A- -75— feet Trench Spacing: Feet on Center Pump Tank Size / O d U gallons Trenches shall be installed on contour at a Soil Cover. —T --Inches Maximum Trench Depth oC• /9 inches (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 r� inches below pipe Aggregate Depth: 2 inches above pipe Conditions:("o F'1 a+,i d. -4 ov /Z inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spec&ed it different from the type rpeciled on the application, / accept the rpecilretianr 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 Authomation shall not be transferred when there is a change in ownership of the site. This Construction Authomation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent ,(h co�T 7— Date: 1 —1`6 Construction Authorization Expiration Date: K — I — Z I A building permit cannot be issued with only an Improvement Permit c PROPERTY LOCATION: - 0Y37 (3n--QJ4t—g f �7 ISSUED TO- C, V ra r` c xw� �� '/ �y r Jc SUBDIVISION �A U Q 000rl2o LOT # NEW (7" REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: PI� Projected Daily Flow: 3 o GPD Number of bedrooms: 3 — Number of Occupants: max Basement []Yes 37No Pump Required: ❑Yes ❑ No Type of Water Supply: El Community ER M be required based on final location and elevations of facilities Public ❑ Well Distance from well feet Permit valid for. � 1?"Frve years Permit conditions: ❑ No expiration Authorized State Ag A4f:ot f ` Date: `I - I - 1 (.0 SEE ATTACHED SITE SKETCH Be issuance of this permit bye nedlth 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 to revocation icille-une 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 Disposal and to conditions of this permit.. Construction Authorization Required for Buildin¢ Permit The construction and installation 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 accordance with she attached system layout ISSUED TO: ��Uh . ^�r� 41-2C. PROPERTY LOCATION: y3? BA3-CGrt+�cSt SUBDIVISION �'3A �Cra+ �_G' A-)doC-C� LOT # 17 Facility Type: lir New 0. Expansion ❑ Repair Basement? ❑ Yes D� No Basement Fixtures? ❑ Yes ❑'No Type of Wastewater System** _75—�'b'e767*),U2JIA—) (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) (Repair) Installation Requirements/Conditions v Number of trenches I ox - Septic Tank Size by o gallons Exact length of each trench32c) °A- -75— feet Trench Spacing: Feet on Center Pump Tank Size / O d U gallons Trenches shall be installed on contour at a Soil Cover. —T --Inches Maximum Trench Depth oC• /9 inches (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 r� inches below pipe Aggregate Depth: 2 inches above pipe Conditions:("o F'1 a+,i d. -4 ov /Z inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spec&ed it different from the type rpeciled on the application, / accept the rpecilretianr 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 Authomation shall not be transferred when there is a change in ownership of the site. This Construction Authomation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent ,(h co�T 7— Date: 1 —1`6 Construction Authorization Expiration Date: K — I — Z I HTE# i ce _5 3s�o Permit # 10021 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:31LM5 ) 64�� /Lid ISSUED TO: — SUBDIVISION LOT # /7 7 i � Authorized State Agenk� —a� Date: It Fo 1(tn,) FI a s ori -.Li .C- s e.: /3. Fee' AsL rl e �;b 04if C -t -e e,k 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: t(' Address: Date Evaluated: n Proposed Facility: 5 Design Flow (.1949):"' Location of Site: Property Recorded: Water Supply: U Public[] Individual ❑ Well Evaluation Method:[]' Auger Boring ❑ Pit ❑ Cut Type of Wastewater: `0 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 Minendogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz I .0 Ig,-yZ fc-cin ('�µil..(�• 3U-31�� 3"_j . 3 Description Initial Repair System Other Factors (.1946): PS system Site Classification (.1948)/ Available Space (.1945) Evaluated By:,9 System Type(s) 2 Z— r Others Present: Site LTAR • 3 t .2.r