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IPACHTE# Harnett County Department of Public Health 28782 hDrovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: SAF_nZ-)"E:2WooCl ISSUED TO: o ^ SUBDIVISION (: c. uha rza—, LOT #1 oj� NE REPAIR 9 E SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S C� `t-1'7�"L�'s� Proposed Wastewater System Type: a.5"Lo e VoO VC[s o N Sy y f r Projected Daily Flow: 3(0® GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes '�J<No Pump Required: ❑Yes ❑ No AMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l O d feet Permit valid for: 'Mive years Permit conditions: szzz!, ❑ No expiration Authorized State Agent: Date: " I )% Y6 SEE ATTACHED SHE SKETCH The issuance of this permit by the Health Department in no way guarantees the f other permits. The permit holder is r sponsib for checking with appropriate governing bodies in meeting their requirements. This site u subject to revocation if the site plan, pla4 or the intended use changes. The Impro;tneilith,ermit 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 construction and installation requirements of Rules .1958, .1951, .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 T0: rr�CNLee .rnc"-g PROPERTY LOCATION: SUBDIVISION LOT # )9q Facility Type: � New El Expansion ❑ Repair Basement? ElYes. No Basement Fixturesxl� ❑ esNa Type of Wastewater System** aS—"lo ovG-1'l 0 u S'T5 ; G. , (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) �I S (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size s 0o 0 gallons Exact length of each trench 2 O feet Trench Spacing: Feet on Center Pump Tank Size V © o o 4ons Trenches shall be installed on contour at a Soil Cover. inches qc- Nc�x� Maximum Trench Depth ofi 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: h. TON vs. GPM Conditions: Aggregate Depth: 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. inches below pipe inches above pipe inches total **If appliable� / understand the system type spedled it different from the type spedled on the application. / accept the specilrcariism of this permit. Date: [his construction Authorization is subject to revo d the sittslan, plat, or the intended use changes. The concoction Authorization shall not be transferred when there is a change in ownership of the she. This Concoction Authorization is s9Nyrompliana the pr laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: �S Date: `11 g 1b Construction Authorization Expiration Date: "il W HTE# 6"5=3t -5L -R Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOEATON: , i CAS i vO Ufl �2 ISSUED TO: - 1 Or,GJ SUBDIVISION dc:rs"o , LOT # Authorized State Agent: 5 GI -1+01 -`To Date: 4' �bI )-L ciao E 62 �MOYG �N�/ SoIL �r2.OM fln.A\rt F,E<� too H6c>�62w000 02, Abp' Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOHJSITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: g 5QtZM Design Flow (. I949):Nb�O Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Meth u Bo 'ng ❑Pit ❑Cut Type of Wasteter: ewage ❑ 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 Sod Depth IN. .1956 Sapro Class .1944 Restr Horiz ZC73+� �yscl_ fh �)S(' 45U, 'w L ac -i'# G Ls >as P 31 sS� C. Description Initial Repair System Other Factors (.1946): Svstezri Site Classification (.1948'):0-5 Available Space (.1945 Evaluated By: ry( S stem Type(s) a -.S i Others Present: Site LTAR •-> 4> I•7 -A-D_60 (�, zj`" P vrnf "F Nf�G060