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IPAC
HTE#'(O's --Ssy 3Harnett County Department of Public Health 28847 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: art —/BOCs �av7<�/1� ISSUED TO: Cs�ar,tSGwo �2� IW sr�sm� SUBDIVISION _ LOT # NEW ❑ REPAIR E9 EXPANSION ❑ Type of Structure:--Swyl''� Proposed Wastewater System Type: 2 5-'/n 113i�'-v t -Z av' Projected Daily flow: 3 a GPD Number of bedrooms:, Number of Occupants: _—max Basement ❑Yes © No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ❑ No M May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community E Public O Well Distance from well feet Permit conditions: Permit valid for. W( five years ❑ No expiration Authorized State Agent Date: 5'—? — / Co SEE ATTACHED SITE SKETCH The issuance of this permit by,z�ie Realth Department in no way guarantees the issuance of other permits. The permit holder is responsible for decking with appropriate governing bodies in meeting their requirement. This site is subject to revomtisn if site plan, plaS 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 Building Permit The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references itis this permit and shall be met Systems shall be installed in accordance with the attached system layout. ISSUED T0: PROPERTY LOCATION: 404 C d-l� oef ; SUBDIVISION LOT # Facility Type: Sw ❑ New ❑ Expansion Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes CZ' No Type of Wastewater System** (See note below, if applicable ❑) ,_. (Repair) Installation Requirements/Conditions Number of trenches —Z - Septic Tank Size 6 0 o gallons Exact length of each trench ISo feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. Zo J 14? inches (french bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: (Initial) Wastewater Flow: 3—v GPD Trench Spacing: Feet on Center Soil Cover: ,�� inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: —' inches above pipe Via.-- 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: / understand the system type specifed is different from the type speafed on the applinadon. / accept the specifcadans of 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 untruths of the site. This Construction Authorization is subject to compliance with the provisions of the lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH "w Authorized Sta gent Date: / Construction Authorization Expiration Date: 5-- z-- Z/ HTE# Permit # 7 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:.,:N� AiX ISSUED TO: SUBDIVISION LOT # Authorized Date: - Z - t to 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: 15" Address: Date Evaluated: Proposed Facility: _F�� Design Flow (.1949): 2,� Location of Site: Property Recorded: Water Supply: ❑ 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 I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LIAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz 1 L t_?2 ,_g L„-� ri n J c Description Initial Repair System Other Factors (.1946): System Site Classification (.1948):, Available Space (.1945) Evaluated By: < - System Typo(s) Others Present: d Site LTAR 3