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IPACHTE# Harnett County Department of Public Health 28733 Improvement Permit A building permit cannot be issued with only an Improvement Arm, PROPERTY LOCATION: Oc VG ISSUED TO: H V i-•) 1`p25edU6' o '7,— 'fN-1 SUBDIVISION ©auf�0,Xi LOT # Vll NEWX REPAIR E NS ON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: �J� Proposed Wastewater System Type: Q51ta E'EDvo';�o 1 Projected Daily Flow: 4St0 GPD Number of bedrooms: _ L Number of Occupants: $ max Basement ❑YesNo Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '�K Public ❑ Well Distance from well 1605 feet Permit valid for. Xive years Permit conditions: ❑ No expiration Authorized State Agent: vk-1 Date: 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the lfe 1 Department in no way guarantees the its other permit. The permit holder is respo sible for checking with appropriate governing bodies in meeting their requirement. This site is subject to revocation if the site plan, plat or the intended use changes. The Improvem t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision 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, .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 TO: C,)1s5sC1-vG:vsLS OC= fit• p,-,+ , PROPERTY LOCATION: U oGg D '� SUBDIVISION © P.�y. &TS, LOT # 1016 Facility Type: SZp C4 % A S ID � New ❑ Expansion ❑ Repair Basement? ❑ Yes IR No Basement Fixtures? El Yes �kNo Type of Wastewater System** ':iSo r\EF1u C) t,; (Initial) Wastewater Flow: LNQ GPD (See note below, if applicable ❑) / n �) L'Q / YJ o QK3 (Repair) Installation Requirements/(onditions Number of trenches t Septic Tank Size I-ovG gallons Exact length of each trench 1 SO feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: (: --) h inches Maximum Trench Depth of: Mas 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: iL TDM vs. GPM Aggregate Depth: Conditions: 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. inches below pipe inches above pipe inches total *If applicable, / underrtarld the ryrtem type rpeabed it different from the type rpet/h'ed on the applirat/on. / accept the rpedffcanivar of flair permit construction Authorization is to montion if the site plan, plat or the intended use changes. Date: not be transferred when there i Laws and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: r taw Date: 5 Cons ' Authorization Expiration Date: SEE ATTACHED SITE SKETCH HTE# `Cn"5-�I Permit # a -K-733 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: n nc.S Q -O ISSUED TO: ��> JF SUBDIVISION 1 LOT# Authorized State Agent: S 5 Date: OG aoo 1-c-f,!TAGawoo(D ID6-L)uG Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/STfE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: I-,(3qQ 4\ Design Flow (.1949): t'j`(o:)� Location of Site: Property Recorded: Water Supply: _'Japublic❑ Individual ❑ Well Evaluation Method: 0.Auger Boring ❑ Pit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Coe: 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 structural Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil .1956 Sapm Class .1944 Rear Bortz C� v 5 Pm � -��; � s � •,��� V' lis y O'LVAI G S VAS ro3 toQ S i Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space(. 1945) Evaluated By: System Type(s)) Others Present: Site LTAR