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IPACHTE# I L, -5 - Harnett County Department of Public Health 28744 Improvement Permit A building permit cannot be issued with only an Improvement ermlt PROPERTY LOCATION: �1 u �o "`re ISSUED TO: C-VNC:S 9A>J 1 L-0)1`4re 1NG SUBDIVISION 1 a rcEJ -iaa.5 -_6 LOT # Y7 S NE� REPAY I' ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5QD Proposed Wastewater System Type:umP tom _o eflto�SYSS�s^ Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes -'XNo Pump Require Met ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community "' Public ❑ Well Distance from well feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: --'Mzzr� » Date: 5 f µ' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirem rm, This site is subject to revocation d the site pian, plat or the intended use changes. The Impr count 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 in conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: l� �C�:; w�w'1:�G 1 c- PROPERTY LOCATION: Zl\UNo 00-�+E `1�/4�.x��� SUBDIVISION '\ ct� Qe�N CG LOT # PS Facility Type: ` New ❑ Expansion ❑ Repair Basement? ❑ Yes `5i�, No Basement Fixtures? ❑ Y,e{ XNo Type of Wastewater System" Ptas4701 �� �Goi Giro r� Sir M (Initial) Wastewater Flow: 3607 GPD (See note below, if applicable ❑� Ur'1P \e =�� "lo Q�� - Sys . (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size lb © o gallons Exact length of each trench Qc6s feet Trench Spacing: Feet on Center Pump Tank Size v COO gallons Trenches shall be installed on contour at a Soil (over. C inches Maximum Trench Depth of. W 4ir 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: ft TDM vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: Yen-, I � P -J o op t— Ni�:121X'-1 ? ' _-S 5, inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. *If applicable: /understand the rys type specified is different from the type specified on the app/icirdon. / accept the spetibca#= 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 Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization mqubject to co ce wit 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: Cie - Date: (:1 %L onstruction Authorization Expiration Date: '4 S HTE# �Co-5 3`�3 Permit # a�iS�1Fl1 Harnett County Department of Public Health Site Sketch. PROPERTY LOCATON: V v0 Oa �y ISSUED TO: cot rii�cs&ti o N E LOT # hS Authorized State Agent: �� `ot Date: 6��I1 6 Q�g1Q 1 t A26A � I hDUS£ tq D 2 v 36 E ZUN0 D(R. 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: Address: Date Evaluated: Proposed Facility: �f\ Design Flow (.1949): FLocation of Site: Property Recorded: Water Supply: __�Nublic❑ Individual ❑ Well Evaluation Method;MAuger Boring ❑ Pit ❑ Cut Type of Wastewater: JEU]--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 Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapm Class .1944 Resn Horiz L� Description Initial Repair System Other Factors (.1946): S ster/ Site Classification (.1948).!?f Available Space (.1945) Evaluated By: QAC System Type(s) Others Present: Site LTAR — ��