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IPACH T E # Harnett County Department of Public Health 28903 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Ova 7511 1 ISSUED TO: S s ��v 'eK (QC- `4 "JM E- � 19\ -,-QW SUBDIVISION 1 � o Mme` M 0,,j 0rz LOT # -:6_ NEW REPAIR P ' �E�(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of trocmre: Sr'9W `�'�J J) Proposed Wastewater System Type:'�S' a`IrkEzVCxtc) N 755 `l—M Projected Daily Flow: SL O GPD Number of bedrooms: �2 Number of Occupants: JCV max Basement ❑Yes ANo Pump Required: ❑Yes >4o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ';�k Public ❑ Well Distance from well CNO feet Permit valid for: 'Five years Permit conditions: ❑ No expiration Authorized State Agent:: —YS Date: C �� lb SEE ATTACHED SITE SKETCH The issuance of this permit by she Health Department in no way guarantees the ce of other permits. The permit hold is res ns! for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site 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 Reauired for Buildine Permit The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into, this permit and shall be met. Systems shall be installed in accordance with the attached system layout. p ISSUEDT0: STe—NP'-VQCf- \A0c^C6 �11i96t� PROPERTY LOCATION: OL -9 S�(vylen ^� SUBDIVISION 11iUcf"Psg Tli-a h02 LOT # i facility Type: 3�/ New ❑ Expansion ❑ Repair Basement? ❑ Yes -"�2k No Basement Fixtures? ❑ Yes `, No "* r4 -'5'1z+ Type of Wastewater System '1 e NCO V G;1 b N Sy 3 6 rn (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) / 2� 0 4NC�D , 5-75 (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size s o o gallons Exact length of each trench q O feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: "'-ZI 4 inches Maximum Trench Depth of` -03-6 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 inches below pipe Aggregate Depth: inches above pipe Conditions: 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 tyttem type rpenhed it different from the type rpeeiifed on the application. / accept the rperi6rarims of the permit. Owner/legal Representative Signature: Date: This Construction Authorization is subject to n if the site for, plat or the intended use changes. The Construction Aushorhation shall not be transferred when there is a change in ownership of she site. This Construction Aushori:ation is su pliance wish the laws and Role for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH gent-'� Authorized State Agent-' E Date: lq 1 "6 Construe uthorization Expiration Date: r a \ HTE# ICS 3` 3a`Z Harnett County Permit # ` n 03 Department of 11'ablie Health Site Sketch PROPERTY LOCATON: ©Lo Usual ISSUED TO: Si > u ak, C3 Mr- bUoa-t SUBDIVISION—T-i omkS Mp+Norz_1 LOT # *� Authorized State Agent: Date: �, Vl I chid -- V `rJ ASI 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: Design Flow (.1949):, -� Location of Site:\,�" Property Recorded: Water Supply: �l Public❑ Individual ❑ Well Evaluation Method: E3 Auger Boring ❑ Pit ❑ Cut Type of Wastewater: .[j 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 & LTAR .1941 Structure/ Texture .1941 Consistence mineralogy .1942 Soil Wetness/ Color—Depth .1943 Soil IN. .1956 Sapro Class .1944 Restr Horiz N, / �y Description Initial Repair System Other Factors (.1946): _. System Site Classification (1948) Available Space (.1945) Evaluated By:1 System Type(s) Others Present: —� Site LTAR