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IPAC RHTE# Harnett County Department of Public Health 28915 Improvement Permit A building permit cannot be issued with only an Improvemen.(�Permit TciC\L�� �iLPROPERTY LOCATION: Oo� `� ISSUED T0: p rcY��LC— SUBDIVISION OAK.CnOs LOT # 15 NEWX REPAIR �ANSION ❑ 5FSite Improvements required prior to Construction Authorization Issuance: Type of Structure: 'O 4"3 �\ Proposed Wastewater System Type: �5 • V (2;; 5 Qv! S� Projected Daily Flow: LY'6O GPD p Number of bedrooms: LA Number of Occupants: C� max Basement ❑Yes )_-IJ Pump Required: ❑Yes tK No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ), Public ❑ Well Distance from well \ ci feet Permit valid for. Xfive years Permit conditions: ❑ No expiration Authorized State Agent: Date: 7 l SEE ATTACHED SITE SKETCH The issuance of this permit by the Realih Department in no way guarantees the it other permits. The permit holder is respm !ble for checking with appropriate governing bodies in meeting their requirement. This site is subject m revocation if the site plan, plat or the intended use changes. The Impm em t 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 Permitl The construction and installation requirements of Rules .1958, .1952, .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: M c-��=E H 0 r^7--5 LLC- PROPERTY LOCATION: c5 SUBDIVISION O4= cri10 sT LOT # 9 Facility Type: S �9 us3 )) New El Expansion ❑ Repair Basement? El Yes , No Basement Fixtures? ❑ Yes , No �+ Type of Wastewater System"* as / o �Zr UQ CST 0 N 570 ;� 6tn (Initial) Wastewater Flow: L;i 0 GPD (See note below, if applicable ❑) Pq�ii% , G.'L R>1—OGI- (Repair) Installation Requirements/Conditions Number of trenches 4 Septic Tank Size t o ©d gallons Exact length of each trench Q,D feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 >a inches Maximum Trench Depth of:—ai' 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. TON vs. GPM Conditions: inches below pipe Aggregate Depth: inches above pipe 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 smem type specified /s different hom the type specified on the application. / accept the specification of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is su le ation it the sin 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 Constructions Atithorizationeofuubjea to coleepliece with M s of the Laws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: RC»5 Date: �` b Can ion Authorization EXDiration Date: j5 ) HTE# 6-5— `�a�� Permit # ZZ�bO\ � Harnett County Department of Ynblic Health Site Sketch (� _YY ^ PROPERTY LOCATON: � �E ISSUED TO: - �0�6s LLC. SUBDIVISION LOT At YS Authorized State Agent �`FS otw� 1 olSJO(t}) Date:Tr 6x rs c -L %vim i�) a_ 3s a Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: -'s50a Design Flow (.1949): LwA Location of Site: Property Recorded: Water Supply: Public❑ Individual E] Well Evaluation Method�uger Bo 'ng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R OOTHER P I L E # .1940 Landscape Position/ Slope% Horizon Depth (in.) SOH. MORPHOLOGY .1941 PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soft Wetness/ Color—Depth .1943 Soil W. .1956 Sapro Class .1944 Resn Horiz L5 Q. �JJ.k1 �x c, 1 P'L �3113P ,r�t.,7i�� PS • S &-'� 5$x. `tom, s; �o�in,-� ��-�" P5 •� Description Initial jSystem Other Factors (.1946): SiteClassifiS st cation 1948 ): aBEvalued y:Q Available Space( 1945) System T e(s) Others Present: Site LTAR Q