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IPACHTE# Harnett County Department of Public Health 28963 Improvement Permit A building permit cannot be issued with only an Improvement�/Permit, �' 1 Q PROPERTY LOCATION._ 14 'e-4 ISSUED � rT0: WWF �-��► SUBDIVISION 174-9 /t, - - LOT # Z_ NEWL� REPAIR ❑� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: ZS�12 T7 � d�.UL41 [ rte. Projected Daily Flow: 6 GPD Number of bedrooms: �H Number of Occupants: fil> max Basement ❑Yes No Z� Pump Required: ❑Yes E-1No f3�-Maa required based on final location and elevations of facilities Type of Water Supply: CJ Community I_f Public ❑ Well Distance from well het Permit conditions: Permit valid for. Rlive years ❑ No expiration Authorized State int: L !/ Date: 7-7_& -/(o SEE ATTACHED SITE SKETCH The issuance of this permit b lealth Department in no way guaameres the issuance of other permit. The permit holder is responsible for decking with appropriate goveming bodies in meeting their requirements. This site is subject to revou the sire 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 (Required for Building Permit] The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 as incorporated by references into this permit and shall be met Systems shall be installed in ac(ordance with the attached system layout ISSUED TO: �/ JAIC:Le� ya PROPERTY LOCATION: /Z,,`J SUBDIVISION 779LiF .Ze-se-,, re._ LOT # 7 Facility Type: Z New ❑/Expansion ❑ Repair Basement? ❑ Yes Cd' No Basement Fixtures? ❑ Yes © No Type of Wastewater System** z51 fz-�-bVGaZfiti n,-A,7i- (Initial) Wastewater Flow: YZ O GPD (See note below, if applicable ❑) Installation Requirements/Condifions Septic Tank Size gallons Pump Tank Size gallons Pump Requirements: ft. TDM vs. Conditions: '246'&! d7e-� (Repair) Number of trenches 73 Exact length of each trench /&kf) feet Trenches shall be installed on contour at a Maximum Trench Depth of: Z—V inches (Trench bottoms shall be level to +/-1/4" in all directions) _ GPM Trench Spacing:- Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. C� inches below pipe —� inches above pipe �_ inches total **If applicable: / understand the system type specified it different hvvn the type spedfed on the app/ration. / accept the rpeafmaaonr of this permit Owner/legal Representative Signature: Date: This Construction Authorization is subject to reveation if the site plan, plat or The intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This Lonttruction Authorization is subject to compliance with the provisions of The laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt A11RlntV )fit )IIt ILn Authorized State A Date: '7-z-6 /G Construction Authorization Expiration Date: — - HTE# IIa J 3'3/!b Permit # Z 9-7l, 3 Harnett County Department of Public Health Site Sketch / PROPERTY LOCATONxSyZ/Yt3 /4, ll1..0 s 20 ISSUED TO: SUBDIVISION 7_fl-,6- /Ze,a� LOT # Z S � Authorized State Ag t: C.- Date: 7-7-4 �L(p 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: 04'11v� Address: Date Evaluated: Proposed Facility: Design Flow (.1949): tPf')o Location of Site:�,� Property Recorded: Water Supply: ,—T, E3rublic❑ Individual El Well Evaluation Method:Lkuger Boring ❑ Pit ❑ Cut Type of Wastewater: EI -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 IIh IN. .1956 Sapm Class .1944 Restr Horiz ttJZ n �Y✓tGL�r 3•( `� Description Initial Repair _!rtem Other Factors (.1946): Sys em Site Classification (.1948): I Available Space(. 1945) Evaluated By:, System Type(s) 'Z ' Others Present: Site LTAR • `r