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IPACHTE# 16 53°14os Harnett County Department of Public Health 28947 Improvement Permit A building permit cannot be issued with only an IImRrovement Permit PROPERTY LOCATION: `P r am&1_S I -s s ISSUED TO: L' 0 Py C('s%J SUBDIVISION LOT # NEW,)!i REPAIR ❑ EXPANSION ❑ Type of Structure: Mrsi�Orn- 2"i'55 Proposed Wastewater System Type: ' 5bJ 0 N C1 TEyr Projected Daily Flow: '3(�C> GPD Number of bedrooms: _3 Number of Occupants: Q max Basement ❑Yes )kNo Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes --IR�No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well sQ)feet Permit valid for. Xive years Permit conditions: ❑ No expiration Authorized State Agent: QTY Date: it 1 l SEE ATTACHED SITE SKETCH The Tswana of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is respans ble for checking with appropriate governing bodies in meeting their requirements This site is subject m revocation if the site plan, plat or the intended use changes. The Improve m Permit shall not be affected by a change in ownership or the site. This permit is subject to compliance with the provisions of the lam and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The conswction and installation requirements of Butes .1950, .1957, .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 allached system layout ISSUED TO: L—'$my Cs.1r.eQ,0N PROPERTY LOCATION: W CGnRZLS LN t� SUBDIVISION LOT # Facility Type: s ' F Ne \AO New ❑ Expansion ❑ Repair Basement? ❑ Yes "EL No Basement Fixtures? ❑ Yes �ANo Type of Wastewater System" Q-S'/e, RIAV 0," eN S7,SSE=ten (Initial) Wastewater Flow: 3,60 GPD (See note below, if applicable ❑) O ci.� to 'D. �j) (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size V O o Q gallons Exact length of each trench ) 6 © feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing:._ Feet on Center Soil Cover: C�—'Ginches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INICLUDING 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 system type rpeciled is different from the type spealed on the application. / accept the Jpechinanom of this permit Representative Comtmction Authorization is Authorized State Agent: it the intended use changes. The Consnucdon Authorization shall not be transfen Laws and Rules far Sewage Treatment and Disposal and to the conditions of this Date: _19k' Contra 'oaLAuthorization Expiration Date: _ Date: SEE ATTACHED SITE SKETCH HTE# —3`�NOf� Permit # 3�8'711' —) Harnett County Department of 1--kiblic Health Site Sketch ISSUED TO: L-' Authorized State Agent: ax A e, C-0 ,.v ,*v , Y)ary vj w v: L, ass" PROPERTY LO(ATON: W �R 2Lts L r l SUBDIVISION LOT # Date: )N1IC `zJOQ,TLC-Zs )-u 3�� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: Owner: Applicant: Address: _ Date Evaluated: Proposed Facility: 3 C'uc- rx, Design Flow (.1949): -4 � Property Size: Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well ❑ Spring Evaluation Method:j�kAuget ng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ 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—Depth .1943 Soil R4. .1956 Sapm Class .1944 Rest Horiz vr-L 1�7k Description Initial Repair System Other Factors (.1946): S t Site Classification (.1948):� AvailableS ce (.1945 Evaluated By: <:D System Type(s) b�4"" ,S Others Present: Site LTAR 7