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IPACHTE# I(--5315)'\ Harnett County Department of Public Health 2901 Improvement Permit A building permit cannot be issued with only an Improvement Permit �S PROPERTY LOCATION: TS�(Dr 10 * �0 ISSUED TO: YC0C360-- Co°tE'y SUBDIVISION LOT # NEW"5< REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 FO (50 R5 O Proposed Wastewater System Type: a.'9'7 SQL �cTo a S :z� Projected Daily Flow: O GPD Number of bedrooms: 3 Number of Occupants: r. max Basement []Yes No Pump Required: ❑Yes X No Type of Water Supply: ❑ Community Permit conditions: ❑ May be required based on final location and elevations of facilities '/ �8( Public ❑ Well Distance from well LO 0 feet Permit valid for. .ey Five years ❑ No expiration Authorized State Agent: ��\_���\��4E��5 Date: 1 1311 T 0 SEE ATTACHED SITE SKETCH The iguana of this permit by the Health Depamnent in no way guarantees the issuanc permits, The permit holder is responsible far 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 cmnge 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 requirements of Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be Innaied in accordance with the atmched system layout ISSUED TO: wy PROPERTY LOCATION: SUBDIVISION LOT # Facility Type: 5TK(,Sp a`50) XNew ❑ Expansion ❑ Repair Basement? ❑ Yes �R No Basement Fixtures? ❑ Yes lkNo Type of Wastewater System** kS °!u 94-0\3c �,x,0N Sis-1te^ (Initial) Wastewater Flow: (See note below, if applicable ❑) Q•S Flo Rrcp • 'Es -0-5. (Repair) Installation Re uirements/Cos itions Number of trenches 3 3� d GPD Septic Tank Size i 00 0 gallons Exact length of each trench "10 feet Trench Spacing: c� Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: s$ 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. TUN 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: / omdetstand the system type speciled is diferent from the type spealed on the app/irrupt. / accept the rpeafiatioar of this permit Date: This Commuctia Authorisation is subjem ro revocation if the sire plan, plat or the intended use changes. The Construction Authorization shall not be mnsfered when there o a change in ownership of the site. This constructions Authoouton is su¢im tom with the remotions of the laza and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: h5 Date: Authorization Expiration Date: NTE# Permit # ac10 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:—V�,otnPse, 1Zo ISSUED TO: Ro©t v',��� / _ SUBDIVISION LOT # Authorized State Apnt� O(C4(C4 1 ILL o04� Date: 813>11b r Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITEEVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility3 Design Flow (.1949): 6 �� Location of Site: Property Recorded: Water Supply. Public❑ Individual [I Well Evaluation Method:: Aug B 'ng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 .1940 SOH. MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Positiow Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Min .1942 Soil Wetness/ Color .1913 Soil Ih .1936 sapro Class .1944 Restr Hotiz Profile Class & LTAR ' LS Li3$- Description Initial Repair System Other Factors (.1946): System Site Classification(A948)R5 Available Space(. 1945) Evaluated By -.O"< S tem Type(s) J 2 Others Present: Site LTAR