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IPACHTE# lk- -Js 216 Harnett County Department of Public Health 29054 hDrovement Permit A building permit cannot be issued with only an Improvement Permit /s - PROPERTY LOCATIONZ+C-- /,3 A0&X7).S IZd ISSUED TO:.d%T/rw�a .fiUG SUBDIVISION f.XcJeu c_ LOT # -'ZL NEW ]?" REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater SystemT pe: Projected Daily Flow: K -e GPD Number of bedrooms: -'3,- Number of Occupants: _ <now ax Basement []Yeso Pump Required: []Yes ❑ No Ma a required based an final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. 2Five years Permit conditions: ❑ No expiration Authorized S to A The issuance of the pe site is subject to revoc the laws and Rules for Date: SEE ATTACHED SITE SKETCH Vealth Department in no waf guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This e 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 Treatment and Disposal and to conditions of this permit. Construction Authorization Required for Building Permit The conviction and installation requirements of Rules .1950, .1951, .1954, .1955, AM, .1957, .1958. and .1959 an incorporated by references into the permit and shall be met. Systems shall be installed in accordance with the attached system. layout ISSUED TO: PROPERTY LOCATION: l�C J-3 — SUBDIVISION -77476-- LOT # 1� Facility Type:New ❑ xpansion El Repair Basement? El Yes No Basement Fixtures? iYes No Type of Wastewater System** Zs9% A&E (Initial) Wastewater flow: 3�y GPD (See note below, if applicable ❑) J <D (Repair) Installation Requirements/Conditions Number of trenches 71 Septic Tank Size 66>0 gallons Exact length of each trench /ZO feet Pump Tank Size gallons Trenches shall be installed on contour a Maximum Trench Depth of: '2/ inches (Trench bottoms shall be level to +1-1/4" in all directions) Pump Requirements: h. TUN vs. GPM Conditions: 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 1OF1. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe �— inches above pipe inches total **If applicable: / andeatand the system type specified it different hom the type spe6fed on the application. / accept the specifications of this permit Owner/legal Representative Signature: Date: This Construction Automation is subject to revelation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the sin. This lonstrocbon Authonaabon u subject to compliance with the provisions of the Laws and Rules for Sewage Treatment ad Disposal and to the conditions of this permit lett AI IALlitn )IIC MRItn Authorized State ent: Date: S—/Z—/ 6 IF L Construction Authorization Expiration Date: 7— / 2--2f HTE# f—, 3' 2 0 Permit # -290 s7/ Harnett County Department of Public Health Site Sketch //�PROPERTY LOCATON: �-/Y/3 lzwelriIJ leA ISSUED TO:�OeTi 4fw SUBDIVISION zf /?pi�.�.r.f_, LOT #� Authorized State Date: 9 — ' / t IC\3 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: 7J:3 J l'� Proposed Facility:�-(� Design Flow (.1949): '2 Location of Site: vProperty Recorded: Water Supply: Public❑ individual C] Well Au Evaluation Method: gerAoon g ❑ Pit ❑ Cut Type of Wastewater. 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 Depth IN. .1956 Sapm Class .1944 Rem Horiz 132 3 �. `z �,� OX -00a00 Description Initial Repair System Other Factors (1946): System Site Classification (.1948): , Available Space .1945) Evaluated By: System Type(s) Others Present: Site LTAR r