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IPACHTE#7? / Harnett County Department of Public Health 29082 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATIONZW—/'//S X44.tA—." ISSUED TO- L00a9 I 4--7 I SUBDIVISION %7a9 zr LOT # NEW �7 REPAIR ❑ EXPANSION ❑ Site Improvements require prior to Construction Authorization Issuance: Type of Structure: . 5� Proposed Wastewater System Type: �5�i�u(Lc�tlt l U -- Projected Daily Flow: 3L*O GPD / Number of bedrooms: ZNumber of Occupants: max Basement Dyes Y No —/ Pump Required: ❑Yes El No f� M be required based on final location and elevations of facilities / Type of Water Supply: El Community Public El Well Distance from well feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State A A' �ia��f — Date: /0—/ �' L ` SEE ATTACHED SITE SKETCH The issuance of this permit q th lealth Deparbnent in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation i e site 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 taws 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 .1950, .1952, .1954, .19SS, .1956, .1957, .19% and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layout / n ISSUED TO: AA'V PROPERTY LOCATION: t94. 9 RC-AhJec � SUBDIVISION V -4-t) — LOT # Facility Type: 5 New ❑ xpansion ❑ Repair Basement? ❑ Yes IV No Basement Fixtures? ❑ Yes le44rf Type of Wastewater System"' (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) 2976 epair) Installation Requirements/Conditions Number of trenches Septic Tank Size 7� gallons Exact length of each trench—/CIO feet Trench Spacing: 7 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil cover. nches Maximum Trench Depth of24f 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. TDH vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. Y inches below pipe inches above pipe inches total **If applicable: / understand the rystem type specified is diKerem from the type specified on the application. / accept the specihcadom of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be manslerred when there is a change in ownership of the site. This Lonstmmon Authomanon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE AIIALHED SITE SKETCH Authorised State Ag Date: Construction Authorization Expiration Date: /0'l7 -Lf HTE# 4— 7% Permit # 1:09 z Harnett County Department of Public Health Site Sketch TY ISSUED TO: ognl / // C�lU�.LU-111P D VIISIOTN N / c c_ LOT # Authorized State enL� G,' /�J ��ate: �0 % ' 5pg1$ i!;cj � 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:AvAct__� Address:/v� Date Evaluated: P -W169 Proposed Facility: �r rV Design Flow (.1949): Location of Site:� Property Recorded: Water Supply: Dlublic[j Individual E] Well Evaluation Method:❑ Auger Boring L� rit ❑ Cut Type of Wastewater. Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I .1940 SOH.MORPHOLOGY .1941PROFILE OTHER FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineraloev .1942 Soil Wetness/ Color .1943 Soil IN. .1956 Sapro Class .1944 Restr Horiz Profile Class &LIAR 1' i �•� L .� 2• ., t ._ .:. r -W7fl 5r}(iF rpt?...• 589 /L-�e'4"5. t- Description Initial Repair System Other Factors (.1946): S ste Site Classification (.1948):17.5 Available -Space .1945 Evaluated By:/. '-- System T s Others Present: V _ Site LIAR