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IPACHTE#ro-5-L410aZ"T Harnett County Department of Public Health 2 91 9 9 Improvement Permit A building permit cannot be issued with only an Improvement Permit C� 6d� PROPERTY LOCATION: Mc �uC woo x�D ISSUED T0: SUBDIVISION LOT # NEW>Sr REPAIR ❑t NSION ❑ Type of Structure: SFO OT Cx6�' Proposed Wastewater System Type:rdS`/o QL,flvUC'a cawt gys;Cs,(\ Projected Daily flow:yt`60 GPD Number of bedrooms: 1-4 Number of Occupants: max Basement []Yes >rNo Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community � Public ❑ Well Distance from well LOO feet Permit conditions: Permit valid for. ,Five years ❑ No expiration Authorized State Agent:: lye :!� ` L r15 Date: --)S 1 L SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantee ssuanc3�h a of other permits. The perom holder respon ible for 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 Ithparovement 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 requirements of Rules .19SD, .1957, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layout. a (� ISSUED T0: ��M �s t C 7 �Nsv FFl7 PROPERTY LOCATION: M Ll, OU GALn SUBDIVISION LOT # Facility Type: SFO (2 J; X 6`7 New ❑ Expansion ❑ Repair Basement? ❑ Yes 'X No Basement Fixtures? Elixtures? Yes No Type of Wastewater System"" Q'STO RG-U%JL'v Lct,nzZY5 (Initial) Wastewater Flow: LiY GPD (See note below, if applicable ❑) aS°/o 14CCD• his (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1© O O gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 54 X3, inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TDH vs. GPM Conditions: Trench Spacing: c1 Feet on Center Soil Cover. 6-1b inches (Maximum soil cover shall not exceed 36' above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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: / onderrtand the s}rtem type fpec/hed it different from the type fpecifred oa the app/icanim.. / accept therpeciilicationr of this permit. Signature: Date: This construction Authorization is su fe Dation 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 site. This Construction Authoriam"b��dl�e<I to compha wit visions of the Laws and Rules for Sewage Treatment and Dispoml and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent Date: Authorization Expiration Date: HTE# � { - S -y YW� Permit # 'a.'� l?. Harnett County Department of Public Health Site Sketch _ PROPERTY LOCATON: Y"i c� ny GPLi� ISSUED T0: �p 5 ,- )�GNr,F� SUBDIVISION LOT # Authorized State Agent: Date: 71f �QIA`c+\-v 6 nLIDov GPLO 2D Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOHJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: 1 )N \6 Address: Date Evaluated: Proposed Facility: 4 &9V,- Design Flow (.1949): t.toO tl Location of Site: Property Recorded: Water Supply: Public❑ Individual [IWell Evaluation MethodP-Auger Boring ❑ Pit ❑ Cut Type of Wastewater: —R 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 W. .1956 Sapm Class .1944 Restr Horiz L-5 C) �C) G ( 2 els 3 v3O C L, yr., Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): f' Available Space (.1945) r Evaluated Byn-- S stem Type(s) 15� "/ (1 Others Present: Site LTAR S -11 --o @ ,)z 2)�L -