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IPACHTE# 11— S 10565 Harnett County Department of Public Health 29140 ImDrovement Permit A building permit cannot be issued with only an Improvemegt Permit pp PROPERTY LOCATION: N <.111, s )1 1 ISSUED T0: SUBDIVISION LOT # NEWX REPAIR ❑ E;PANSION, ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: MAN Hors i ��K66') Proposed Wastewater System Type: Q5'/o Rcpvcn s (,N SvvS-Em Projected Daily Flow: 36b GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes '�kNo Pump Required: ❑Yes ;�50o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community >. Public ❑ Well Distance from well 1 t!) d feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: 0 vS Date:SSI 1 a I I—) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issue other permits. The permit holders is resporAible 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 Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pr"isiom of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permjt) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: Op1 PROPERTY LOCATION: M C, A-1 SUBDIVISION LOT # Facility Type: �1t� t kot�6 �ba`L6) New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures.? ❑ Yes No Type of Wastewater System** QZ�10 (Initial) Wastewater flow: 36b GPD (See note below, if applicable ❑) [� 1 Q. w NkFp S-zs . (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size Lo©Q gallons Exact length of each trench aZS 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. TDM vs. GPM Conditions: Trench Spacing: 1 feet on Center Soil (over. C --T inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total **If applicable: / understand the rrptem type speciled /r different from the type speciled on the app/kation. / accept the specilrations of ibis permit. Authorization is Construction Authorization Authorized State Agent. Date: plat or the intended use changes. The Comtruction Authorization shall not be transferred when them i of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit 21C -11 -ss Date: S ati 11 truction Authorization Expiration Date: t 4 a change in ownership of the site. This SEE ATTACHED SITE SKETCH HTE# Permit # �L,WI O Harnett County Department of Public Health Site sketch PROPERTY LOCATON: N C, ISSUED TO: / SUBDIVISION LOT # Authorized State Agent: k.(-) 15 Coi `POLY-SJO(0 Date: 130 Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 g92 d Design Flow (.1949): Sheet: Property ID: Lot #: File #: Code: Property Size: Location of Site: Property Recorded: Water Supply: Public [j Individual C1 Well El spring ❑ Other Evaluation Method: C3 Auger Boring ❑ Pit ❑Cut Type of Wastewater: Ly. Sewage ❑ Industrial Process ❑ Mixed P R O F 1 L E 4 1940 Lmtderape Position/ Slope°•4 Horizon Depth (la.) SOI. MORPHOLOGY .1941 OTHER PROFILE FACTORS I MrIle Chir B LTAR .1941 SWcturd Texti" .1941 Consistence minerefoRy .1942 "1 Wetneeel Cola .1943 Soil IN. .1956 Sapro Close .1944 Restr Hariz 5 1 C' �.-'� G 5 vF2 "g '�1-40 1C SG1 PCL s5i5Q t a 7 )-.I k-� "77' L) 31t-tb �x SQL - ST�^I(� S S j-3 Deaciiplion Initial Repair System Other Factor (.1946): System Site Classification (.1948} el Available Space .1945 ' Evaluated By: cry System s a t Others Present: Site LTAR