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IPACType of Water Supply: ❑ Community f�blic ❑ Well Distance from well feet Permit valid for. Permit conditions: M -five years ❑ No expiration Authorized Stat ' ✓ Date: y —/7 /-7 SEE ATTACHED SITE SKETCH The issuance of this permit t Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for c66.ng with appropriate governing bodies in meeting their requirements. This site is subject co revmatio 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 provision of the lam 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, .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: ZQ4.✓'1 C �/>�L� / s L PROPERTY LOCATION:( / SUBDIVISION LOT # Z Facility Type: i D-INew ❑ Expansion ❑ Repair Basement? ❑ Yes ET No Basement fixtures? ❑ Y s 0-160-� ,y Type of Wastewater System** 2 ��i� Com( ��� (Initial) Wastewater flow: 1?j 0 GPD (See note below, if applicable ❑) 215 s> (Repair) Installation Requirements/Conditions Number of trenches Septic Tank SizeZLC7 gallons Exact length of each trench feet Pump Tank SizeI'L -D gallons Trenches shall be installed on contour at a Maximum Trench Depth of. Z Z_�)/A inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDM 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 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 / Z inches total **If apolicable� l understand the system type spedf'ed it different from the type specified on the app/ication. / accept the rpecifnationr of thir permit. Owner/Legal Representative Signature: Date: This Construction Authomanon is subject in revocation if the site plan, plat, or the intended use changes. The conswmon Authorization shall not be transferred when there is a change in ownership of the site. This construction Authonzation is subject in compliam Authorized Statent: , with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: N -t L - / Construction Authorization Expiration Date: `1 - 17, 29369 HTE# ICL h o f Harnett County Department of Public Health Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION tiz /_�1 ISSUED TO ��4 N t) Cm IS ity�% a C SUBDIVISION LOT # z NEW f REPAIR ❑ EXPANSION ❑ Site Improvifonents required prior to Construction Authorization Issuance: Type of Structure: t Proposed Wastewater System Type: -Z-2--'l— Projected Daily Flow: 6 GPD Number of bedrooms: Number of Occupants: max Basement []Yes No / Pump Required: []Yes ❑ No I�a e required based on final location and elevations of facilities Type of Water Supply: ❑ Community f�blic ❑ Well Distance from well feet Permit valid for. Permit conditions: M -five years ❑ No expiration Authorized Stat ' ✓ Date: y —/7 /-7 SEE ATTACHED SITE SKETCH The issuance of this permit t Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for c66.ng with appropriate governing bodies in meeting their requirements. This site is subject co revmatio 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 provision of the lam 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, .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: ZQ4.✓'1 C �/>�L� / s L PROPERTY LOCATION:( / SUBDIVISION LOT # Z Facility Type: i D-INew ❑ Expansion ❑ Repair Basement? ❑ Yes ET No Basement fixtures? ❑ Y s 0-160-� ,y Type of Wastewater System** 2 ��i� Com( ��� (Initial) Wastewater flow: 1?j 0 GPD (See note below, if applicable ❑) 215 s> (Repair) Installation Requirements/Conditions Number of trenches Septic Tank SizeZLC7 gallons Exact length of each trench feet Pump Tank SizeI'L -D gallons Trenches shall be installed on contour at a Maximum Trench Depth of. Z Z_�)/A inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: (t. TDM 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 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 / Z inches total **If apolicable� l understand the system type spedf'ed it different from the type specified on the app/ication. / accept the rpecifnationr of thir permit. Owner/Legal Representative Signature: Date: This Construction Authomanon is subject in revocation if the site plan, plat, or the intended use changes. The conswmon Authorization shall not be transferred when there is a change in ownership of the site. This construction Authonzation is subject in compliam Authorized Statent: , with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: N -t L - / Construction Authorization Expiration Date: `1 - 17, HTE# �7 S 910/5 Permit # 3411� Harnett County Department of Public Healtli Site Sketch ��//�� ,�Q� PROPERTY LOCATON �yZ� icLJ ISSUED TO: Wi..tJ.t) GON*t�lY Z'�G SUBDIVISION LOT # �Z Authorized State ¢put( Date: y— /7. —/% it 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:GUy.v� Address: Date Evaluated: Proposed Facility: aPD Design Flow (.1949) Location of Site:Property Recorded: Water Supply: Pahl Individual ❑Well Evaluation Method:❑ Auger Bo ' g t ❑ 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 Minmloav 1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz 1, 3L_ b -?,.D 5L Pf fel Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) Evaluated B System Type(s) Z 'mL Others Present: Site LTAR ,�