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IPACHTE# %-7 14)"11 Harnett County Department of Public Health 29682 Imurovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Htc5++8r..00c Ota. ISSUED T0: M-1C�rL lac�,G3 LL -c— SUBDIVISION LOT # TV NEW +< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 57V(3-1 -4170 Proposed Wastewater System Type: P%rme-T- =%I#yassora Projected Daily Flow: 360 GPD Number of bedrooms: Number of Occupants: 6 max Basement []Yes ';R No Pump Required:: ges ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community �X Public 11Well Distance from well SOOT feet Permit conditions: Permit valid for. five years ❑ No expiration Authorized State Agent:: Date: -7 116 \ 17 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the rss f other permits. The permit hider is sponsible 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 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, .1955, .1956, .1951, .1958. 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 T0: M)r-ce Norms LLG PROPERTY LOCATION: 14G4S'Aill .sooD fla SUBDIVISION 0sua-moer� LOT # 143Facility Type: S VI)CS-7TSa� X New ❑ Expansion ❑ Repair Basement? ❑ Yes N'�&L No Basement Fixtures? ❑ Yes )< No Type of Wastewater System** Pu rnP—To 2:97. 'Reoocsa oN 0-'y-yT&4-\ (Initial) Wastewater Flow: 3L6 GPD (See note below, if applicable ❑) ,�,S1 ,—o � .Lr ataD (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size oo o gallons Exact length of each trench 9ZS feet Trench Spacing: Feet on Center Pump Tank Size `Oc'd gallons Trenches shall be installed on contour at a Soil (over. inches Maximum Trench Depth of: 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 inches below pipe „ Aggregate Depth: inches above pipe Conditions: TAT ,smuyM oar C °C Govan, NC:G06D oy6cL. DaAsAt 6.s_�o inches total 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. **If applicable, / oadeatand the system type ipeciled is different from the type spedled on the application. / accept the specifications of this permit. Owner/Legal Representafixe Signature: Date: This Construction Authorization is subject m bon 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 Authorization em to complia with Vans of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH [Authorized State Agent: Date: 7 Con action Authorization Expiration Date: 77, HTE# 'S'1 E i `� i Permit # Harnett County Department of-htblic Health Site Sketch Y PROPERTY LOCATON: ��cr it�t Rw000 �2 ISSUED TO: �� 'S LJ—C. SUBDIVISION LOT # 1�3 Authorized State Agent V&b (0-116 1 -'PO(5 Date: 2L l 7 +A© NEP7Netwapp o2 a..00 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: h 1 Address: Date Evaluated: Proposed Facility. I SMAX, Design Flow (.1949):36 B Location of Site: Property Recorded: Water Supply: ❑ Public❑ Individual ❑ Well Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ❑ Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 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 Sapro Class .1944 Restr Horiz LS Io -A Z U 1 � JL5 vt h �)s r Description Initial Repair System Other Factors (.1946): Systerp Site Classification (.1948):P, Available Space( .1945) V V Evaluated By: 01\) System Type(s) P m P i Others Present: Site LTAR 1yx:ts e )a• -L,1 6'cvrGs "669k�