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IPACHTE# T-'?-5'41rie1ILA Harnett County Department of Public Health 29697 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Npp c,).. P --V4 L ISSUED T0:PtsEc�Sios� C�s4OM �o�� SUBDIVISION SVMr�GCL I'J LOT# ti NEWW:K REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SCD CSO x5a Proposed Wastewater System Type: Vu Me 0 =% 96 UCKI(i Sros. Projected Daily Flow: L-1wit0 GPD Number of bedrooms: I Number of Occupants: .00 max Basement Oyes X'No Pump Required:*Res ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community V Public ❑ Well Distance from well Feet Permit valid for. Five years Permit conditons_ ❑ No expiration Authorized State Agent: P_6y The issuance of this permit by the Health Department in no way guaramees n site is subject to revocation if the site plan, plat or the intended use changes. The Ira the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: SEE ATTACHED SITE SKETCH of other permits. The permit holder is reiponsible for checking with appropriate governing bodies in meeting their requirements. This tument Permit shall not be affected by a change in ownership of the site. This permit is subject m compliance with the provisions of Construction Authorization Required for Building Permit) The construction and installation requirements of Rules .1950, AM, .1954, .1955, .1956, .1957, .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 r ISSUED T0: 9".r16)0-4C�vsTyc•. NAV ME5 PROPERTY LOCATION: a", F— P.t>`N s— / SUBDIVISION Sunrr\MA—%N LOT # 1 Facility Type: Sw`aC-d xSa) New ❑ Expansion ❑ Repair Basement? ❑ Yes X, No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 'Pu,rni) rzN-�o%e RG uGTve,s S'J,5,z6 a. (Initial) Wastewater Flow: k180 GPD (See note below, if applicable ❑) ?v4nP o a.SYo RC—.fl (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size s c0 m gallons Exact length o1 each trench 15 U feet Trench Spacing: OIL Feet on Center Pump Tank Size �orao gallons Trenches shall be installed on contour at a Soil Cover: C inches Maximum Trench Depth of: 1% inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-I/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: 9 inches below pipe Depth: inches above pipe -NX 154 inches total 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. **If applicable: / understand the swem type specified it different /mm the type specified on the app/nation. / accept the rperipcationr of this permit use Date: shall not be transferred when there is a Construction Authorization ! mbject to comp wi visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: QQA5 Date: 14 1"] ��uction Authorization Expiration Date: 14 1 dg- HTE# T-7-5-'-tlC%0%lA Permit # canC0C -) Harnett County Depailinent of 1-�iblic Health Site Sketch PROPERTY LOCATON: NQJ?"U'%6 F;Lsx)L— I SSUED TO: Qn c u N �s; or. �d �6/ SUBDIVISION G L% -A44 l l LOT # L4 Authorized StateAgent: �� ¢b1�5 �Dt '�� Tol 1 U{1F Date: *3 7,SQ, la.a 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: Address: Date Evaluated: Proposed Facility4OjDac* Design Flow (.1949):13-46 �P Location of Site: Property Recorded: J� Water Supply: Publico Individual ❑ Well Evaluation Method Auger Boring ❑ Pit ❑ Cut Type of Wastewater: 9 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 .1943.1956 Soil Depth (IN.) Sapro Class .1944 Restr Horiz vna Description Initial Repair System Other Factors (.1946): SysSite Classification (.1948):5 Available Space (.1945)Evaluated By: t>� System T e(s) J M S w Others Present: Site LTAR . p, . y