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IPACHTE# 1� 51j3T3 j Harnett County Department of Public Health 29839 Improvement Permit A building permit cannot be issued with only an Improvement Permi.t rr PROPERTY LOCATION: C.o°i- Spyt a 6S ISSUED T0: �l doh StL-i�l Kit L oT}S SUBDIVISION LOT # NEWS REPAIR ❑;. n EXPANSION ❑ N ` Type of Structure: _ InP, , rkoi-S �.5`1.%p Proposed Wastewater System Type: 11;k Y' 42.t Do &' seeN Sys - Projected Daily Flow: 3b O GPD Number of bedrooms: "5 Number of Occupants: to max Basement []Yes Site Improvements required prior to Construction Authorization Issuance: Pump Required: []Yes ❑ No ❑�l May be required based on final location and elevations of facilities Type of Water Supply: El Community .a. Public ❑ Well Distance from well feet Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent: ��� �� ��� Date: a.) �7,� Ti SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees theiucanp of other permit. The permit holder is respunsi le for checking with appropriate Ramming bodies in meeting their requirements. This site is subject to revocation it 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 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 .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 TO: 'V7N-'0J-'%s55IA PROPERTY LOCATION: COOI_ spi!LNNG5 Ra SUBDIVISION LOT # Facility Type: rlwer �asaE��%aD New ❑ Expansion ❑ Repair Basement? ❑ Yes -19 No Baseme t Fixtures? ❑ Yes ❑ No Type of Wastewater System** `a 5 u RGDU US t ON S13TEM (Initial) Wastewater Flow: 3 GO GPD (See note below, if applicable ❑) '.)S -10 CEO • 'Z-11� , (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size to ©y gallons Exact length of each trench '-+5 0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of 1619 inches Pump Requirements: ft. TDH vs. Conditions: :-1ou5L St,6 41, (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: ") Feet on Center Soil Cover. b inches (Maximum soil cover shall not exceed 36 above the trench bottom) inches below pipe Aggregate Depth: inches above pipe 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 total **If applicable, / ondeatand the stem type Jpecified it diNerent Iron the type cpedfied on the app/ication. / accept the rpecilcationr of thin permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This Construction Authorization is su le liance AbzAt rovimons 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: 11 Construction Authorization Expiration Date: HTE# n'5- i13 M3 Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Co o v Se 2\ N C5 4D ISSUED TO: C�N0E swe.L&I Fa\Q"AtA SUBDIVISION LOT # Authorized State Agent: Date: 5 N. 4A, 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 Facility: S %9Rn Design Flow (.1949): )4% Location of Site: Property Recorded: Water Supply: Publico Individual ❑ Well Evaluation Method'.Q Auger Boring EI pit ❑ Cut Type of Wastewater: asewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E 4 .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 C- GGL 5 ? P5� Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) Evaluated By: 4'(. System Type(s) Others Present: Site LTAR : L