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IPACHTEOS-5'437514 Harnett County Department of Public Health 30036 Improvement Permit A building permit cannot be issued with only an Improvement Permit �� M PROPERTY LOCATION: W /` WI La_y6 6"r4 90 \ ISSUED TO: N1css i�UtnE aUsLOEt1 SUBDIVISION ZEe Tcil-&L- sa, LOT # NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5TO t,sti aS CYY Proposed Wastewater System Ty e: 2.S°/n VAGouc;5t0N S -rwv Projected Daily flow: 3EO GPD Number of bedrooms:�mber of Occupants: max Basement Dyes X No Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community �Publjc ❑ Well Distance from well S Op feet Permit valid for. Permit conditions: AFive years ❑ No expiration Authorized State Agent:: 1t< Date: a4 SEE ATTACHED SITE SKETCH The issuance of this permit by she Health Departure in no way guaran a issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat or the no uta changes. pmmmoem Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pmvisiom 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 .1958, .1957, .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 ISSUED TO: fiaS-S 1-1l.cly'S6Zavt_pU1, PROPERTY LOCATION: �S�L.� GoenERp SUBDIVISION CL rSadELLA LOT # Facility Type: _ ��OtsO"SO� New ❑ Expansion ❑ Repair Basement? ❑ Yes 3 No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** _ 9-Syo �G.nvr'TI0N S'vJTC r� (Initial) Wastewater Flow: 3ro0 GPD (See note below, if applicable ❑) as °l, Installation Requirements/Conditions Septic Tank Size 1 0 o Q gallons Pump Tank Size gallons Pump Requirements: ft. TDM vs. _ Conditions: k EQ • �(Repair) Number of trenches _r.� Exact length of each trench C.O feet Trenches shall be installed on contour at a Maximum Trench Depth of: 1`%--Oc" inches (Trench bottoms shall be level to +/-1/4" in all directions) _ GPM Trench Spacing: i Feet on Center Soil Cover. C- )-.1 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total If applicable: / understand the ryrtem type spec/led it dlYerent from the type Jperiled on the application. / accept the Jperilrationr of this permit Owner/Legal Represent tive Signature: Date: This construction Authorisation is subject tion if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there i Construction Authorization is subject to compliance with rovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Authorized State Agent: Ir -1f, Date: _ onstruction Authorization Exairation Date: in ownership of the site. This SEE ATTACHED SITE SKETCH WE HTE# Permit # 3003b Harnett County Department of ll�iblic Health Site Sketch PROPERTY LOCATON: ILL t F- CPP\c,2,01' ISSUED TO: o i-10SUBDIVISION LOT # 5 Authorized State Agent: —foLl<SS)o(T Date: � X1-15 1 bor 1 i � x56 50 i � a e r. 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: -1 O9Q Design Flow (.1949)3 (0Q�p. Location of Site: Property Recorded: Water Supply: PublicIndividual L3 Well Evaluation Method. 3 Anger Bo g El ❑ Cu[ Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) Structure/ence .1941FMMmemlogy TextureColor 1 1942 Soil Wetness/ .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR b'la`b C- 5 ,lam NS� c '4 NQ 5 ,Z j � s Description Initial Re air System Other Factors (.1946): S st m Site Classification (.1948): AvailableS ace (.1945) Evaluated By:O S stern T e(s) Others Present Site LTAR