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IPACHTE# 7% -S -44Q)4 W Harnett County Department of Public Health 30119 Improvement Permit A building permit cannot be issued with only an Improvement PertyjF PROPERTY LOCATION: Cha V tq ISSUED TO: Uy SUBDIVISION LOT # NEW)$ REPAIR ❑ EXPfNSION ❑ Type of Structure: rA %,4 NAO "C �a7 "i 3 J Proposed Wastewater System Type: rXV/w Q60y0n `t0 f4 Ys^o ff Projected Daily Flow: 3 L O GPD Number of bedrooms: Number of Occupants: ''� max Basement ❑Yes No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: I s SEE ATTACHED SITE SKETCH The issuance of this permit by the Healdl Department in no way guarantees the issuance o ermits. The permit hol er is r 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 Illinikshall 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attachedstery m layout. ^ ISSUED T0: � N',,C5 G Uy PROPERTY LOCATION: O L\-rgA p SUBDIVISION � LOT # Facility Type: Mfl� H n r+6 (�j"� New ❑ Expansion ❑ Repair Basement? ❑ Yes —X No Basement Fixtures? ❑ Yes ❑filo Type of Wastewater System°* aSir ��yLzs l>v 5 iGM (Initial) Wastewater Flow: 3 GPD (See note below, if applicable ❑) e QL le GDQC��")4 9y5 (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 1 oma gallons Exact length of each trench cri 6© feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of-. \Q inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH 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 inches total "If applicable: / understand the tyrtem type spedbed it diherent from the type specified on the app/icanon. / accept the rpechIcationr of thin permit Date: This Construction Autlmro;mau-L1 bj to revocation 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 Constmction Authonzatior<.iLss—dk ,(•o complianrew �ew.ef_the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent y��� w v �� Date: 6 Constru l uEhorization Expiration Date. HTE# r2 -5- L- L-1 Q5 L) Permit # 10 ISSUED TO: Authorized ! Harnett County Department of Public Health Site Sketch PROPERTY LOLATON: SUBDIVISION LOT # Date: aL.v1A V -Z 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 OZ>Q.� Design Flow (.1949): �6 Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method): &AugBonng L] Pit ❑ 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 Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth(INJ .1956 Sapro Class .1944 Renr Horiz I S S i o -a G Ls gv:L"0're S%I<. c 39 SSY cn S51 -T IOorZ-t )a e- 36" .3 S Description Initial Rep it System Other Factors (.1946): {� Systew Site Classification (.1948): { Available Space (.1945) V Evaluated By: (1 \ System Type(s) /F Others Present: 1KR Gay Site LTAR . b S_ 3