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IPAC RHTE# o-) Harnett County Department of Public Health Improvement Permit 2 6 6 9 5 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: -Ti c t6~c~ ISSUED TO: T S CL~,Et,. Lv c.D>5 SUBDIVISION 90M c7 saw Qas rI': LOT # NEW)< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5V- 0 0-N0 Proposed Wastewater System Type: a fAvvC mac S~ 5~~ Projected Daily Flow: J~o® GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes ,ANo Pump Required: ❑Yes 'I W May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community, Public ❑ Well Distance from well 1 CiG feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 8 1S" A \ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua ther 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 intended use changes. The Improveme r rmit 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 T0: 2PGL E yc.~~ PROPERTY LOCATION: sv 455 SUBDIVISION P y-m p h,~ d) LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes -:R No Basement Fixtures? ❑ Yes AN o Type of Wastewater System' 2-5-71,3 q-&-o vc;'~'I (Initial) Wastewater Flow: GPD (See note below, if applicable 70 C~~vC.tfs~e)N~C.-. (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size ! © O gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 1 DJ feet Trenches shall be installed on contour at a Maximum Trench Depth of. a~y3~ inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Q) Feet on Center Soil Cover: 1 - \`b inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe 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 system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subjec vocation if the site p n, 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 is sgj~l! compliance wi 9 nns a taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Cons tion Authorization Expiration Date: HTE# C51-s-`-11-~`63 R Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 11w6~~1 ISSUED TO: SUBDIVISION P 7 os o~ n;~ LOT # l Authorized State Agent C~itvG~t." 0Ly--,3rj Date: 1 N 1 Permit # 2 G6~ S 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: Proposed Facility: Location of Site: Water Supply: Evaluation Method:[ Type of Wastewater: Date Evaluated: Design Flow (.1949): Property Recorded: ❑ Public❑ Individual ❑ Well ] Auger Boring ❑ Pit ❑ Cut ❑ Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F SOIL MORPHOLOGY OTHER I .1940 .1941 PROFILE FACTORS L Landscape Horizon .1942 E Position/ Depth .1941 .1941 Soil .1943 .1956 .1944 # Slope % (In.) Structure/ Consistence Wetness/ Soil Sapro Restr Texture Mineralogy Color _Depth (IN.) Class Horiz rofile Class & LTAR h• Description Initial System Repair System Other Factors (.1946): Site Classification (1948). Available Space (.1945) Evaluated By /u System T e(s) ~ - VmS Others Present::-~ Site LTAR V TO J, ' "SCE z