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IPACHTE# =?~~8 Harnett County Department of Public Health Imarovement Permit 2 6 7 7 0 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~o~r~~• ISSUED__T/O SUBDIVISION 1 ✓d44 ,r .e"d~ge LOT# g~ NEW ® REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: _F 6 ti X o S`y~ d~`-tr c~ r~e,•, Proposed Wastewater System Type: Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: rg max Basement ❑Yes ~_,Kko/ Pump Required: ❑Yes ICJ No ❑ MM be required based on final location and elevations of facilities ~ Type of Water Supply: El Community 7 Public ❑ Well Distance from well feet Permit valid for. 0Five years Permit conditions: ❑ No expiration Authorized State Agent:: //'2ZEM/J Date: ITAc~~ SEE ATTACHED SITE SKETCH The issuance of this permit by thew Hartment in no way guarantees the 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 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, .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 T0:v/tC~ PROPERTY LOCATION: SUBDIVISION r o Ht--f' 44 LOT # 9 a Facility Type: J F-b 0' New ❑ Expansion ❑ Repair ✓ Basement? ❑ Yes No Basement Fixtures? ❑ Yes❑ No Type of Wastewater System** (Initial) Wastewater Flow: 518 6 GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /add gallons Exact length of each trench ,S"o feet Trench Spacing: 5 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /.2 inches Maximum Trench Depth of: o2 L/ inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Conditions: 0 n ce- r/0* o r C~eo Co fIL lg~o~3-~ Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRI GATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INIT IAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type speciled is different from the type .specified on the application. / accept the specifications of this 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 be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this )tt AI IALM Mit )RULM Authorized State Agent aA Date /l/rl~o Construction Authorization Expiration Date: A,,/& HTE# tS = 8 Permit # c1Z -7 7 0 Harnett County Department of niblic Health Site Sketch PROPERTY LOCATON: °c ISSUED T0: SUBDIVISION LOT # 9 0 Authorized State Agent: Date: c.4 -F. r C aY(- i ~ J 1 /19 ell, Department of Environment; Health and Natural Resources Sheet: - Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Address: Applicant: Date Evaluated: t t l / Proposed Facility: Design Flow (.1949): Property Size: Location of Site: ~ Property Recorded: Water Supply: / L1 Public❑ Individual ❑ Well ❑ Spring ❑ Other Eval ti M th d (3 ' A ua on e o : uger Bing ❑ Pit ❑ Cut Type of Wastewater: © Sewage ❑ Industrial Process ❑ Mixed P R O F I .1940 SOIL MORPHOLOGY OTHER 1941 L Landscape . PROFILE FACTORS Horizon .1942 E Position/ # Slope % Depth .1941 .1941 Soil .1943 .1956 (In.) Structure/ Consistence Wetness/ Soil Sap .1944 ZR ss Texture Minerado Color Class estrclass x, h~fW Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available S ace .1945) S stem T S) e() ✓ Evaluated By7--"_ Site LTAR Others Present: [