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IPACHTE# ~~-~-~?E?® Harnett County Department of Public Health Improvement Permit 2 6 7 7 7 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: D c r P-J. j f ' 8 ISSUED TO- - , J ~ e SUBDIVISION 7~ -j4 .d- LOT # NEW Cry" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authori zation Issuance: Type of Structure: C o Proposed Wastewater System Type: e~v`c+tf Projected Daily Flow: cr`y' GPD Number of bedrooms: q, Number of Occupants: max Basement ❑Yes ~o Pump Required: 12 es ❑ No ❑ MMajbe required based on final location and elevations of facilities Type of Water Supply: ❑ Community A public ❑ Well Distance from well feet Permit valid for: R- ve years Permit conditions: ❑ No expiration Authorized State Agent:: ZA `Y°'-,~`/•,~c~,.~~~~ Date: %1Z~/2- "lf SEE ATTACHED SITE SKETCH The issuance of this permit by the Healty~ h Department 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 TO: S~\.IAIL ~dtil2`/~ .u PROPERTY LOCATION: ~.lCC!!~°~ SUBDIVISION r-7-ic, -r LOT # Facility Type: e -New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" & •Ip (Initial) Wastewater Flow: V8 0 GPD (See note below, if applicable ❑)p !!1p oZJ trv~-`~~ (Repair) Installation Requirements/Conditions Number of trenches -2- Septic Tank Size /0100 gallons Pump Tank Size /oov gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench °D feet Trenches shall be installed on contour at a Maximum Trench Depth of. yg' 3U inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 9 Feet on Center Soil Cover: 6-18 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type specified on the application. l accept the specipcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiect to revocation if the site plan, o1at, 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 permit. SEE ATTACHED SITE SKETCH e Authorized State Agent: Date: Construction Authorization Expiration Date: zG/G HTE# e - U Permit # a2, 77 -7 Harnett County Department of iblic Health Site Sketch r PROPERTY LOCATON: `-1s ISSUED TO: 4A CC SUBDIVISION 7"~ ~l y LOT # Authorized State Agent: Date: IC~Z.7 z f 1 s'~G 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: <wtZ~ Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: dP blic❑ Individual ❑ Well Evaluation Method:[Augerg ❑ Pit ❑ Cut Type of Wastewater: ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L Lands . Landscape Horizon .1941 PROFILE FACTORS E # Position/ Depth Slope % (In. .1941 Structure/ 1942 .1942 .1941 Soil i .1943 .1956 Consistence Wetne / 1944 Profile ~ 4 Texture So l ss Soil Sa ro Mineralo Color D th IN. p Class l Restr Class Horiz &LTAR ~ 0-~8 /f ' hi- Description Initial Repair System Other Factors (.1946): Available Space .1945) S stem Site Classification (.1948): ~J S stein Ty e(s) Evaluated By: ~Vt-k I Site LTAR 's 9r : Others Present: