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IPACHTE# -s~- i Harnett County Department of Public Health Improvement Permit 2 6 8 0 3 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:tX44146 4-r '5 K ISSUED Tt}=.` 1► b•" SUBDIVISION tai tl~ LOT # 3:- NEW EK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -7) F J3 Proposed Wastewater System Type: ka 2s ~e i'L cJc SZar~. Projected Daily Flow: 3GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: es ❑ No ❑ Mae required based on final location and elevations of facilities Type of Water Supply: ❑ Community L'J Public ❑ Well Distance from well feet Permit valid for: L!f Five years Permit conditions: ❑ No expiration Authorized State A t:: Date: i/- 7J SEE ATTACHED SITE SKETCH The issuance of this permit q 4e alth 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 i 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, .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 TO: ~fe PROPERTY LOCATION: -1VU t'16 / eQ4S 2D SUBDIVISION Si ~d LOT # 3Z Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** MaorA-ea 4y Z5% t7~r~ta ,5t ~ 5 ~ (Initial) Wastewater Flow: GPD (See note below, if applicable 4epair) Installation Requirements/Conditions Number of trenches Septic Tank Size / CC 0- gallons Exact length of each trench Z °j feet Trench Spacing: 9 Feet on Center Pump Tank Size /co c: gallons Trenches shall be installed on contour 401-- Soil Cover: inches Tz ~s. Maximum Trench Depth of: f ~ `i.,-- >W -19inches (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 1 ;o ggregate Depth: inches above pipe Conditions: F - ~ ' - faidi /z. inches total /'nl~ I I n r; , tt ISM ` WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 app/ication, / 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 permit SEE ATTACHED SITE SKETCH Authorized State Age G - Date: Construction Authorization Expiration Date: rt - 2 HTE# Z? I;gl [ Permit # 26 903 Harnett County Department of Public eat Site Sketch PROPERTY LO(ATON:SrL JYV,? /fis s3'f~ ISSUED TO: I Ife)," WC SUBDIVISION ~57-,Sr : LOT # ~Z Authorized State nt: _ Date: if -25 " 1/ /no ~i id x LZI k1- bk-r-C v . 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: C .0,0 Address: Date Evaluated: I I - Z4? 'u Proposed Facility: Design Flow (.1949): 10 Location of Site: Property Recorded: Water Supply: t_'9 Public❑ Individual ❑ Well Evaluation Method-:Auger ~B 'ng ❑ Pit ❑ Cut Type of Wastewater: C9 sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon .1941 PROFILE FACTORS E # Position/ Slope % Depth .1941 (In.) Structure/ .1941 Consistence .1942 Soil 1943 Wetness/ 1956 S il .1944 Profile Texture Mineralo-gy o Sapro Color D th IN. Class Restr Horiz Class & LTAR -yy Sc P n.- Its 5S ?5v r o° E,r, m's AI /z- Z(P 5& cf) > ~ cc..,il5 ~y Lid- r'i°' 1 • G 5 5.46 L 0-29 S~ Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): P-13 Available Space .1945) " Evaluated By: System T Sit LTAR s) c$' sv /a-i- 6,2,E Others Present: e 0 ° 2Y'