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IPACHTE# 3" ) Harnett County Department of Public Health hDrovement Permit 27351 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION :--%C )IqO ISSUED T0: °tea SUBDIVISION /iaaSfJ •-5 LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: &I max Basement ❑Yes No ,% Pump Required: ❑Yes ❑ No L � Ma a required based on final location and elevations of facilities Type of Water Supply: ❑ Community Id Public ❑ Well Distance from well feet Permit valid for: L7 Five years Permit conditions: 1 ❑ No expiration Authorized State A -e—" /' %ll `r Date: 3-7—i SEE ATTACHED SITE SKETCH The issuance of this permit 1161tv Health 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, .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: L�"[c_ t t3 PROPERTY LOCATION:, -A'dI �/ SUBDIVISION y576.'J — r- �---.— LOT # >�'7 Facility Type: IJ' New El Expansion ❑ Repair Basement? ❑ Yes C?"' No Basement Fixtures? ❑ Yes 21"'No Type of Wastewater System — Z Z �f��! i�'3� �cr� d�+� (Initial) Wastewater Flow: Jieb GPD (See note below, if applicable ❑) Q (Repair) Installation Requirements /Conditions Number of trenches 2 Septic Tank Size 106 ON gallons Exact length of each trench i T,_0 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: lo inches Maximum Trench Depth of. Zc�= �1 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 Aggregate Depth: 2— inches above pipe Conditions: XUIJ N el'i1 /Z) % -zc. i L inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM'OR REPAIR ARIA. 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 lication. / 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 Date: Construction Authorization Expiration Date: `- 3—"7 —f HTE # 13 -S--, 3 (J) () (.::; Harnett County Permit # 2-735-1 Department of hiblic He(alth Site Sketch Z -)' C PROPERTY LOCATON:t��:,— N09 009-K) Z J ISSUED TO: SUBDIVISION .4V!iA-" LOT # Authorized State A Date: 3-7-1 lsgwalw� fx-n-, >0 rgoi,) M 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: Applicant: `' —A:2 Address: Date Evaluated: Proposed Facility: Design Flow (.1949): ;6G Property Size: Location of Site: Property Recorded: Water Supply: ETPublic❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: [ Auger Boring r_1 Pit F-1 cut Q S Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed P Initial System Repair System Other Factors (.1946): Site Classification (.1948): Evaluated By: !' Others Present: Available Space (.1945) 11 R System Type(s) .7^ 711i Site LTAR O F SOIL MORPHOLOGY OTHER I .1940 .1941 PROFILE FACTORS L Landscape Horizon .1942 E Position/ Depth .1941 .1941 Soil 1943 .1956 .1944 Profile # Slope % (In.) Structure/ Consistence Wetness/ Soil Sapro Restr Class Texture Mineralogy Color Depth (IN .) Class Horiz & LTAR JF "4-s P. 7 r: - Z Description Initial System Repair System Other Factors (.1946): Site Classification (.1948): Evaluated By: !' Others Present: Available Space (.1945) 11 System Type(s) .7^ 711i Site LTAR �j. 2