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IPACHTE# 13 -S--,31.3 -?c/ Harnett County Department of Public Health Improvement Permit 27479 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Cll: of ,ed. ISSUED TO: Yc- 4ery -5� :, C�y SUBDIVISION LOT # NEW 2r- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: /4 // a 6 X% fo Proposed Wastewater System Type: -b—% JUf-t ,- Projected Daily Flow: (o CCU GPD Number of bedrooms: J77 Number of Occupants: max Basement ❑Yes ©'No Pump Required: ❑Yes 12 No ❑ —Max be required based on final location and elevations of facilities Type of Water Supply: F-1 Community L+� Public ❑ Well Distance from well feet Permit valid for: 0-Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: (6 I/ — �2�t7 SEE ATTACHED SITE SKETCH The issuance of this permit b the 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 TO: PROPERTY LOCATION: SUBDIVISION LOT # Facility Type: A t' L✓I New ❑ Expansion ❑ Repair Basement? ❑ Yes Q" No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System ** o2S` �� v� . o� ��� (Initial) Wastewater Flow: (D 4 G GPD (See note below, if applicable ❑) (Repair) Installation Requirements /Conditions Number of trenches Septic Tank Size la-. —Q gallons Exact length of each trench /o o feet Trench Spacing: `? Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /3 - inches Maximum Trench Depth of. 3o- /u 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 Aggregate Depth: Conditions: WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total * *If applicable: /understand the system type specified is different from the type speciped 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 /permit Jtt AI IAIHED SPE SKETCH Authorized State Agent: ow��: ,i— Date: (- //.2 A6 /7 Construction Authorization Expiration Date: 6 / /- z-4ty,�, HTE# 43 -,3--,3 1.7 7 Y Permit # 02i Harnett County I)eptartment of Public He(altli Site Sketch PROPERTY LOCATION: ISSUED TO: SUBDIVISION LOT # I Authorized State Agent: Date: (- // 2- 12 o 15 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: �/, /,7 Proposed Facility: Design Flow(. 1949): Location of Site: Property Recorded: Water Supply: ETIPP/ublic❑ Individual ❑ Well Evaluation Method:[ tiger Boring El pit El cut Type of Wastewater: Q Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed Description P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil D th (IN.) .1956 Sapro Class .1944 Restr Horiz [�rAjw) c- /f�,_ (//���A//� 1 L.r � JJ Description Initial System Repair System Other Factors (.1946): n Site Classification (.1948): rf Evaluated By/4 ,,'-- Others Present: Available Space (.1945) System Type(s) r. Site LTAR