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IPAC RHTE 31 Harnett County Department of Public Health Improvement Permit 27580 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ,r " ISSUED T0: Il _e c1c? SUBDIVISION 6 .r, LOT # /% NEW REPAIR ❑ EXPANSION ❑ Site Improvements reouired Drior to Construction Authorization Issuance: Type of Structure: A®�` Proposed Wastewater System Type: 7 6s Projected Daily Flow: `3(12:> GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes LT No Pump Required: ❑Yes ❑ No L-10e required based on final location and elevations of facilities Type of Water Supply: 1:1 Community Lf Public ❑ Well Distance from well feet Permit conditions: Permit valid for P� five years ❑ No expiration Authorized State Age .. Z ' Date: 10-1-13 SEE ATTACHED SITE SKETCH The issuance of this permit by th ealth 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 6e 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:La1W%_ PROPERTY LOCATION: ict Type of Wastewater System* % jZeb VCJV) -; (Initial) Wastewater Flow: 34,242 GPD (See note below, if applicable ❑) = / � � (Repair) Installation Requirements /Conditions Number of trenches Septic Tank Size gallons Exact length of each trench 106 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: inches (Trench bottoms shall be level to +/ -1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover: a inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: — inches above pipe 4Z,., inches total WATER LINES (INCLUDING 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: /understand the system type specified is di /ferent from the type specified on the app /ication. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subiect 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: % r Construction Authorization Expiration Date: t 0 i / S HTE #'T�r, Harnett Cminty, Permit # WE MWO Department of l�ihlic ealth Site sketch PROPERTY LOCATON: 144-141 qZ, ISSUED TO: SUBDIVISION V LOT # Authorized State Agent Date: / 0 1 L+-,-J!Z 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: Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: EJ_Public❑ Individual ❑ Well Evaluation Method:a Auger Bori El Pit ❑cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 7 Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz st C r.�Jl 6 �" - kcs Z111 Description Initial System Repair System Other Factors (.1946): Site Classification (.1948): P/ Evaluated Bye Others Present: Available Space (.1945) System Type(s) Site LTAR t