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IPACHTE# 11-1-J-­71.772- Harnett County Department of Public Health 27998 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 7l-Kgr" ISSUED T0: C �-� eI ! e SUBDIVISION ^5&' 144 LOT # 1 � NEW V REPAIR ❑ EXPANSION ❑ Type of Structure: SF-,D 502 t(�'od Proposed Wastewater System Type: Projected Daily Daily flow: C1 GPD Number of bedrooms: `i Number of Occupants: max Basement []Yes L_1 No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes 26o ❑ Maybe required based on final location and elevations of facilities Type of Water Supply: ❑ Community Ir Public ❑ Well Distance from well feet Permit valid for: P21_ive years Permit conditions: ❑ No expiration Authorized State Agent:: /�� _ /t!L� ,.c°c "lf/ Date: �f ��2Of Y SEE ATTACHED SITE SKETCH The issuance of this permit by 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 taws 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 T0: PROPERTY LOCATION: a ?1� SUBDIVISION 7,, 5, 1!, -,y — LOT # 167 Facility Type: Ste%? New ❑ Expansion Repair Basement? ❑ Yes 2'-No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System ** aS�; ,���uck'° „ fij J e,, (Initial) Wastewater Flow: 6 Q GPD (See note below, if applicable ❑) .,fie fyI At, (Repair) Installation Requirements /Conditions Number of trenches Septic Tank Size X00 gallons Exact length of each trench 006 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: Zq__ inches (Trench bottoms shall be level to +/ -1/4" in all directions) Pump Requirements: ft. TDH vs. GPM r\eu: i W Trench Spacing: 9 Feet on Center Soil Cover: b inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe J_A,,. 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 ryrtem type .rpeciled it different from the type rpeciled on the app lication. /accept the rpecipcations 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 Agent: we _ �'l Date: °1G _ Construction Authorization Expiration Date: l �_- HTE# 72, Permit # a? 9 9 8 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ^27 k,)IkfF ISSUED TO: ��� SUBDIVISION 72,7s, LOT # / 1-7 c Authorized State Agend el5wr Date: 6G` Q oZ�i 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: Public[] Individual El Well Evaluation Method: [3 Auger Bo ' g E] pit F1 cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other 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 MMiineralog�yf�% .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz r 7 ` o, U- � G l�0 / ✓�l t -%`-I 5/ V A z q c %1 t /��1.a Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948):Ip/ Evaluated Bye ti Others Present: Available Space(. 1945) System Type(s) 2 f Site LTAR y r