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IPACHTE# %/ Harnett County Department of Public Health 28215 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:0-9 / J -b . �1z�Is ISSUED T0: t% as/Z %1`(n�.� of /�•4-L,e�DIVISION ® LOT # —� NEW V REPAIR ❑ EXPANSION ❑ Site Impro ments required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: 'u Z4M C r7W-__, Projected Daily Flow: (� 0 b PD Number of bedrooms: Number of Occupants: / U max Basement ❑Yes "01 10 Pump Required: es ❑ No ❑ MMaph required based on final location and elevations of facilities �� Type of Water Supply: El Community l Public El Well Distance from well feet Permit valid for: FLS ive years Permit conditions: ❑ No expiration Authorized State Ag :: <-- Date: / "—ID —/s— SEE ATTACHED SITE SKETCH The issuance of this permit byalth 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 a 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 Reauired 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: 610 / A ePROPERTY LOCATION: /poi/ A3ab /626J4�S ,2r> �� SUBDIVISION LOT # / Facility Type: IJP New ❑Expansion El Repair Basement? El Yes 2" No Basement Fixtures? El Yes E o Type of Wastewater System** 7u, -,, diD Zb-% iZrcrs-I>Ut_F"ze,,-� (Initial) Wastewater Flow: 60a GPD (See note below, if applicable ❑) _ 4 7i`t5 (Repair) Installation Requirements/Conditions f Number of trenches Septic Tank Size / Z.0 6 gallons Exact length of each trench 760 feet Trench Spacing: �_ Feet on Center Pump Tank Size J" o gallons Trenches shall be installed on contour at a Soil Cover: 46' inches Maximum Trench Depth of. -t7-Z-;>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: Z inches above pipe Conditions D 0 -4—,r -It CrYL_ 7U,9 u -(,' a x 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: 1 understand the system type specired is different from the type specified on the app/ication. / accept the soecifcationr o/ this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, pla( 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 itt All IALIM) 111t MtU Authorized State AZODate: Construction Authorization Expiration Date: / 3.D -2e HTE# , ' 5---5:� -71 Permit # 282-15— Harnett 82%J— arnett County Department of Public Health Site Sketch �/PROPERTY LOCATON:'�—/ Z/ &—p? /—)-A �J���S ISSUED TO: /� %D© a/�4/�IQN LOT # i Authorized State Age : Date: TtL5 S E)�- 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: /` 2q"�� Proposed Facility: Design Flow (.1949): i�_10 4 Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method:[ Auger��Bori�nn El Pit ❑ Cut Type of Wastewater: UiSewage ❑ 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 Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz L i4- IF, ILL Z vn e-/6 sU_ n '36- �� 1-7 v ' S' ill -� s•- �'K/I S- - p SL.0 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space(. 1945)V Evaluated. By: System T e(s) 5 /, �'=� ( Others Present: / Site LTAR '3 /