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IPAC,4TE#—\S -S Harnett County Department of Public Health 28188 Improvement Permit A building permit cannot be issued with only an _Imp rovement Permit PROPERTY LOCATION: M c D® v c ISSUED TO: M0�-l�c"(z-li6U)L-Qtp—S SUBDIVISION M 9 %- c£ LOT# NE REPAIR EXPAF ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: � �'® `3i r x C�a= Proposed Wastewater System Ty e: QSIV n NON Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: �' max Basement ❑Yes No Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 Q)® feet Permit valid for: No ive years Permit conditions: expiration Authorized State Agent:: Date: ''Z SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t ance of other permits. The permitholder is res nsible 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 Im nt 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: lmQ��5 Irl c3 ME Y' lJ 1i?.-r��.t?_> PROPERTY LOCATION: � G ©yc,sNua SUBDIVISION LOT # 1 Facility Type: `� r y ��-� New El Expansion El Repair Basement? El Yes No Basemen Fixtures? El� Yes ,,No Type of Wastewater System** `�- c—, 0/ (! � — \- Q N '�3 `) -)> (Initial) Wastewater Flow: 6 GPD (See note below, if applicable ❑) lit- 0 QJ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. % ---�0 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: E Feet on Center Soil Cover: - — inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total **If applicable: /understand the system type speeded is different from the type speciled on the application. / accept the specifications of this permit Owner/Legal Represen i nature: Date: This Construction Authorization is subject to vo if the s'Ian, 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 tt to compliance the p ' ' ns a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: �� `� \� Zc Date: h Construction Authorization Expiration Date: HTE# Permit # ISSUED TO: Authorized State Agent: Harnett County Department of niblic Health Site Sketch PROPERTY LOCATON: M,:,C)OUGPLt p"'o 10 0C -Q-; SUBDIVISIONv""n p—,p, C4 LOT # Date: M st-- v I-- -1-i E 4" ,- N ci�- IN 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: l Proposed Facility: -3 $flQX�CN Design Flow (.1949): 3Ld S CI Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: Aeuger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz s$X. sri 5S S Q'�O Pis--- , Description Initial Rep it System Other Factors (.1946): S ste Site Classification (.1948): �5 Available Space (.1945) Evaluated By: System Type(s) a Q Z U 5--R Others Present: Site LTAR • S • s