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IPAC RRHTE# 1 —S ,-3bT2©,4L"" Harnett County Department of Public Health 28365 Improvement Permit A building permit cannot be issued with only an,lmprovement Permit /� / PROPERTY LOCATION: VZ ISSUED TTO/1. W// / .bC�CfL.r X) SUBDIVISION LOT NEW Z REPAIR ❑ EXPAN ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5i� 4- �• Proposed Wastewater System Type: ZS% L� Projected Daily Flow: 3 0' GPD Number of bedro : Number of Occupants: Amax Basement es o Pump Required: ❑Yes ❑ No 2 be required based on final location and elevations of facilities � Type of Water Supply: El Community Ma Public ElWell Distance from well feet Permit valid for: 2 Five years Permit conditions: ❑ No expiration Authorized State Ag nt:: > ' Date: 7-2?, —/ SEE ATTACHED SITE SKETCH The issuance of this permit b thh fealth 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 ' fie 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: B D f rae-t J PROPERTY LOCATION: - /� �% SUBDIVISION LOT # i5 Facility Type: `� ° L�1 w ❑ Expansion ❑ Repair Basement? C7Yes ❑ No Basement Fix res? I Yes ❑ No Type of Wastewater System' ZS'si :5;r? /6� r i (Initial) Wastewater Flow: �6 GPD (See nate below, if applicable ❑) Z5 -A 9tf7%'yCT air) Installation Requirements/Conditions Number of trench Septic Tank Size �n gallons Exact length of each trench ZOO feet Trench Spacjng:Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. 177 V A -'"I 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: inches above pipe Conditions: /Z� 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 speciFed is different from the type specified on the application. /accept the specifications o/ this permit. Owner/Legal Representative Signature: Date: this Lonstructton Authorization is subject to revocation it 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 A6 .moi.) Dater Construction Authorization Authorization Expiration Date:y - 28- --76 HTE# l 5 " : -30 92o,,R-Z Permit # 29 3(�ee 5 HealthHarnett Connty Department of 1--'ablic Site Sketch '\ PROPERTY LOCATON: {" !/�Jox GJZ- _ ISSUED TO: Uwegell (fe904G1,) SUBDI ON LOT # Authorized State Agen Date: -/5— "-[--7 /S 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: a-6— Address: Date Evaluated: Proposed Facility: 505 f4� Design Flow (.1949): � Location of Site: 011— Property Recorded: Water Supply: 0 ublic❑ Individual ❑ Well Evaluation Method:uger Borin ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ 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 (InJ 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 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): t Available Space(. 1945) Evaluated By:��" System Type(s) Others Present: CJ Site LTAR