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IPACHTE#' - S `► �� Harnett County Department of Public Health 28331 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: c, E6 Um(—:!S I -LC_ SUBDIVISION _0 P, 4-T, LOT # 136 NEW >< REPAIR ❑ EXPANSJ El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `a ��� '` L'} � Proposed Wastewater System Type: " o Gi t 0 z�► 'y`�'sE rf+ Projected Daily Flow: ©® GPD Number of bedrooms: Number of Occupants: _max Basement ❑Yes No Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ,Public ❑ Well Distance from well t b® feet Permit valid for: five years Permit conditions: - ❑ No expiration Authorized State Agent: Date: C® �S j ) -5;SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance oY�ermits. The permit holder i 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 P-e'r"N 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: -1-a-e d�CS---�-C- PROPERTY LOCATION: SUBDIVISION O P,It..s-,0 r y, LOT # 3 Facility Type: S L���xU�� New ❑ Expansion ❑ Repair Basement? ❑ Yes � No Basernnt Fixtures? ❑ Yes \X No Type of Wastewater System** a C-)C� �, } tJ �►.� Si} �, ; E r,, (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) y ev (_7 L Loi .>c (Repair) Installation Requirements/Conditions Number of trenches Lk Septic Tank Size 'Q-'3 O gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench -1 S feet Trenches shall be installed on contour at a Maximum Trench Depth of. l013 -30 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: C-- inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 different from the type speciped on the application. / accept the specipcations of this permit. Owner/Legal Representative Signature: Date: revocatioNf,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 This Construction Authorizati3�lt Construction Authorization is subject to compliant ' the pr " ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: � Date: C1 S I 7'�_ ruction Authorization Expiration Date: C S a. o HTE # \ S — 5-3(W ISSUED TO: Authorized State Agent. Permit # ) Karnett County I)epartment of Public Health Site Sketch PROPERTY LO(ATON: N ( . 2. �Ao r --N C --C, 4—C-- SUBDIVISION LOT # Date: I M14 CAGR2y W I--1. -OQ— M 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: 2sn Design Flow(. 1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method Auger Boring ElPit El cut Type of Wastewater:] Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other Description Initis R air System Other Factors (.1946): S s m Site Classification (.1948):q Available S ace (.1945) 1 Evaluated B G System T e(s) s Others Present:: Site LTAR S h� -3011 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 1 L d 3 6 G 3 'AN3". N4q 01 03T. 1 i V Y Y Description Initis R air System Other Factors (.1946): S s m Site Classification (.1948):q Available S ace (.1945) 1 Evaluated B G System T e(s) s Others Present:: Site LTAR S h� -3011