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IPACHTE# i,�569`)i� Harnett County Department of Public Health 28347 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:C''-'C-.Y --, ISSUED T0: SUBDIVISION (T Qszl� LOT # 15� NEW;' REPAIR ❑ANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: GRT'-!'C3� '`5 LO _ Proposed Wastewater System T e: 3"S'/r. Projected Daily Flow:` GPD Number of bedrooms: L -i Number of Occupants: max Basement ❑Yesr�No Pump Required: ❑Ye ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: — _ ❑ No expiration Authorized State Agent:: \�� �QI+-h1�5 Date: —% I > I )SI SEE ATTACHED SITE SKETCH ece thdt� er permits. The permit holder i resp nsible for checking with appropriate governing bodies in meeting their requirements. This The issuance of this permit by the Health Department in no way guarantees �t site is subject to revocation if the site plan, plat, or the intended use changes. The lmprovtnwnNrmit 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: C� PROPERTY LOCATION: SUBDIVISION C5F-'xpNoS-1C LOT # Facility Type: ��Q �3 x 1 X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** cos©/ G —DU'Z. ' \ 0 , � i5 v E_M (Initial) Wastewater Flow: ` GPD (See note below, if applicable ❑) .p Pt�,N�.L i�-L'oC,:"C- (Renair) Installation Requirements/Conditions Number of trenches I Septic Tank Size i b®O gallons Exact length of each trench d feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches Maximum Trench Depth of: t) ` 3,0 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 Conditions: a d y ` L u� Aggregate Depth: inches above pipe inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. 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 speci(ed on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocafiam�he sit 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 suit tocompliance wv prova' "�'tf<he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Authorized State Agent: ���'� �=�-5 Date: 1 Authorization Expiration Date: J 1)4 SEE ATTACHED SITE SKETCH HTE# 15-5-5(44T� Permit # Harnett County]Department of Public Health Site Sketch PROPERTY LO(ATON: C,11 Cprt.S) \F V(7— ISSUED T0: �- =�- ML—S ..�.- SUBDIVISION 0NES LOT # 154— Authorized State Agent: Date: ® V j ` \5 C,A-�C,U2;/ ")L- VQ- PY 13 J 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: 4P Design Flow (.1949):16 0 9) Location of Site: Property Recorded: Water Supply: '.Public❑ Individual ❑ Well Evaluation Methoa.jD_-Auger Bo ing ❑ Pit ❑ Cut Type of Wastewater: �Zj Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I L E # SOIL MORPHOLOGY .1940 .1941 Landscape Horizon Position/ Depth .1941 .1941 Slope % (In.) Structure/ Consistence Texture Mineralogy OTHER PROFILE FACTORS Profile Class & LTTAR .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz 1 S l� 1�U S-5 o -33 G � ass P� Description Initial Re air System Other Factors (.1946): 22 S ste Site Classification (.1948): Available Space (.1945) IV Evaluated By: System Type(s) S 0 �I c Others Present: Site LIAR 2