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IPACHTE# ( 5 -5 -3)36s Harnett County Department of Public Health 28609 ImRrovement Permit A building permit cannot be issued with only an Improvement Permit (� PROPERTY LOCATION: LC% -NV- Q.D `K ISSUED TO: I Rc> J s 5 094j SUBDIVISION LOT # NEVjjX REPAIR ❑ EXPANSION [3--, Type of Structure: Mft, -�40",sC (ct"30 Proposed Wastewater System Tyype: as°Ia 2EO. SYi . Projected Daily Flow: 3 6 © GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Site Improvements required prior to Construction Authorization Issuance: Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well I OQ Net Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: ):)5 _ Date: 1) 1S SEE ATTACHED SITE SKETCH The isstre a of this permit by the Health Department in no way guarantees t e of other permits. The permit holde is responsible far drecking with appropriate governing bodies in meeting their requirements. This site is subject to sensation a the site plan, plat or the intended use changes. The 191howersent 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, .1951, .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 T0: lo.aJ,S PROPERTY LOCATION: Ly--5x-N E. SUBDIVISION LOT # Facility Type: MP%" N—"0 MC uo--&�x New ❑ Expansion ❑ Repair Basement? ❑ Yes :K No Basement Fixtures?11J Yes `A Nt, Type of Wastewater System** �S°lo QeDVC.;-TNC) -,y 5S6/r-) (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) aS7-1 Installation Requirements/(onditions Septic Tank Size t ooV gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Q.EU S -i 5 (Repair) Number of trenches a Exact length of each trench 6 O feet Trenches shall be installed on contour at a Maximum Trench Depth of 2.,Li inches (Trench bottoms shall be level to +/.I/4" in all directions) GPM Trench Spacing: 0� Feet on Center Soil Cover: 1 QL inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 ***I�plicable: / understand the system type spechied is different from the type sireciled on the app/icanon. / accept the spedfcationt of this permit. Date: This construction Authorization is subje vocation if the site plan, plat or the intended use changes. The construction Authoriation shall not be transferred when there n a change in ownership of the site. This construction Widmann, is subpet,Lst complian the pgritions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit- SEE ATTACHED SITE SKETCH Authorized State Agent: W --v S Date: Authorization Expiration Date: HTE# 15"S'-�'736g— Harnett County Permit # �Ab0-1 Department of Public Health Site Sketch PROPERTY LOCATON: F5t ISSUED TO: --Fmop Gv. 5 SUBDIVISION Authorized State Agent: oL}v 7oLK<D C�J r a,ac, v LE's "I E oz. D '. Date: %113'6115 LOT # Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 �qDesign Flow (. 1949): 3601XI Location of Site: Property Recorded: Water Supply: �ublic❑ Individual [I Well Evaluation Method:�Aug Bonng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOH. MORPHOLOGY .1941 OTHER -PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Sod Depth M. .1956 Saw Class .1944 Re& Honz L0 W', rV1vP �' 3u G � Vati ,�51tiP Description Initial Repair System Other Factors (.1946): Systeof Site Classification (.1948): PS Available Space (. 1945) Evaluated By: a.K S stem Type(s) '1b A, Others Present: --� Site LTAR •Z 3 �t,0 t`, a,L,'•