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IPACHTE# 15-5 3535 Harnett County Department of Public Health 28608 Improvement Permit A building permit cannot be issued with only an Improv ent Permit 9�L�(� PROPERTY LOCATION: coUG971J ISSUED TO: F .� rlfoGC' > u,IoW SUBDIVISION LOT # 3�'% NEVI REPAIR [ 1E NSION ❑ Type of Structure: sin ``13 �j6' Proposed Wastewater System Type: �S"Lo DvG�o,d6(1 Projected Daily Flow: 3 to© GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes No ❑ May be required based on final location and elevations of Facilities Type of Water Supply: El Community X Public ❑ Well Distance from well \ n C7 feet Permit valid for. � Five years Permit conditions: ❑ No expiration Authorized State Agent: 7 v6H Date: ) 1 M) 15 SEE ATTACHED SITE SKETCH tke The issuance of this permit by the Health Department in no way guarantees slof other permit. The permit holder is responsihle far checking with appropriate goreming bodies in meeting their requirement. This site is subject to revocation it the site plan, plat, or the intended use changes. The Imps vement 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 constmcnon and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: dvi LoGrLb PROPERTY LOCATION: _ _M roroy r Pt LD SUBDIVISION LOT # Facility Type: 5'`O (q3 A366] X New ❑ Expansion ❑ Repair Basement? ❑ Yes A No Basement Fixtures? ❑ Yes 'S<No Type of Wastewater System* c±Siro Q,COv�a�� S�sTGrn (See note below, if applicable ❑) 2 She 9-4so. S-;5 . (Repair) Installation Requirements/Conditions Number of trenches q Septic Tank Size s obd gallons Pump Tank Size gallons Pump Requirements: ft. TDM vs. Conditions: Exact length of each trench 12.5 feet Trenches shall be installed on contour at a Maximum Trench Depth of: » inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM (Initial) Wastewater Flow: 3bC) GPD Trench Spacing: 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 SEPTI( 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 .rystem type specAed it different from the "e, spedf'ed on the application. / aaept the spedlianims of this permit Owner/Legal Represent 've Signature: Date: This Construction Authorisation is subject to on if the site plan, plat or the intended use changes. The Construction Authorisation shall not be transferred when then is a change in ownership of the site. This Construction Authorization is Compliance - the ''o the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: i kE )3 Date: 1 a*6 SS Constru Authorization Expiration Date: 01 jo HTE# I S 3`7335 Permit # a�C N Harnett County Department of Public Health Site Sketch �- •�� NE�oCL,y 900 LQ SUBDIVISION IN M �ov��a ISSUED T0: LOT # Authorized State Agent\\\a�� Tb L`F5vi9/ Date: 9L 1 � i �4 °f3 5(g 36 30 JD R i 161 � 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: 3 6o P\ Proposed Facility: Design Flow (.1949): 5. d Location of Site: '� Property Recorded: Water Supply: Public❑ Individual ❑well Evaluation Method:Au�ger Boi�t'ng El pit ❑cut Type of Wastewater: \ --❑ ~Sewage ❑ Industrial Process Sheet: PropertyID: 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 & LIAR .1941 Structure/ Texture .1941 Consistence mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Salim Class .1944 Restr Horiz %-Inj S5J5P 1st xz�n��C 3> a p..� G L `(R) '63f 136 SPK GL YL 55151 cad X32 �i� P� Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space( Evaluated By: System T e(s) Others Present: --� Site LIAR ,�l