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IPAC RHTE#15--S -P,. Harnett County Department of Public Health 28626 Improvement Permit A building permit cannot be issued with only an Improvement Permit '�l ` PROPERTY LOCATION: C.s'.Ettty H,, ` � ISSUED TO: G ILCrc 1lo'r- 7 L l SUBDIVISION ©Q'\Lr- 0 J'S LOT # Ls3L_ NEW REPAIR ❑ E1PANS,1 ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SF9 �ciH 7�L1� Proposed Wastewater Syste�m T]]pe: aS'/o Q c ov cis osit S� eI-I Projected Daily flow: s -Y 60 GPD Number of bedrooms: L4 Number of Occupants: max Basement ❑Yes ifs( No Pump Required: ❑Yes �K No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community `K Public ❑ Well Distance from well 100 feet Permit valid far. Five years Permit conditions: _ ❑ No expiration Authorized State Agent.:\\\\l"\` The issuance of this permit by the Health Department in no way guarantees the rs site is subject to revocation if the site plan, plat, or the intended use changes. The Imp the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: SEE ATTACHED SITE SKETCH other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This hent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit) The mnstru pion and installation requirements of Rules .1950, .1952, .1954, .19SS, .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:MC..Xe� ��ot-•Es LLG PROPERTY LOCATION: SUBDIVISION (Z)cp rno,ss LOT# 1� Facility Type: ��� �11'�� New ❑ Expansion ❑ Repair Basement? ❑ Yes -, Jo Basement Fixtures? [Iles 1<No Type of Wastewater System** �S°�n (�C.Ti1 U N S15 (Initial) Wastewater Flow: yZS4 GPD (See note below, if applicable ❑) II PaNLvyU-0C1<— (Repair) Installation Requirements/Conditions Number of trenches L'T Septic Tank Size ', b 0 d gallons Exact length of each trench 6 O feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6"'Q-- inches Maximum Trench Depth of:�� �1's 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: it. TDM vs. GPM inches below pipe Conditions: D b �Rs.(7V PNS �� L �2am A regale Depth: A N .(I N4P6 inches above pipe inches total 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. **If applicable: / ondeatand the system type specibed it different hom the type specified on the application. / accept the rperifwionr of this permit Date: This construction Authorization is subject to invocation if the sire 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 issubject to w oth the proxjsions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent eg--� Date: � lction Authorization Expiration Date: HTE# 1 S' S -3153-16L Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: C"'' ¢ t "ANLL Qat ISSUED TO: �— �a�s t--V(Z �OLIi SUBDIVISION Ovw+�o> tt LOT #Authorized State Agent: \� 5`To�s*�cI Date: 'ITS 1'6?' 1C)o r C IiCAt2y w) -Ll— p,Z Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SORJSITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: l Proposed Facility: Design Flow (.1949): L^y�eQ Location of Site: Property Recorded: Water Supply: ❑ Publico Individual ❑ Well Evaluation Method: E] Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ❑ Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # .1940 Landscape Position/ Slope% Horizm Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness Color .1943 Soil IN. .1956 Sapro Class .1944 Resu Horiz /S 5 —) Of G s PFti 1tiP iii-�3 5g Y st.� a3 c 6PM 1�1 Us XLV-3a 53)21s� a554� SL °S o az P5� Description Initial Repair System Other Factors (.1946): Ar System Site Classification (.1948):,' Available Space(. 1945) Evaluated By: (77— System S stem Type(s) Others Present: Site LTAR . '.i