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IPACHTE# 15-5:3-7Harnett County Department of Public Health 28765 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: CSC - ISSUED TO: E i'snrc,E4 SUBDIVISION WAr.-" V E LOT # NEWX REPAIR ❑ IXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sc�(3�;xgT>; Proposed Wastewater System Type: P vv+4-N'u Z4S; o 9&Z G� 0A Projected Daily flow: s-'�L b GPD �7 Number of bedrooms: Number of Occupants: O max Basement []YesNo 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 feet Permit valid for. XFive years Permit conditions: ❑ No expiration Authorized State Agent: Date: 3 I 1 Ol Y L SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan ther permits. The permit holder n resp. Bible 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 Improvemen mit 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 TO: ' r) ©N5'I, F "i'A C1 m65 PROPERTY LOCATION: SA.�c� tam Gc SUBDIVISION N- vta _N U7 Gc1-c V LOT # )" Facility Type: S l33 xS New ❑ Expansion ❑ Repair Basement? ❑ Yes lk No Basement Fixtures? ❑ Yes No Type of Wastewater System" D-Sio RIC)\J(`nloN (Initial) Wastewater Flow: GPD (See note below, if applicable ❑)J PyrnP �� c/b (Repair) Installation Requirements/Conditions Number of trenches t Septic Tank Size s 0 o Q) gallons Exact length of each trench 3 0(3 feet Trench Spacing: feet on Center Pump Tank Size 1 b o G gallons Trenches shall be installed on contour at a Soil (over: G^ -�a inches Maximum Trench Depth of: A -9J-) inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: h. TDM vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 **If applicable: / understand the system type sped6ed is different from the type spedfed on the app/icinon. / accept the sped&adonr of this permit Date: This Construction Authorimtio " ct to rtvomti.n if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when Then is a change in ownership of the site. This (onswceion Authorization is subject to so the posusions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: S Date: 3 )O S-� struction Authorization Expiration Date: 3 1101'.0 HTE# Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: St`," 6cw5S C—s . _ SUBDIVISION LOT # SOLyf9 IOL�� Date: 31101�� SpwpscP55 C, . 1-07 17 1 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: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ❑ Public❑ Individual ❑ Well Evaluation Method: ❑ 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 1 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 Rear Horiz 1 � � -� G -s �r, r•�'J8 '2 X36 G s vGrrHs�NP �2� 36 ? � L� p Sl3 am 53) 5 .y Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): P1 Available Space(. 1945)Evaluated By: O \ System Type(s) 'r rti P Others Present: Site LTAR -� Q— '��