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IPACHTE# Harnett County Department of Public Health Improvement Permit 26673 A building permit cannot be issued with only an Improvement Pe mit PROPERTY LOCATION: 110t-oG2 9 ISSUED TO: n P IAI a cp,Li- SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Z1, v-3 VA13 rr-F- ~ 2,$ '-'f ( Proposed Wastewater System Type: 2.5"/0 flUC.~\© t SJnErn Projected Daily Flow: ~l0 GPD Number of bedrooms: L+ Number of Occupants: IZA max Basement ❑Yes 'A No Pump Required: ❑Yes 'X 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: Five years Permit conditions: _ I,- ❑ No expiration Authorized State Agent:: Date: I NI )1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of otte its. The permit holde is sponsible 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 Improvement 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, .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: M NQ-4 ) N C-P,' ,,L \\-\0 GOB Facility Type: TA -A0c? (,;,N 7--l® C>,New Basement? ❑ Yes X No Basement Fixtures? ❑ Yes Type of Wastewater System** (See note below, if applicable PROPERTY LOCATION: \Aa yVG-~, 91D SUBDIVISION LOT # ❑ Expansion ❑ Repair N~§Qo > -1 5> E r^ (Initial) Wastewater Flow: GPD Installation Requirements/Conditions Number of trenches S Septic Tank Size NO®ca gallons Exact length of each trench ~4 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C>' t O inches Maximum Trench Depth of: \`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: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total 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. **If applicable: /understand the system type specified is different from the type recited on the application. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is s evocation if theme 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 the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: on Authorization Expiration Date: 1 If- HTE# l1--5 1c~C~L-l Permit # "C `t 3 Harnett County Department of Public Health Site Sketch M PROPERTY LOCATON: 1~oc~o~2 ISSUED TO: SUBDIVISION LOT Authorized State Agent: 1wGL LY~p Dater ~d 11~ D 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:-] )1,F-/2_vt! Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: dpublic❑ Individual ❑ Well Evaluation Method: v Auger B ng El Pit ❑ Cut Type of Wastewater: I..✓J Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR c~_ /Sc 'l L/ Cr- f ~1-~- I/ ~r-~~~✓t-l~ Description Initial SystertY Repair System Other Factors (.1946): Site Classification ( 1948): Available Space (.1945) v Evaluated By: Systein e(s) a y ~v Others Present Site LTAR n : n