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IPACHTE# 1 i Harnett County Department of Public Health Imarovement Permit 2671 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: ~ wQ.y aSV N \t'No trE.? SUBDIVISION Q, LOT # N ❑ Site Improvements required prior to Construction Authorization Issuance: NEW IX REPAIR ❑ _ EXPAT Type of Structure: S V-Q C 3 Proposed Wastewater System Type: pvmP"Ta ~S°OIa tZL-VuC: Q,,4 Projected Daily Flow: 3 n GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required'.'*dyes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community ~ Public El Well Distance from well 1bC) feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: - Date: IZ124 1 ti SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees tie issuance o rmits. The permit holder is responsible 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 Perm 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: C;> l o ib1NS1Z N %tME5 PROPERTY LOCATION: ~A w i rZ SUBDIVISION GwG~t O P,4-, LOT # a.5" Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? LJ Yes X No Type of Wastewater System** Pv the 7 o a"7 '/o o Ucf-~ Esr'% (Initial) Wastewater Flow: 3~>O GPD (See note below, if applicable v r-4_\ 0 cp~~\ 1) (Repair) Installation Requirements/Conditions Number of trenches ' Septic Tank Size , © ® b gallons Exact length of each trench feet Trench Spacing: t Feet on Center Pump Tank Size lr-cno 0 gallons Trenches shall be installed on contour at a Soil Cover: Co inches Maximum Trench Depth of. \q 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: l`~-ties C5 Q 4QSsa.a~. cwn ~v I...S5 . inches total tr Sy Er. Cds c.;-x \a C.Ley-~ Vg.P",,NF,F.Lw P1\rLaA SJpczr,Nr. l~s--~ ZN L2 0tJ 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: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Represe ~ nature: Date: This Construction Authorization is subject to revoc `f the site 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 subject tto compliarq with tte -prof the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH 6 Authorized State Agent: V V-~-bp Date: 10 Const ion Authorization Expiration Date: HTE# iI - S-7a06SL Permit Harnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: Hw-)11C) tv ~0 rn E S SUBDIVISION Q vy Q" hy-.5 LOT # - 5 vY Toy Date: adl \ 3a~zj r 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 F1 pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon .1941 PROFILE FACTORS E # Position/ Slope % Depth .1941 (In, Structure/ 1941 Consistence .1942 Soil 1943 1956 Wetness/ .1944 Profile Texture Mineralo Soil Sapro Color D th (IN. Class Restr Class Horiz & LTAR C \I 0 - S 1 1 Description Initial Repair System Other Factors (.1946): Available Space .1945) S ste Site Classification (.1948): P _.System T e(s) t Evaluated B y: cyt Site LTAR Others Present: