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IPACHTE# A2-°5~_A)i__t Harnett County Department of Public Health Improvement Permit 26877 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION. (LIE ISSUED T0: S01vy"i ~°~oMSS L_A_C_ SUBDIVISION ~c s.+t As.t F'~2rr.5 LOT # NEW REPAIR ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'FO 6~ 'L L lt-l Proposed Wastewater System Type: c~S~Lo 946. kimlo.4 ~~S V=im Projected Daily Flow: `l`-~ GPD Number of bedrooms: z-i Number of Occupants: max Basement ❑Yes No 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 X00 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: \146- 110- SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuas they permits. The permit holler 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 Improvemer it 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: SP~l-4-) ~-1cls -S L_ x. PROPERTY LOCATION: "A wcs ~Z SUBDIVISION Y-c- vL sJ ypaM5 LOT # Facility Type: 5Q CAS x~-1~-1~ i~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No Type of Wastewater System** 2.5~'1Q w-t~~Utr514s~f SJs f_n (Initial) Wastewater Flow: L'Nd GPD (See note below, if applicable pu Mf 1 a Q gY5 (Repair) Installation Requirements/Conditions Number of trenches 5 Septic Tank Size s ® Q gallons Exact length of each trench "-lb feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:- inches Maximum Trench Depth of. 11-30 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: J understand the system type specified is different from the type specified on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subjetNe-z@vocation if the,~ite 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 to complian i frro,isi of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: c truction Authorization Expiration Date:` HTE # '5° O ) Permit # --(`8'1 It 0' pope d 2EPw~a._ ' f ~ - t 6c~' Mr~A Court 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: 0 ac.l t~ r Proposed Facility: gE~xtc)i~r~5 Design Flow (.1949): uieo ~C Location of Site: Property Recorded: Water Supply: XBP ublic❑ Individual ❑ Well Evaluation Method :al Auging ❑ Pit ❑ Cut Type of Wastewater: -JR Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L 1940 L d SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS _ E # an scape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Depth 1IN. .1956 Sapro lass C .1944 oriz Horiz Profile Class & LTAR { L.5 G v~ X518 1$ alt SGl. vn_ s.,,,)' P SR➢<~`,~~ l 42 G L-s 63Z G L5 e `s~ t~ P Description Initial epair System Other Factors (.1946): S stem Site Classification (.1948): Available Space .1945) tJ Evaluated B System Type s ) `i ' 9 V~' Others Present: : Site LTAR