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IPACHTE# 0 =a.R\`1--1 Harnett County Department of Public Health Improvement Permit 26882 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Arcs ISSUED TO: Co ~TG2p cam. UtZ,3- SUBDIVISION ®A,,r-end WC LOT # 3 NEW7K REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structureqzo c 5L-,- A C-i Proposed Wastewater System Type: 06S /a R~oy cos o Sys F~ Projected Daily Flow: C.> CJ GPD Number of bedrooms: 5' Number of Occupants: t CJ max Basement ❑Yes No Pump Required: ❑Yes o ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ t7 CJ feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: N SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is responsib a 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 Impro ent 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: )I-1 CcNs~czvc.S'®C2,S PROPERTY LOCATION: 00<:JS( SUBDIVISION QP+~ r4,4N-s LOT # 3 Facility Type: S IFO (S New ~t❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes1 No Type of Wastewater System** uc Xa.N S~+.5 ff.►n (Initial) Wastewater Flow: CC)Q GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Li Septic Tank Size ► C3-Go gallons Exact length of each trench 55 feet Trench Spacing: (3\ Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: S - inches Maximum Trench Depth of: -Ali inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe ~j Aggregate Depth: inches above pipe Conditions: C-5 G r s~ Get SO ram I`tl v s-c 9jE. Ze t-vi-tcc) 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 specified on the app/ication. /accept the rpecificationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject tion if the site 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 subj l€ k'fiance wi e s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: \ I01°1 Authorization Expiration Date: HTE # ISSUED TO: Authorized State Agent: L~6LAw~*a ~ N~"5 1 1~i" Permit # 24 SUBDIVISION ®A`Lrr,aw'S LOT # Harnett County Department of 1~iblic Health Site Sketch 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: 1 Address: Date Evaluated- Proposed Facility: 5 m o0^:5 Design Flow (.1949):6° C'YLocation 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: ❑ Spying ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon .1941 PROFILE FACTORS E # Position/ Slope % Depth .1941 (hr.) Structure/ .1942 .1941 Soil .1943 1956 Consistence Wetn / _ profile Texture ess Soil Sapro Minerdlo Color D th IN. Class estr Rest, Class Horiz & LTAR 5 G SL 2 Si~ i s e6 G3 G 5 3x z~x s5x 5a- Fri s5 I ;c C5 is ~ ~ s3X- sL~ ~ s~15~ P Sj Description Initial Repair System Other Factors (.1946): Available S ace .1945 S ste Site Classification (.1948): I' System T e(s) ^p s °~0 265 Evaluated B Site L.TAR n : Others Present: