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IPACHTE# J Harnett County Department of Public Health Improvement Permit 2 6 8 9 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: floc, t ISSUED T0: SUBDIVISION C)ra-,~,cnoy-~ LOT # 2. NEWX REPAIR ❑ XXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~ (B G' -A(1 / Proposed Wastewater System Type: c~5°/a REavG'Szera ~S Projected Daily Flow: Li";~t GPD Number of bedrooms: z-- Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes >I No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well IM feet Permit valid for: A Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: A W 1' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees ti nce of other permits. The permit ho er 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 I went 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 T0: PROPERTY LOCATION: Cbc's 9,0 SUBDIVISION Q 1'-rnat,31 LOT # Facility Type: ST New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No F-rn t- Type of Wastewater System** `a6°/ o -0 u N p n, (Initial) Wastewater Flow: _~S~)_ GPD (See note below, if applicable G Yo 0X1rz S \ 07 N SyS"CC-- tr\ (Repair) Installation Requirements/Conditions Number of trenches 11 Septic Tank Size fd®O gallons Exact length of each trench ali0 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C- inches Maximum Trench Depth of: 1-30 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: F,nbac -4a`i0U \ Tna Ngeb \vJ a\ L,,etc Cinches total 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 /s different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization ' o revocation if 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 to complianee,i 'lions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ~-'r\5 Date: _ Con uction Authorization Expiration Date: HTE# }2--5-- a"Y A-~ Permit # C~ EG-vS i-V 6, OR- Department of Environment; Health and Natural Resources x Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility. c3Gn 10C Design Flow (.1949): Property Size: Location of Site: Property Recorded: J? Water Supply: _C~Public❑ Individual ❑ Well Evaluation Method! Auger Boring ❑ Spring Type of Wastewater: ❑ pit ❑ Cut ,Sewage ❑ industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY 1 .1940 .1941 L Landscape Horizon PROF E Position/ Depth .1941 .1942 # Slope % (In,) Structure/ .1941 Soil Consistence Wetness/ Texture Mineralo Color L 1~. S vine ©`a~ Ca : V roc ~ aLl-4 53 SCL~ v fv ~Lf~j >~Stt, SG2.~ `v 7'1 S~~N~ L C_~ S Description Initial Repair System Other Factors (.1946): Available S ace S st .1945) Site Classification (.1948): S S stem T s) Evaluated By: Site LTAR _ Others Present: r ❑ Other OTHER LE FACTORS .1943 Soil .1956 1844 profile Soil Sapro Restr Class th IN. Class Horiz & LTAR P5 F5