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IPACHTE# Va-- 5- Harnett County Department of Public Health Improvement Permit 2 6 8 9 7 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ®ocf, Rd~ ISSUED T0: LL Cs SUBDIVISION Q) Ax.n.bnt7 LOT # t0 NEW, REPAIR ER ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: sFQ L- L,, A F, Proposed Wastewater System Ty e: ~'/o SAC ~uc~ s tors Projected Daily Flow: 'L8 GPD Number of bedrooms: L-1 Number of Occupants: g max Basement ❑Yes '~<No Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community J Public ❑ Well Distance from well feet Permit valid for Five years Permit conditions: ❑ No expiration n Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees the issuan site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: '\'N cm 1`J.. SEE ATTACHED SITE SKETCH other permits. The permit holder is resp nsible for checking with appropriate governing bodies in meeting their requirements. This vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: "p MSS LL G PROPERTY LOCATION: C)®Cr. SUBDIVISION Q)A°'~.Mo yj-:~ LOT # lb Facility Type: L'~y"PC6®J New ❑ Expansion ❑ Repair Basement? ❑ Yes 24, No Basement Fixtures? ❑ Yes No Type of Wastewater System** c` S°la 1i4o Uc N 5 0 J~J 15 T aw\ (Initial) Wastewater Flow: LA'80 GPD (See note below, if applicable _ Pv mP \ cr C2Es~vc,: ~o t•1 (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t ® gallons Exact length of each trench a4 Q) feet Pump Tank Size G©®o gallons Trenches shall be installed on contour at a C~ N Eco c ~ Maximum Trench Depth of. inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 1 Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 Representative Signature: Date: This Construction Authorization is sub 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 subjst to compliance y,, rovisi f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 2~ t d Y. - uction Authorization Expiration Date: 1011-7 aka HTE # 0--5 Harnett County Permit # -7) Department of N-tblic Health Site Sketch PROPERTY LOCATON: 4J )C.S ISSUED TO: M Cr~ e SUBDIVISION ~ ~ccrosd~ LOT # lC} Authorized State Agent: (rs~,v 'S®L-Y (~(U Date: V~0)1 ~ ^-y r C'{1 e 'PEWNO~)O P J--R CC Department of Environment; Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTE Code: WATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: ~c t3lxw6r- Design Flow (.1949): ►-ytd Property Size: Property Recorded: Water Supply: 2_11~ublic❑ Individual ❑ Well Evaluation Method:.Auger Boring ❑ Spring Type of Wastewater: ❑ Pit ❑ Cut Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY I .1940 .1941 L Landscape Horizon PROF E Position/ Depth .1941 1 # Sl .1941 Soil oil ope ice') Structure/ Consistence Wetness/ Texture Mineralo Color I 5 3o G 5 VRL r,51fdc Ll 3t~ 5s3~1 sw~2 5 f Description tial Repair System Other Factors (.1946): Available S ace S .1945) Site Classification (.1948): V-5 S stein T s) s ctv Evaluated By: OA Site LTAR t i , Others Present: w) ❑ Other OTHER ILE FAC .1943 Soil .1956 Sapro .1944 Profile Restr Class Horiz & LTAR s ~5 y5