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IPACHTE# Ia-s---7% Harnett County Department of Public Health hDrovement Permit 26955 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 0-4 CSZ1 ~LD ISSUED TO: ~I`C~SNs>,J~L j SUBDIVISION LOT # a NEWNe REPAIR F1 EXI ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: O S 1Si~sr Proposed Wastewater System Type: _ U 1 t7 G:~ t ON Projected Daily Flow: 4:C>® GPD Number of bedrooms: -S Number of Occupants: max Basement ❑Yes X No Pump Required: Ves ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well SCb(Z~ feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: A 1 SEE ATTACHED SITE SKETCH' The issuance of this permit by the Health Department in no way guarantees the issuance of ott permits. The permit holder is respo sible 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 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, .1 9S2, .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: y P S R~-y PROPERTY LOCATION: ®ya'yN1Lti5 \.o SUBDIVISION - -S.P,y~~*rt C-s-s LOT # 'I- Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? El Yes XNo Type of Wastewater System** v 1-e `S o -A5 01 t, ?.60 v c;, cf s t S) 5 i 6~m (Initial) Wastewater Flow: G~ 0 GPD (See note below, if applicable p v o t tctv.Swc~,~0 ~t aSYd 64D (Repair) Installation Requirements/Conditions Number of trenches '3 Septic Tank Size ! 7-5 0 gallons Exact length of each trench 1-3-5 feet Trench Spacing: 01 Feet on Center Pump Tank Size ~aS © gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: V% 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. O 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 subject io-ruLcation if the si 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 o complianitth awt~n the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: tr. Date: Z ~1 Co tion Authorization Expiration Date: a 1~~ HTE# V175-3;00-1% Permit # 'jrc155 Q11iliett County e pa -t1 n lit of Public e(a lth l Site Sketch Authorized State Agent: PROPERTY LOCATON: ~v~c~I~LL Q. SUBDIVISION -TP-, j Lc{ C~> 1 LOT # ~C.1S~L~YElL ~al.'~1 Date: 2.63~.h V,- o 1110 ` 2egq la ~ ' 3°l S 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: a~ ) Proposed Facility:' Design Flow (.1949): 0.0') Location of Site: Property Recorded: Water Supply: ~ublic❑ Individual ❑ Well Evaluation Method Auger Boring El Pit ❑ Cut _EK Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I SOIL MORPHOLOGY 19411 OTHER L . Landscape Horizon 1941 PROFILE FACTORS E # Position) Depth 1941 Slope % (In.) Structure/ .1941 Consistence .1942 Soil 1943 Wetness/ 1956 Soil .1944 profile Texture Mineralo Sapro Color D th IN. Class Rest, Class Horiz & LTAR .3 t''1 c7 -16 G S l~ 33 cl 5lw 1C~~l~~Z~~~~6 P: V-%zy 6 G-I-Nk G 5 (ay t~) 7 @~ 6 Description Initial R air System Other Factors (.1946): S ste Site Classification (.1948): Available .1945 S ace Sy T Evaluated By: stem s) v ^V' Others Pre t Site LTAR . y sen : i,~.