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IPACHTE# 1a-s: ~°~'-~i Harnett County Department of Public Health Improvement Permit 26993 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: i°?QQ.C-~-6 C--r-)'Jq' c'-~' ISSUED TO: Q 0z, ~lOCU~daa L SUBDIVISION G~pa.C-.s5 Voi-4`C-- LOT # 1! NEW' REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sarfl ~ ~ ` 5' Proposed Wastewater System Type: .S° o RC~UG~aZy g~ Projected Daily Flow: 3fv © GPD Number of bedrooms: Number of Occupants: C~, max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~k Public ❑ Well Distance from well 10(!) feet Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees the M 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: 5 13 SEE ATTACHED SITE SKETCH other permits. The permit holler sponsible for checking with appropriate governing bodies in meeting their requirements. This elt 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, .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~) Q-- ©Z-' 0 N 1 M PROPERTY LOCATION: C^'1 Q9-ES5 G)-) Vg 77) SUBDIVISION Q:`)99-0--S5 90 ~ SSE LOT # Facility Type:S J X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes o Type of Wastewater System** `~.S°Io Gnu G~ Sys -rn (Initial) Wastewater Flow: 3 CO GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Li q Septic Tank Size I CO®® gallons Exact length of each trench -10 feet Trench Spacing: t Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 1% 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 Conditions: 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 su ' ation if the site plan, p4.pr the intended use chanties. The Construction Authorization shall not be transferred when there is a rhanoe in ownershin of the site This Construction Authorization is compliance wpr Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3 ) Construction thorization Expiration Date: ' ~';A HTE# Y3i--S---tV-7T3 Harnett Connty ISSUED TO: 0 Authorized State Agent: 3 55 Permit # aCci Deptartment of Pubcl 3? lic Health Site Sketch PROPERTY LOCATON: C,,q(t cs3 C.)r~,0cwA,1 A `N SUBDIVISION C--X C55 '?0 NEE. LOT # 2~=~15 ~pt~1vG~z'~az.U Date: $13- ~2,EQ'~,~cz.., ~ 33`7 1 -,o Tj 1~tvvs~ E oLn~ c--)M 'pa 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: S~ ' Proposed Facility: 3 ~C ac~s~ Design Flow ( 1949): '361 Location of Site: Property Recorded: Water Supply:]] Public❑ Individual ❑ Well Evaluation Meth odt~ug r To ing El Pit F1 Cut Type of Wastewater: Sewage El Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR L.5 03 mss } 30, Y_ sct N m_'~v -1} 1 Q5 ~\N< o` Description Initial System Repair System Other Factors (.1946): Site Classification (.1948): Available Space(. 1945) v Evaluated B 8 System T e(s) ~ Others Present: : Site LTAR ~r 5 l A 8n