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IPACHTE# /o2-r-9, 9o77 Harnett County Department of Public Health Improvement Permit 26944 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: r F ISr , ISSUED TO: er¢ CA /q. a ka-r- SUBDIVISION LOT # NEW 2-' REPAIR ❑ EXPANSION ❑ Type of Structure: 4114 1 V X~ :7 Proposed Wastewater System Type: rJ J- 7. ,2e~~ ~,s f tte,~ Projected Daily Flow: 02. c / ® GPD Number of bedrooms: a- Number of Occupants: y max Basement ❑Yes ©'No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes 2'No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public C?"Well Distance from well 8r feet M' Permit conditions: Permit valid for: Olive years ❑ No expiration Authorized State Agent:: eev Date: 41 5/ 22 ° (Z- SEE ATTACHED SITE SKETCH The issuance of this permit b We Health Department in no 'way uarantees the issuance of other permits. The permit holder 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 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, .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: F-r, PROPERTY LOCATION: ~ r'a q c A ~y - SUBDIVISION LOT # Facility Type: IP2 14 dNew ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 9,rr 7, 2e (Initial) Wastewater Flow: 2-`(G GPD (See note below, if applicable 0,J-7, e4 .)4; -v.r(Repair) Installation Requirements/Conditions Number of trenches 9, Septic Tank Size 1 as c gallons Exact length of each trench 9 0 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: a o 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 /p~ / Aggregate Depth: inches above pipe Conditions: '<..sA (-A r on Coll ~of/- "S`~ ~n c~aV4VL v9'S ~-Y Je ~l eec~ e~ inches total J t'5:.. M- W R- 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 speciTed is different lrom the type speciped on the application. / accept the specifIcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the city This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: a/ 2 Construction Authorization Expiration Date: 6 l r,,/;7 HTE# Permit # -Z k, °t ~-A y Harnett C onnty department of l iblic Health Site Sketch PROPERTY LOCATON: ~~3~~ ~C.. ~~r~, C-,~• ISSUED TO: Fr-,a SUBDIVISION LOT # Authorized State Agent: ~yc~~ /fey Date: 2f Z q 17 Z. '2, f- 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: C 3 Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ❑ Publip❑ Individual Well Evaluation Method: Auger Bor' ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other 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 6'ZS ~~-~sG /J/J/" -~7 c3- P-17 b Description Initial System Repair System Other Factors ( 1946): Site Classification (.1948): P1 Available Space (.1945) Evaluated By: yti System T e(s) 0Lf- , Others Present: Site LIAR L