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IPACHTE# Q-,-5 a is%5 Harnett County Department of Public Health Improvement Permit 27074 A building permit cannot be issued with only an Ira rovement Permit PROPERTY LOCATION: ~MAMT) ISSUED TO: &NKL`i bSINSGey MUMES SUBDIVISION Q, E- S ©ta~.S LOT # 30 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '590 Proposed Wastewater System Type: REs-~)Uas l y rays Ef Projected Daily Flow: 3GC) GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ® ❑ No expiration Authorized State Agent:: ~lA Date: -1 N QA l~. SEE ATTACHED SITE SKETCH The issuance of this permit by the ffealth epartment in no way guarantees the is other permits. The permit holders respo Bible 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 Improve 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 he met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: G Psged B~rSdN OmV, PROPERTY LOCATION: SUBDIVISION Gw~a~ C)Ps`C,6 LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 1~C No Basement Fixtures? ❑ Yes "A No Type of Wastewater System** ,35 Ve, P'Qz)u . I osy S yS- Est, (Initial) Wastewater Flow: 3Q(° GPD (See note below, if applicable 4.S7/a NkWuCn' `,d N s E rn (Repair) Installation Requirements/Conditions Number of trenches i Septic Tank Size ® gallons Exact length of each trench feet Pump Tank Size l C1d 6 gallons Trenches shall be installed on contour at a tA f- Go Maximum Trench Depth of: 1 a inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: c) Feet on Center Soil Cover: C, 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 LOFT. 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 speci led is different from the type specified on the app/ication. /accept the specifications of this permit. Owner/Legal Representative Date: This Construction Authorization is subject to revocation i site , 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 sub compliance wit a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: _ 16 Date: -a ~7- n Authorization Expiration Date: HTE# Y-~_ 5Permit # '~~10'l V arnett County Department of l~lblis e(altb Site Sketch PROPERTY LOCATON: NC~•~0 ISSUED TO: Q) g2) q J(3' A56N1 SUBDIVISION 0,,,.- eta Oa~s LOT # ')O Authorized State Agent: ESQ` / Date: J p HoOc. t-- - r A Co U6 1011' OcY-1~,-N +a1-, LD 4~2e,N t,1CEIJ5 so V-NaN lEQ,v 5 ,A b , OO ~ap~ DIS,~~-E3 Saab Sdt t to "C~~ 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: Proposed Facility: GE p, Design Flow (.1949): _86 Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: Auger ortng ❑ Pit ❑ Cut Type of Wastewater: LI(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 n~'~..f6 G "~F E~S~ My J Description Initial Systeiti Repair System Other Factors (.1946): Site Classification (.1948) 95 Available Space(. 1945) < Evaluated B System T e(s) V `ct > Others Present: : Site LTAR 'a b