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IPACHTE# 1 o Harnett County Department of Public Health Improvement Permit 26228 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: P'na~t~a,LArrQ ISSUED TO: SUBDIVISION LOT # NEW)4 REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 qs 0 (y ~rnti-S'1 Proposed Wastewater System Type: Cc_-~ wvErr Apra D., Projected Daily flow: 3(- 0 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes e4~5,No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community /25, Public ❑ Well Distance from well l © O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 6 1 I t6 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in na way guarantees the iss a 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 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, .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 TO: F1\ h,Ze1c3e-1- PROPERTY LOCATION: c) Ro SUBDIVISION LOT # Facility Type: 5 5: 9 L\n~ "X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** CCDc,. J Gtv-c s d n v., (Initial) Wastewater Flow: GPD (See note below, if applicable Corry Ew--K r, N P11 (Repair) Installation RequirementsKonditions Number of trenches a Septic Tank Size t b d gallons Exact length of each trench 1 5 d Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: y (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: feet Trench Spacing: c1 Feet on Center Soil Cover: )ia inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: (o inches below pipe 14, inches above pipe il, a. inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specired on the application. / accept the speciflwionc of this permit Owner/Legal Representative Sig ure: Date: This Construction Authorization is subject to revocation site n, 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 ect to compliance t nto a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~ NHS Date: $ C~ l b Constr n Authorization Expiration Date: T a 0 HTE# LCD S --°~3'1 Permit # 'J~ a~N na rnett county I )epa rtmen t of 1'l t i c H eel w, Site'k etc II PROPERTY LOCATON:c~p~~ t~NtJ ISSUED TO: tt-L o c., 3 - SUBDIVISION LOT # Authorized State Agent:~5 ~0~ )ate: b I a _ Department of Environment. Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSM EVALUATION for ON-SITE WASTEWATER SySTl1 Owner. Applicant Add== Proposed Fat iitr Location o( Sift watt, 3upplj Evaluation Method: Type of Wastewater. Date Bvalu&& c~ ~cS DeslP F10w (.1949p Propedy recorded Sheet: Property ID: Lot File a: Code: Propertq Size: T lk ❑ Individual ❑ Well ❑ Spring ger Boring ❑ Pit Cut wage ❑ Industrial Process Mud P R O P SOIL MORPHOLOGY A 1 .1940 - .1941 PRO= PACTOR3 L I: L Kba" Poeidoof Horizon Dq* .1941 .1941 .1942 309 .1$43 1936 1944 ft o M Slope % (loLj 8ttucmw Cofwta w . Webmw Sao SWO . Re* Ctant Texture Mlnaalo Color (M.) Clan Hods A LTAX C., --$c Gu,*Q, d . A. O -a.0 s Fti Ns~ ~gY4bGL Rr1, 53 ~S. ~S ~ O-~, G S VPn..~.ks)~cQ X-.w Saw ~ 1.«~' Y~°cti. Ns~v'P G cif{, pJ (yv I se~ 1 s 5BX SC4- I F2 56 ❑ Other P5, ti,s- ps. , UMN Factors (.1946) Site Ciaui$catlou (1948) Ps Evaluated By: Others PMMt; - a,.x 150 e, a, °V