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IPACHTE# 1 D 5 ~y~ Harnett County Department of Public Health Improvement Permit 2 6 2 3 5 A building permit cannot be issued with only an Improvement Permit LL _C_ PROPERTY LOCATION: STCrii~G~LO'JS C)62- ISSUED TO: z5j SUBDIVISION S-T °N~GcS LOT # NEW'X REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 f LA6 ! Proposed Wastewater System Type: ,jr_9 o )50/& Projected Daily Flow: 3G~G GPD Number of bedrooms: 3 Number of Occupants: ~o max Basement ❑Yes >l No Pump Required: Xes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \C;O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 8 3 o SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holde is re onsible 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: S'ONer_QZ55 1-~G PROPERTY LOCATION: SIONC-CQ,055 Z)iL SUBDIVISION S-V-5N G.cj;~..os~ LOT # 3 Facility Type: SFO i OrxSO / New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'NK No Type of Wastewater System** Q U Me To ~S J/a Rbo y ct t 6 5-1 (Initial) Wastewater Flow: GPD (See note below, if applicable p 4c.~ ~L i~ "o cr'c- (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size t oc5 © gallons Exact length of each trench 55 feet Trench Spacing: r! Feet on Center Pump Tank Size t d 6 U gallons Trenches shall be installed on contour at a Soil Cover. (t, -l~ inches Maximum Trench Depth of: 1$ ~ )-14 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. TDN vs. GPM inches below pipe n Aggregate Depth: inches above pipe Conditions: \1a>5 `r'~2r ~~E9 ~cznPd3aLeor„eL~co,t~S inches total S o"L `Jc 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: / undeatand the system type specified is dif/erent from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiert to r2vnfatinn if tho uto .1- nht nr the intonA.A „,o A- , The f~~m„nh A .h,u ti... I... A .,A.., A... 1. . ...,_._u_ - Construction Authorization is stthip't~ompliancekth s o laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 8 l3 ►0 Const tion Authorization Expiration Date: 13 } S HTE# aC~3-3 S Permit # ISSUED T0: Authorized State Agent: Harnett County Department of Public Health bite Sketch PROPERTY LOCATON:oHc~clt Os~S 'D2 E L SUBDIVISION STV,,j ccsws6 LOT # 3 5 t~v a Ot W Date: ~ 1 G li5 G b~ 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: t ~C) Proposed Facility: 3 Q6o t7ou- t Design Flow (.1949): 3 vj~ Location of Site: Property Recorded: Water Supply: ❑ Public ❑ Individual ❑ Well Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Lanxiscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Tem" .1941 Consistence Mineralogy .1942 Soil wetness! Color .1943 Soil Depth IN. .1936 Sapro Class .1944 Restr Horiz Profile Class & LTAR S'`v G 3 GIRL ss S 5 Description Initial S ~01p Repair System Other Factors (.1946): 1948). e5 Site Classification ( Available Space .1943 . Evaluated B : ~ System TVtm(s) Q c'Q 1% Q? 0 5 y , 6 Others Present: Site LTAR