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IPACHTE# 10 Harnett County Department of Public Health Improvement Permit 2 6 2 3 8 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: M o2rc XZ -79 ISSUED TO: Q011 15`< CLU C,:r' Cl t'I w SUBDIVISION Cc, oP E~~o,2trS LOT # NEWV REPAIR E%PA? N ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F9 ~L~ "1 Proposed Wastewater System Type: C,0 ry J 6 r-r-, tKN PcL Projected Daily flow: 36Cb GPD Number of bedrooms: _ 7' Number of Occupants: C, max Basement ❑Yes XNo Pump Required: ❑Yes ',No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community "54, Public ❑ Well Distance from well b d feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent.: Date: 'ill 1161 LO SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is + 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 Improv ent 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: \J '\1 r4 0 c- \o N 1~ L PROPERTY LOCATION: SUBDIVISION LOT # C) Facility Type: \ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** C-o Kv rC ~ 0- n,L_ (See note below, if applicable r-rv6 r~S to r► A't-l (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size I QC) Q) gallons Exact length of each trench S 5~ Pump Tank Size gallons Trenches shall be installed on contour at a a~ `30 Maximum Trench Depth of (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: (Initial) Wastewater Flow: GPD feet Trench Spacing: 1 Feet on Center Soil Cover: % ~ 1'~ inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe a inches above pipe S 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 ayrtem type rpeci6ed is different from the type .tpecided on the application. /accept the rpecilcationr of this permit. Owner/Legal Representa i nature: Date: This Construction Authorisation is subject to revoc the site pla , nhand intended ase changes. The Construct on Authorisaton shall not be transferred when there is a change in ownership of the site. This Construction Authorization is sub{t TAmpliance wi a prWAZ f Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 2[ v ~ Date: $ 6 \ o Constru Authorization Expiration Date: 8 C HTE# -2; - `~1- Permit # Harnett Count- Del)(1,11,11clit of Ptiblic Health Site Sketch PROPERTY LO(ATON:_ R<Z `ErS ~J ISSUED T0: ~J~~ ss C ~~0N SUBDIVISION SooP6-rt 'Co, 5 LOT # UL\ V ~(L 2fz115 ~T-of-\~soQ Date: 16 i i d 1 t`1 A2~Ls 2~ Ipg Department of EwAmnment, Health and Natural Resources Division of Environmental Health Shed: she Property m; On-Site Wastewater Section La SOBJSYM &VALIIATION File !l: ror ON-SITE wA3TjgWATER SYST>P1Vt Owner. Applicant Addtem Date Evaluated: Proposed Facility 3 DcdpF *w (.1949x364 Property Size: Locaddo of SibK Pr V".. Recorded- Wate, sh"ty ila ❑ Indivi" ❑ Well ❑ Spring ❑ Other Evatuath Mdhod; Auger Boring ❑ Pit ❑ Cut Type of w : sewage ❑ Industrial A=u mbled P R a P 1 1440 0IL MORPHOLOGY .1441 THER PRUFILB PACTOR3 L 9 A La xbftpM Positimd Slops % Hmizan Depth (in,) .1941 stuatute! Tomm ,1949 .1941 soil .1943 .19~d Consietom Webmw soil Sepro '4 IMS1o Color Del 1N Cltnt .140 Re* Hons. PMbfIN CI M A LT'AR pdom gaitt~ Avails a .194! s d4m r Sits LTAR a Rapdr 9yetan Ather Fecttxs (.19462 site Classilloadon (.1948 5 Evtthmted ~ Others Preamh