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IPACHTE # 10 `5 "-D~.~ aka Harnett County Department of Public Health Improvement Permit 2 6 2 6 3 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: J RG ISSUED T0::`IN ~~chr3t~ SUBDIVISION Y-f -Lot LOT #W_ NEWA REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: a5" Type of Structure: S~r47 6E, ri3 Proposed Wastewater System Type: Pu -y Tc Projected Daily Flow: 3 © GPD °~a`w G5 a ~t Number of bedrooms: Number of Occupants: Q> max Basement ❑Yes ><No Pump Required;;tYes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well _0Q feet Permit valid for. 'Five years Permit conditions: ❑ No expiration Authorized State Agent:: - s~S Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is of other permits. The permit holde 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 Impro t 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, .19% 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 T0: fey v p,~g" PROPERTY LOCATION: s t1 C= SUBDIVISION V\_E-_r., L c1, N Ftt tr S LOT # a< - Facility Type: N' New ❑ Expansion ❑ Repair Basement? ❑ Yes '1;~ No Basement Fixtures? ❑ Yes , XNo Type of Wastewater System** pia chA`T~ 7.~"% R pct G .Q w 5 y ; at(N (Initial) Wastewater Flow: 3~6- GPD (See note below, if applicable 11 <:7s 10 rl (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 c 1~~ t) gallons Exact length of each trench 110 feet Trench Spacing: Feet on Center Pump Tank Size C) gallons Trenches shall be installed on contour at a Soil (over: ~o inches Maximum Trench Depth of, l`A 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 Conditions: Aggregate Depth: inches above PfPe 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: / anderrtand the trrtem type speciTed it dif`erent from the type speciTled on the app&viom / accept the specifbvt nr of this permit Owner/Legal Representative ture: Date: 116111 This Construction Authorization is subject to revocation ' 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 to compliance rout io t aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ~G~as Date: 9 2 Construc Authorization Expiration Date: ~ IS` HTE# tO-S-atea Permit # Harnett Connty Department of Public Health Site Sketch PROPERTY LOCATON:_ \IJ 162.E ISSUED T0: c.1 A SUBDIVISION _KSLa~, , LOT # Authorized State Agent r , ~ ~1<scx3 Date: 9 ~ a~ t o C Y'\tC\ Co C, r2: Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: xzac m S Design Flow (.1949): "3Cc 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 SOIL MORPHOLOGY OTHER 1 .1940 .1941 PROFILE FACTORS L Landscape Horizon .1941 E Position/ Depth .1941 .1941 Soil .1943 .1956 .1944 Prorhle # Slope % (In.) StrucKUre/ Consistence Wetness/ Soil Sapro Restr Class Texture Mineralogy Color Depth IN. Class Horiz dt LTAR a 044 5 Description 1 Initial system Repair System Other Factors (.1946): Site Classification ( 1948): P 5 Available Space 1945) 1 - . E l d B System Type(s) P:m~ cw pumr' -O va uate y: (i Site LTAR : ~ Present: 3r 1