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IPACHTE#~~ 5 as o~~, Harnett County Department of Public Health Improvement Permit 2 6 2 6 5 A building permit cannot be issued with only an ITprovement Permit PROPERTY LOCATION: S i rv - LN ISSUED T0: S` ~°f2~ ~rZLp~2~ t SUBDIVISION ~y-LA QI<QU LOT # NEW` REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: X17© ( c~- :'.C ~y--I Proposed Wastewater System Type: °!e u ~ 0 S M Projected Daily flow: 31 QC) GPD Number of bedrooms: 3 Number of Occupants: IG max Basement ❑Yes 'Ilq No Pump Required: ❑Yes ❑ No 'A May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well \n(') feet Permit valid for. ,Five years Permit conditions: ❑ No expiration Authorized State Agent: -la`s Date: d SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance site is subject to revocation if the site permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This plan, plat, or the intended use changes. The Improvement ermit 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 T0: _S PROPERTY LOCATION: SUBDIVISION S. NLu w Q c E LOT # Sg Facility Type: 5~; 0 .51 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** as °/G REO ~G~ t a y ; S<M (Initial) Wastewater flow: GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size % 0(7~ 0 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 10 feet Trenches shall be installed on contour at a Maximum Trench Depth of. 4? - aaL) inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: I Feet on Center Soil Cover. 3( _ lc~. inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe 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 specified on the application. / accept the sped&ationr of this permit. Owner/Legal Representative Signat : _ This Construction Authorization is subject to revocation Construction Authorization isCs tb~w 5nta r-li-. N Authorized State Agent: or the intended use changes. The Construction Authorization shall not be transferred when 11ygs and Rules for Sewage Treatment and Disposal and to the conditions of this permit e.EN.S Date: "I I rA Date: is a change m ownership of the site. This SEE ATTACHED SITE SKETCH Authorization Expiration Date: q 1S HTE# t0--s -j og Permit # a.r-`8,k5 Harnett County Department of Public Health Site Sketch ISSUED TO: s, PROPERTY IOCATON: E,Er, - SUBDIVISION t i N, , Q~ q LOT g1~1~o T Authorized State Agent: CJpt~c~~~ , 1 v6E I COMMENTS: LANDSCAPE POSITIONS R-RIDGE S-SHOULDER SLOPE L-LINEAR SLOPE FS-FOOT SLOPE N-NOSE SLOPE H-HEAD SLOPE CC-CONCLAVE SLOPE CV-CONVEX SLOPE T-TERRACE FP-FLOOD PLAN STRUCTURE SG-SINGLE GRAIN M-MASSIVE CR-CRUMB GR-GRANULAR SBK-SUBANGULAR BLOCKY ABK-ANGULAR BLOCKY PL-PLATY PR-PRISMATIC FILE # GROUP TEXTCRFS .1955 LTAR CONSISTENCE tiIOIST VET I S-SAND 1.2-0.8 LS-LOAMY SAND VFR-VERY FRIABLE NS-NON-STICKY II SL-SANDY LOAM 0.8-0.6 FR-FRIABLE Ft-FIRM SS-SLIGHTLY STICKY L-LOAM S-STICKY VFI-VERY FIRINI VS-VERY STICKY lII SI-SILT- 0.6-0.3 EFI-EXTREMELY FIRM 'NP-NON-PLASTIC SIL-SILTLOAM SP-SLIGHTLY STICKY CL-CLAY LOAM P-PLASTIC SCL-SANDY CLAY LOAM VP-VERY PLASTIC SICL-SILTY CLAY LOAM IV SIC-SILTY CLAY 0.4-0.1 C-CLAY SC-SANDY CLAY MINERALOGY SLIGHTLY EXPANSIVE EXPANSIVE and other site feature, (dimensions, T reference or bet~chmaric and i 4 ifaN (g,,,vna#)