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IPACHTE# I S- ��► T$�j Harnett County Department of Public Health 28924 Improvement Permit A building permit cannot be issued with only anImprovement Permi} pp p PROPERTY LOCATION: 1�c5`V..l N3 K p ISSUED TO: R6ya>,I OP -S 0 96 GQQ• SUBDIVISION N" )*is a_PGE LOT # 3a NEW C5< REPAIR ❑ r 1CV NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S�9 C,L1 7 Proposed Wastewater System Type: Q-9 o lkpuC,Sloy. - 71 -sr—,sin Projected Daily Flow: t—l1 0 GPD Number of bedrooms: 4 Number of Occupants: max Basement []Yes e'�g No Pump Required: ❑Yes —_4!� No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well 5C) het Permit valid for: Permit conditions: Authorized State Agent: \ �(.(r The issuance of this permit by the Health Department in no way guarantees t site is subject to revocation if the site plan, plat or the intended use changes. The the taws and Rules for Sewage Treatment and Disposal and to conditions of this pe Date: Five years ❑ o expiration SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This warrant Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of WATER LINES (INICLUDING 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 swear type spedbed it different from the type speci&d on the application, l accept the specifcationr o/ this permit Owner/Legal Representative Signature: Date: This Construction Authorization i to reroadon d the site plan, 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 Authonzation is rubra to compl th tbw&rovisions of the Laws and Rules for Sewage Treatment and Imposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: a QHS Date: ? 1 7T< lb nstruction Authorization Expiration Date:T� Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .19Sa. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout pQ ISSUED T0: C�yP L pv9G Qv PROPERTY LOCATION: - 5 SUBDIVISION �, a� u � � yaiL�G lNLOT # 32. Facility Type: SP9G-6 6 7� / S New ❑ Expansion ❑ Repair Basement? ❑ Yes "5( No Basement Fixtures? ❑ Yes o Type of Wastewater System** &S: 'I , R6DyG 1 U N y55 n (Initial) Wastewater Flow: "IVO GPD (See note below, if applicable ❑) Psaa47- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size t 6© © gallons Exact length of each trench LOO feet c Trench Spacing: I Feet on Center Pump Tank Size 4OW gallons Trenches shall be installed on contour at a Soil Cover. 11 inches Maximum Trench Depth of: 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. TON vs. GPM inches below pipe ^ ��' �JF11-m> ©N '�57�m t� A regale Depth: inches above pipe � Conditions: ; 60 aOR M� y�PP L�c�A tJSS inches total WATER LINES (INICLUDING 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 swear type spedbed it different from the type speci&d on the application, l accept the specifcationr o/ this permit Owner/Legal Representative Signature: Date: This Construction Authorization i to reroadon d the site plan, 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 Authonzation is rubra to compl th tbw&rovisions of the Laws and Rules for Sewage Treatment and Imposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: a QHS Date: ? 1 7T< lb nstruction Authorization Expiration Date:T� Atkins Village, Lot 32 4 -Bedroom Septic System Layout May 2016 •Keep Tanks and Drain lines 10' from property lines. *Not a Survey *Not a guarantee of a septic permit. *Keep supply lines >5' from properly lines. *Soma lines are flagged longer in the field than lengths Indicated above. *No foundation drains. 1 m 1 � ( T C• 1 � m 1-jS6 l�-S�eL �`d5 t r- �J r` 1 SITE PIAt1 APPROVAL np t . _USE s \ DISTRIC #BF•L1E;SDoMs \ OtiY•Jii (d)G� MISTRp2C It System: r Repair: GRAPHIC SCALE 1' = 50' 50 0 50 100 Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOI (SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: \\ Proposed Facility: t­iS0Q^cc1 Design Flow (.1949):'AJ) )b�) Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method Auer Boring ❑ Pit ❑ Cut Type of Wastewater: 9W Sewage ❑ industrial Process Sheet: Property ID: Lot #: File #: Code: Property Sim: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope % Horizon Depth (in.) SOI. MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Minevislogy .1942 Soil Wetness/ Color .1943 Soil IN. .1956 Sapm Class .1944 Reslr Horiz a s cra+ G �a ss P3 o ab 1 -5 33-1-3tJ `��t StL �-p ss17(' Description Initial R air System Other Factors (.1946): S Int Site Classification (.1948):P 5 Available Space(. 1945) Evaluated By: <j�- S stem T s 5 o/u Others Present: Site LTAR l-, , zt