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IPAC RHTE# I© -S=as ) q A-(L Harnett County Department of Public Health Improvement Permit 26282 A building permit cannot be issued with only an ImPr~ovement Permit PROPERTY LOCATION: E l,'f y a lQ ISSUED TO: G par) ~og k t5v K a tY SUBDIVISION _ G w ~w t'_7 o LOT # 2 0 NEW REPAIR ❑ XPAVON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F9 kt:00~' b Lt Proposed Wastewater System Type: QS/- Projected Sy r, Daily Flow. 3~a GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes1 No Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ';K Public ❑ Well Distance from well 16(7) feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent.: Date: td s 10 SEE ATTACHED SITE SKETCH The iswance of this permit by the Health Department in no way guarantees the issua ce 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 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 T0: as ~~\NSO~, 1~o cS PROPERTY LOCATION: wy ~Jp { SUBDIVISION Gr,sN LOT # ~O Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** ~S d/o Rto QCN-tcs N S•, S Tom, r~ (See note below, if applicable az°ld ~'rwucNtoN (Repair) Installation Requirements/Conditions Number of trenches a. Septic Tank Size ~oc,o gallons Exact length of each trench ti'ACb feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: _ I'a inches (Trench bottoms shall be level to +1-114" in all directions) Pump Requirements: ft. TDH vs. GPM (Initial) Wastewater Flow: GIRD Trench Spacing: Feet on Center Soil (over. G inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Conditions: MeET O ~r ~~f P6~ oe ~zs ~~,sc ny 1-toN moo \J2 Aggregate Depth: inches above pip( F ,/y 0 try inches total 1 nv_5 PESZ ,V-`t WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the ryrtem type ,specified it different from the type rpeciped on the app/ication. / accept the apecifIcationr of thi permit. Owner/Legal Representative I acute` This Construction Authorization is subject to revocation Construction Authorization is. ubiect to rmmnlianro`' Authorized State Agent: Date: the intended use changes. The Construction Authonzatwn- shall not be transferred when there is a change in ownership of h This rte! Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: o s)'v Construction uthorization Expiration Date: ,O') 1S HTE# LO-S - 2S )cl ) {L Permit # ~444~3~-- Harnett (bounty Department of Public Health Site Sketk h PROPERTY LOCATON: N W-1 2.A ISSUED T0: ~otzy ~$»N ~~or,~.S SUBDIVISION GwE .a Owe-c LOT # ~a Authorized State Agent. Date: ~o S ~.o 0 a v 0 p a~ ~ (.1, Department of Emrironmenk Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot 0: SOUJSITE EVALUATION File : for ON-SITE WASTZWATCR SVSTLW Code: Owner: Applicant; Address Date Evaluated P20Posed Facility: Design Mow (.1949r Property Size: Location o[ Site: Property Recorded: Water supph Public ❑ Individual ❑ well ❑ Spring D Other Evaluation Method" JR1,Au Boring ❑ Pit cut Type of Wastewater Sewage ❑ Industrial Process C1 Mixed P tt O F SOM 41ORPHOUMY OTHER 1 L .1940 L -Woa H i .1941 PROM FACTOR 9 - p PositloW % or sw DqA a) .1941 .1941 .1941 Soil sw " :.1043 .1916 .1944 Ph+ill~ mft Cor d"m Wdn"d Tomtit Imbmalo Colar il 31 pro Re* Clw IIY. C1er Hails. LTA - c r2 18:5 n v- -5 Ta 1~ .9 5.3 k1-1 c- 'gam c- I Pry s )P i O'12 rfn 4j) q 1`13 x 5c z pct s5 J-W Pj . ti utner Factors (.1946) Site Clauiflcadon ( 1948) 0-1~ Evehated By- o% Others Pmwe GWEN OAKS LOT 20 Project No. 11,118.S2 LAYOUT FOR 3 BEDROOM HOME FLAG LINE # COLOR BS HI TBM 7.5 INSTR. 1 107.50 1 BLUE 2 PINK 3 YELLOW 4 ORANGE 5 RED MARCH, 2009 FLAGGED DESIGN FS ELEVATION LINE LENGTH LINE LENGTH 100.00 2.90 104.60 40 40 3.80 103.70 65 65 4.40 103.10 75 75 5.20 102.30 140 105 5.80 101.70 140 105 Total 460 390 SOIL LINE LTAR SYSTEM LTAR INNOVATIVE LENGTH PD/FTZ TYPE PD 2 SYSTEM DISTRIBUTION System 210 0.50 INNOV. 0.50 EZ-Flow GRAVITY TO D-BOX Repair 180 0.50 INNOV. 0.50 EZ-Flow PRESSURE MANIFOLD Notes: TBM 4.1 @ BASE OF LIGHT POLE **TBM is assumed to be 1001. **All measures in feet. **Nitrification lines are demonstrated on contour via colored pin fl ags. **BS, HI, and FS indicate rod readings.