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IPACHTE# E 0-5-Harnett county Department of Public Heaun Improvement Permit 26206 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1,4 'V4 ISSUED T0: `1 tv N s ~2U vt o SUBDIVISION G E o tT LOT # S09 NEW' REPAIR ❑ EPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 Ffl Lcoc~°nS0" 4-1f~rAD C.,,ZP<L_ N C-L n As Proposed Wastewater System Type: Py mP la a5°la ~GEOUC>C\ds.1 Projected Daily Flow: `3 fob GPD D 4,4 QmoPasc,t_ ~:Zrv c,r- (7 ~a.P,\"4 V, Ew Number of bedrooms: Number of Occupants: 6 max Basement ❑Yes No FWT4,N INLI tZ.P,G FAG Pump Required:'As ❑ No ❑ M y be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \-®d feet Permit valid for Five years Permit conditions: ~No expiration Authorized State Agent:: Ems- 6 Date: -1 2.1 10 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is use of other permits. The permit Noll er is res onsible 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, .1957, .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: (JCA fit? J PROPERTY LOCATION: ~kw-~ 1.! SUBDIVISION `1 ~ t4 Gcf ~i are' LOT # 109 Facility Type: 5~~ Cb0`x X New ❑ Expansion ❑ Repair Basement? ❑ Yes b~ No Basement Fixtures? ❑ Yes No Type of Wastewater System** 9'0 4vw-,~ o a.S`~l a zeo 0 vC t o N S Y sIr 6~ M (Initial) Wastewater Flow: 3 rQ GPD (See note below, if applicable --o Qv N ~a 2.~ o x•60 . (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size t ©o o gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size V000 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 1q 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 Aggregate Depth: inches above pipe Conditions: tAlh `GPws-j ';;:e" 4~czo a raQ pap,\ta 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 ystem type specified is different from the type specified on the application. /accept the rpecipcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is -wbjgct to revocation if 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 Authorization is subject to compliances a provisi the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Q~~s Date: W 1 -.4 Con ction Authorization Expiration Date: v~ HTE# iC7 -5-'7`b3 Permit # 9.62pG Harnett County ]Department of Public Health Site Sketch PROPERTY LOCATON: -x-) N-4 ISSUED T0: co w> -c ®ra SUBDIVISION LOT # 101 Authorized State Agent: kLN'~5 ~-~~kra o~~soa(t~ Date: _`1 ~ 1 i 311' G a~ c~ Department of Emironment,; Ath and Natural Resources Division of Environmental Ht nth On-Site Wastewater Section SOII.JSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot File: Code: Owner. Applicant: Address: Date Evaluated: Proposed Facility: '3 emjoc,r\ Design Flow (.1949):-~ ~,d Property Size: Locationof Sites Property Recorded: water Suppil. ITIP011 C* lndividual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Cut Type of 1Vaseewater. "Sewage ❑ Industrial Process Mhed P it O F l 1940 OIL MORPHOLOOY .1941 THiE.R PROFILE FACTORS L 9 4 Ca Wam" Po•idow Slope % Horizon Depth 00 .1941 .1941 Strucftw Con•Uteece Texham Mhmlo .1941 soil weam d Color .1943 soil IN, .1956 Sapre Ciw .190 Raw Horis. Pivotilt► Mai d LTAII Lz pQar au~~a• Rap•ir sY Other Factors (.1946X bAvadableS •a .1941 Site Classification (.1948k Q 5 • Evahmied Hy: te LT,~t Others Present:, r