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IPACHTE# { O -5 b1 } Harnett County Department of Public Health Improvement Permit 26365 A building permit cannot be issued with only an Improvement Pe~jmi_t PROPERTY LOCATION: MPYL'~S t5~ ISSUED TO: K.~ Q }CrZ C,~ SUBDIVISION Ps' ,FWOCLQ LOT # 3 NEW REPAIR I& f NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: G,) r3 J-.tS N ct s A Y.-,L Projected Daily Flow: GPD Number of bedrooms: ~i Number of Occupants: ro max Basement ❑Yes /,No Pump Required: ❑Yes KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community __X Public ❑ Well Distance from well \06 feet Permit valid for: Five years Permit conditions: _ ❑ No expiration Authorized State Agent:: C Date: 1U SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of o w'rmits. The permit holdeil' is respon'ble 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, .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: V-- ~ t-~ PROPERTY LOCATION: SUBDIVISION b-~ ~ 02P LOT # Facility Type: \ New ❑ Expansion ❑ Repair Basement? ❑ Yes ~P& No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** C.o -YG>s v N F"4-- (Initial) Wastewater Flow: GPD (See note below, if applicable "--J-. O rt (Repair) Installation Requirements/Conditions Number of trenches - Septic Tank Size l ® ®Ql gallons Exact length of each trench r© feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 1~ ' inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 01 Feet on Center Soil Cover: C~ ° 1 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe a inches above pipe inches total WATER LINES (INCLUDING 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 system type speciped is different from the type speciTed on the application. / accept the specircations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation ' site plan, a( 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 compliance witk tthe prn~ he s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: yJ~. n 5 Date: _ Construct) uthorization Expiration Date: HTE# -S , \ Permit # G- arnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: 'r) P%Q~ 5 C~D SUBDIVISION n~ o¢.fl LOT # e.G-~S \¢L~V61L 6tt45D0 Date: a40 0 L. octicwooD "D a- Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITZ EVALUATION for ON-SITE WASTEWATEIISYSTEM. Owner: Applicant: Address: Proposed Facility; Location of Site: Water Suppip; Evaluation Method: Type of Wastewater. Data Evaluated: 3 a 6~W--)mDesigR Ftow (.1949): Property Recorded: Sheet: Property ID: Lot File N: Code: Pmperty Size: P0116 ❑ Individual ❑ Well ❑ Spring uger Boring ❑ Pit 11 . cut Sewage ❑ industrial Process 0 ML-led ❑ other P R F SOIL MORPHOLOGY CYPHER 1 L .1940 t d .1941 PRUFI[g FACTOA3 E an raapa Positiow Stops 9t, Horizon Depth (ln j .1941 .1941 .1941 soil .1§43 .1956 st h d .1944 proiltti uc u Conststenso Weteead soil 32pro Terdum Minm1o Color IN Re* ctus . Claw Horis. R LTAS a- v-~~ tf 5~ 00" 7 Repsk System Other Factors ti I vailsobles Na .1941 Site ClaeaiBcadon (.19482 } 3 stars r cv vS crr N Evshwted By: n Sate LTAR Othes Present