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IPACHTE# aC?~5 ~1 Harnett County Department of Public Health Improvement Permit 26370 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: t-- A.s a,7 art ~ ISSUED T0: ~P3~EcySOsv ~tii-oErtf, ~t`aG SUBDIVISION WA+-;-4 GnvN E LOT # a0 NEVV" i< REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `5''Q CSS~~SO Proposed Wastewater System Type: a-S"lo ~E9L)gt!5 A S 7a'~M Projected Daily Flow: 3 ® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes < No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well O 0 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: t \ ~2 q \l 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o er 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 TO: ~'C~P~~E~►~oN g' 1 1-OESZ-5 ,Y+C- PROPERTY LOCATION: A5~~6n- ~-D SUBDIVISION w A~ N Q-T Q0--1 vE LOT # aO Facility Type: '~SC7 I New ❑ Expansion ❑ Repair - )1v Basement? ❑ Yes qn\ No Basement Fixtures? ❑ Yes X No Type of Wastewater System** a.5'°l0 Sy f Sn4 (Initial) Wastewater Flow: 3G O GPD (See note below, if applicable L- .9,e (Repair) Installation Requirements/Conditions Number of trenches i Septic Tank Size I ooo gallons Exact length of each trench 2,-4 Q feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a r~~Soil Cover: inches Maximum Trench Depth of: 1$ 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 „ A Aggregate Depth: inches above pipe Conditions: 0Q D oT G o Z E.Le f-2 )A C- N . CD 4S "5L M ~1- AGG b~ ©CLI- inches total WATER LINES (INCLUDING 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 system type speciFed is different from the type speciped on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site p , or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction AuthorizatiAtr~,jss'ect to compliance the s of=he d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~JV »v StL-,11~ Date: Ni ~-9 Construction thorization Expiration Date: 2 SS7 HTE# Permit # 0 Harnett County Department of Niblic Health Site Sketch PROPERTY LOCATON: t--~>,Sp,:NEsi Q-D ISSUED TO: SUBDIVISION Q•~-~~r\; Gn~d~. LOT # a Authorized State Agent: ~f-~ ,,,v -tcti-xs~eslSj Date: 2S~1\10 J C', lea; Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot 0: Cam. SOMME EVALUATION File for ON-SITE WASTEWATIZRSySTEMI° Owner: Applicant: \ Address: Date Evaluated: Proposed Facilitlr: 3 9 C-0 ~?""tesip Flow (.1949): 3 6 a ~ ~ c~ Ptapeq Size: Location of Site: Property Recorded: Water Suppit Publ#a ❑ Mdividual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Cut Type of Wastewater. Sewage ❑ Industrial Process Mixed P O P SOC. MORPHOLOGY OTHER 1 L .1940 [ d .1941 PROFILE PACTORR an ampo Horizon 1941 E N Positiow Slope Depth (Ia) .1941 sb w .1941 soil .1943 .1956 .1944 Prom@ ucoj Texture Conilden s Mfnmlo wetnad Color soil sq" Re* CUM IN. --Claw Hail. R LTAIt 1t O~0 G~ ..x \`~.V36 53~ ~cz ~s2sl ny2 311 7 \(F"rt rU~ f~. r 1a a `1-12 55)N(I 'lo C vIn 'j, 1T lo* vv" Cripdai ww Repotr 3ytmw Other Factors (.1946k s aila6ie 89404 site ClaWcation (.19482 f, 5 ,1941 de~a a Q,E L-?`, Evaluated By 01 a LIAR ' 3 Others Present: k Ns' 1~`~.~C? G lY P5 P5 es e5. (-~j M