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IPACHTE# Icy-5- Harnett `LOunty Department of Public ealLn Improvement Permit 2 6 21 1 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 1. .,j ~-s1 %J ISSUED TO: \4Co 2yC~~0 tJ SUBDIVISION " 1 ,Ac S,-4 d~ ce- LOT # 101A_ NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~ ~~O'~ N~,,r, Ca.~ flp P.~a~,typ App ~S ~ND~GA`r Proposed Wastewater System Type: PO mp d ` a ~wc,qt b Projected Daily Flow: `'p 4, © GPD ~4- R05 P, L- C.*- Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes - ,>9,No Pump Required: Xs ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well LOO feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: `7 ViA M SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance Qother permits. The permit holder is respo Bible 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: \-J`11 tv r,r C4,~s-~ctuc~~~ce~t PROPERTY LOCATION: 2~~) SUBDIVISION 1 ► LOT # ~O`j Facility Type: 5 ~ (-d^ A New ❑ Expansion ❑ Repair Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes No Type of Wastewater System** QV r^.Q To ~a"lo RFs~ucs~p,a s`j5<~sr (Initial) Wastewater Flow: 3to GPD (See note below, if applicable _ V U r+e 1 a 2J5"Z~ RG0,1-1-0A (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t n cob gallons Exact length of each trench -15 feet Pump Tank Size t r"'In (b gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 121l, inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: i Feet on Center Soil Cover: 6 inches (Maximum soil cover shall not exceed 36" above the trench bottom) regate Depth: Conditions: M1 t~ 8 0 Tr ear Cb vE2 N~ ~~1G ,►s G2.{~ inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /under understand the system type specified is different from the type specified on the application. /accept the rpecifcationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocatiau,~if the sitrklan, 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: c ,a t Date: YA 1 vo o ction Authorization Expiration Date: 15 HTE# Permit # Harnett County Department of 'Vblic Health Site Sketch ISSUED TO: PROPERTY LOCATON: ~A rr~ `~S SUBDIVISION l sa ~~c ra °~ate- LOT # `OL--) Date: V)) ) I ~ d Authorized State Agent: 33gr A Go L-o G Department of Emironmenk T- -ith and Natural Resources Division of Environmental HL .t On-Site Wastewater Section SOILLISITE EVALUATION for ON-;SITE WASTEWATER SYSTEM Owner. Applicant: Addrm: Date Evaluated Proposed FwWtq: -3 g(,-\5 Design Flow (.1949): !)~o Location of Site: Property Itecorded: WatetSupp.[g; Public ❑ Individual ❑ Well Evaluation Method: 4 Auger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File * Code: Property Size: ❑ Spring ❑ Other cut mixed. P R 0 F t 1940 OIL MORPHOLOGY .1941 THER PROFI R FACTORS L E Laaduap Harizoa Po~iNod D"* .1941 Slops % (la.) structural Taxhn- .1941 Conwdeoo Minm1o .1941 Soil Wem"d Color .043 Soil IN. .1956 SWO Claw .1944 Retr Hartz. pmmi Cleo At LIAR -1~ G SL 1z,-2c `5sk s4i- ~-w is ~ PS 1 Mar Factors (.1946) Site classiHcadon (.194akp Evaluated B)r o 1 Others Prexnt: g StlE3Tr'11'~°L:'Ld.: #~t1iit?VTx1:.~J3... • ~~+'r~`V~~r,~,1 r7 lWrAlL