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IPACHTE# 1 Harnett County Department of Public Health Improvement Permit 26376 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~8fY22:G5 90 ISSUED T0: tE~ C)pt'~~ SUBDIVISION L-0- 15,4 1 i~ ,L t,~> LOT # = NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S R~) QG7 Proposed Wastewater System Type: (:!.o+vv E.v''tosvPNL, Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: _ max Basement ❑Yes No Pump Required: ❑Yes ono ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well l©Q feet Permit valid for: XFive years Permit conditions: ❑ No expiration Authorized State Agent:: ~S Date: oa 1)6SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Depart -At in no way guarantees the iss 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 Impro 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 Rettuired 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: ~h S rE~-op to Co PROPERTY LOCATION: 9,06P^4 --SS V-0 ~ ll SUBDIVISION "Uu I L "171 LOT # N Facility Type: S~Q~S`U New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System" CON V C-.N;' 0iv'p.,t- (Initial) Wastewater Flow: 3C~ GPD (See note below, if applicable C' ,vy - y 1-~ A>_.. (Repair) Installation Requirements/Conditions Number of trenches ti Septic Tank Size c0®o gallons Exact length of each trench Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: r,)J1 (Trench bottoms shall be level to +/-1/4" feet Trench Spacing: Feet on Center Soil Cover: ^ inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe 11 Conditions: o t 22,con.Cv N 5`) ; GA-N ~X-1-01146 w~ N+4 tC~ coy t inches total 1 tV 0<2- ?--EPo,~2 ~fN . 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 system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representati ature: Date: This Construction Authorization is subject to revocano a site 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 t o compliant ~ t o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: v , Date: Cons ion Authorization Expiration Date: HTE # I®" 5 -2-S CA LA Permit #6 6 Harnett County ]Department of public Health Site Sketch PROPERTY LOCATON: P-aQ-u~ 5 V ISSUED TO: }S 4 0 Co SUBDIVISION LOT # I~ Authorized State Agent: Q~l1S %vE2'70L4-500Q5 Date: ~4~51)0 Q 3 ,i, '2©eal 5 Deparhnent of Environment. Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Addcesa; Date Evaluated: k-\ ►s, Proposed Fecility: 3 *-rr Desip Flow (.1949): ~6 0 Location of Site: Froody Recorded: Water Supply: Agle~ D Individual ❑ well Evaluadon Method: r Boring Cl Pit Type of Wastewater. 6e ❑ Industrial Process Cl Sheet: Property ID: Lot File l1: Code: Property Size: ❑ Spring ❑ Other cut mixed P O F SOIL MORPHOLOGY OTHE [ L 1940 Lmdmp Horizoo R 1941 PROFRI FACTORR E Pasitlad Depth .1941 .1941 .1942 9011 1943 I 3 L 91ope 9ti (Ie) . .1956 stuchuw CorWde a welh ad soil Sap re .1944 pmmi Re* Ctw Teams Minarsio Cater I1V, Ciaq Hais. A LTAtt a 5 Vim- ^a51"t~ 5 Deacripden laitW Repair System Othat Factors t.1946k Available 9 eos .1943 Site CIASAIcadon (.1948X S S stem , ~ K GeJ~ Evehwted Hy: Site LTAR Others Prexnt: