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IPACHTE# 10 Harnett County Department of Public Health Improvement Permit 2 6 3 7 7 A building permit cannot be issued with only an Improvement Permit `y PROPERTY LOCATION: f" M Pc2 ISSUED T0: t'7, NraLS (:--U rntnlrvGg SUBDIVISION QShFoa0 LOT # N31 NEW T9( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 (Lil x~ \ Proposed Wastewater System Type: 01,5°le S~EguC.:~or1 SyM Projected Daily flow: 3:4c' GPD Number of bedrooms: 3 Number of Occupants: (21 max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community `A Public ❑ Well Distance from well Vto feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: N4 16 O SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc her permits. The permit holder 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 Improvemen it 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 T0: ~cNN~ MC~~ rs6 PROPERTY LOCATION: P~2~5 (Zs~ SUBDIVISION As~LOT # Y6I Facility Type: S'; F Z New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** fa cn , 5 rr, (Initial) Wastewater Flow: 36 © GPD (See note below, if applicable 2.s°`d p.EOvc.~lor~ S /S'can (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 100 Q gallons Exact length of each trench '10 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 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: 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 system type specified is different from the type specified on the application, / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation . 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 sub' ct to compliance wit a pr ions a law d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: -16 Date: lia. )G INC) Constructio thorization Expiration Date: i HTE # ~C~ - S a~S-7S Harnett County Department Site Sketch ISSUED TO: Authorized State Agent: 1I A/ ld Permit # of "ablic Health PROPERTY LOCATON:_ _ SUBDIVISION LOT # 0 3~_ ~S ~01:tiV~ ~o~- oST3 Date: W~NN6q'~~ ~J'2 Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIIJSITE EVALUATION File ror ON-SITE WAgTEWATER SYS Code: TEMOwner. Applicant: Address: Date Evalmted:AW Proposed Facility: 0n5 Design Flaw (.1949):36(-,,,~ Property Size: Locatioli of Site: Property Kecorded: Water Supply; tA ❑ Indiv idual ❑ Wetl Evaluation Method: r Boring ❑ P$ Cat Sp~B ❑ Other Type of Wastewater. ge ❑ Industrial Process C] Nxed R O F 1 .1940 sOa, MORPHOLOGY L LAWS"" Horizon . 1941 Position/ Deld 1941 .1941 Sl ope 9ti Conageeus ~s Tertian Miaualo 3 C!5 pC Y ll l.~ C Y soil wemew Other Factors (.1946- Site ClassiEcadon (.1948- f S Evah~ated Hy:G! Others Prexnt: , OTHER 06TLg FAC .1943 soil 1946 .1941 Pmmi Re* Clan Hail ?y IS7 P~ :1o @, \