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IPACHTE# 40~ as---~a~ Harnett County Department of Public Health Improvement Permit 26378 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: t"1 pa.~ s 4,p ISSUED T0: ~ eevL~~ -y~m~NCzS SUBDIVISION t~sl~Fc~cas~ LOT # 1-6 NEW'K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `J RrQ Proposed Wastewater System Type: Projected Daily Flow: '5qC~6 GPD Number of bedrooms: '73 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes -J~2 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \O® feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: VJ~,NS Date: \Z 6 Q SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu n other permits. The permit holden 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 Improven 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: Qu mm~\ tJr-5 PROPERTY LOCATION: SUBDIVISION r,57atID LOT # 1 Facility Type: SAO New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'No Type of Wastewater System** ~°fo 1~GO V C~S~ ~ N S YS-s ~m (Initial) Wastewater Flow: 34, O GPD (See note below, if applicable -Selo -~~vc.Ctiorf S-ytr'~C. (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size 1-0 oa gallons Exact length of each trench S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: \ d. inches Maximum Trench Depth of: z' L1 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 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 specired is different from the type speciped on the app/ication. / accept the specifIcationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, pl 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 co lance wi i visipof the L and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: l6 16 Constr ' Authorization Expiration Date: ► 1 S HTE# Permit # ~631~b Harnett County Department of Public Health Site Sketch ISSUED TO: V--,. Authorized State Agent: PROPERTY LOCATON: n SUBDIVISION PS',9Fn2D LOT # ti3 a 3-1 G2 T oL ;syo Date: A1 \4,) ~ 0 6A 6 '01-1- Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSTTE EVALUATION for ON-SITE WASTEWATER SYSTEM- Sheet: Property ID: Lot File Code: Owner. Applicant: Address: Date Evaluated: Ya1Nsl) 0 Proposed Facility: ~c3Cs,~ Design Flow (.1949): r~ Property Size: Location of Site. P Property Recorded: Watert Snppiy Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Cut Type of Wastewater. ❑ Sewage ❑ Industrial Process Mixed P R O F 1 1940 OIL UORPHOLOOY .1941 THER PROFILE FACTORS L E LOW=" Posidad Slope % Horizon Depth 00 1941 Structard Texture .1941 Consistence Mimnlo .1942 Soil Wetness! Color 1943 .1936 Soil Sapre RV, Class .1944 Reafr Hans. Pro& Clan Ai LTAR `t L'~"~ ~o G _ 3 bti G cc~~ Mal Repair Sydow efaat 9~ZC~ rl L~ Mar Factors I MX Site C1&Wcadon (.19482 P5 Evaluated By: a C Others Present: