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IPACHTE#10 --i;7- 2~STi'7 Harnett County Department of Public Health Improvement Permit 26405 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:f fito:~' 12-6 ISSUED TOO- 011( (,TYZ~ I C SUBDIVISION A ,~'»r/ ~ - LOT # S NEW C7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: b t M 4 Proposed Wastewater System Type: 757A,?Q,-0VQ Projected Daily flow: fu GPD Number of bedrooms- Number of Occupants: lea max Basement ❑Yes No Z MX Required: ❑Yes 1:1 No L~J"Ma a required based on final location and elevations of facilities Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for: Z _'Five years Permit conditions: ❑ No expiration / SEE ATTACHED SITE SKETCH Authorized State Age life Date: The issuance of this permHealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocatisite 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, .1957, .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 (yet ~ ~ PROPERTY LOCATION: ~if 74) SUBDIVISION i LJ lLt' t LOT # Facility Type: f<v l1- New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑'"No Type of Wastewater System** &:50/D 4e1)U-kW S-&7_ ( Vt i (Initial) Wastewater flow: GPD (See note below, if applicable 4 2501b (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 106 1) gallons Exact length of each trench 1 Z-0 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. -3?L Y -Ne~jnches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) Pump Requirements: ft. TDH vs. Conditions: in all directions) GPM inches below pipe Aggregate Depth: 7- inches above pipe Ja)ASS I/JJ22 t=om t %Z. inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 if the 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 t.onstruction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Ag Date: 7 -11 Construction Authorization Expiration Date: L- 7, HTE# fb- ° 'S'B1-7 Permit # 2( I t) arnett County Department of "ublic Health Site Sketch C-, v 154 D Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property 1D: On-Site Wastewater Section Lot 0: SOIIJSITTE EVALUATION File for ON-SITE WASTEWATER SYSTEM: Code: Owner Applicant: Address; Date Evaluated: Proposal Facility: 'Aw n,4 DeAp Flow (.1949): 3C, Pmperty Size: Location of Site: , Property Recorded: Water supQ[y liC ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method C3/Auger Boring ❑ Pit Cut Type of Wastnuter 'Sewage ❑ Industrial Process &be&. P R O F SOIL MORPHOLOGY OTHER 1 L .1940 [ d H .1941 PROFILE FACTORa eeapr mi mizm .1941 E Positlod Slops % Depth (fn ) .1941 .1941 St ! Soil 143 .1956 .1944 P4vil1® . ruchtn Consistem Texture Miamla wetneld Color soil Sepro Reetr Clue 1N, Cfut Hods. A LIAR L _Z4e_ L z~c-, 2. G L °~a ZL 5-i- Z~- 6 - Z `J( 5 0 -1; ` Site C1auHcation (.1948k 5 Evaluated B): Others Premt. 0 y z