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IPACHTE#� — 5"Ll d(��� Harnett County Department of Public Health 29807 Improvement A building permit cannot be issued with only an Improvement Permit (� GQ£6,6L� �p �� V PROPERTY LOCATION: ISSUED T0: P2o�P L -cc G vC( G\ p SUBDIVISION F¢�N u21�NceloW LOT # 5 NEW REPAIR ❑ E%PAGISIpN ❑ Slte Improvements required prior to Construction Authorjzation Issuance: Type of Structure: M 0 (:6 � 0J Proposed Wastewater System Type: � Sa�4 $ ,Cov c s o as 5 -?=�%,j,, Projected Daily Flow: 3 6 © GPD Number of bedrooms:Number of Occupants: B max Basement Dyes �, No Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public X Well Distance from well 100 feet Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent: Date: h The iguana of this permit by the Health Department in no wayP 9 SEE ATTACHED SITE SKETCH site is subject to revocation if he site plan, plat. or he intended use changes. The improvementPermithall note be [affected byrashangee nnOwnershiip of he appropriate this ePermimlisgubject to compliancbodies in meeting ehewith ir etherprovisions of the laws and Rules for Sewage treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Per „mit) The construction attached and installation requirements of Rules .1950, .1957, .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 atnhed system layout ISSUED T0: G 2EE„Ag7 LAD i�ovsr•o G PROPERTY LOCATION: _?ansgE� G��a cti Q.D SUBDIVISION ja v S 2L)> 6 aN LOT # 5 Facility Type: Moa 1 C x3 '� New ❑ Expansion ❑ Repair Basement? ❑ Yes ' No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 8.S7,, V ejC .pcX� ogv Syg�GM (Initial) Wastewater '&!;75 (See note below, if applicable EI)er Flow:_ GPD Js V C, 'i, i:) Sy3 (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size s o po gallons _ Exact length of each trench r -t O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: v% inches (Trench bottoms shall be level to +/_I/4" in all directions) Pump Requirements:h. TOM vs. _ GPM Conditions: Trench Spacing: `l feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OR 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 spealed 75r dfKerent from the type speciled on the app/irarion. / accept the fpecilradonr of t& permit. Owner/Legal Representative Signature: Date: this ronson Authorization Auction 'o cm revliar on if the site plan, plat, or the intended use changes, the construction Authoration shall not be transferred when there is a change in ownership of the site. This Construction Auhorieation is subject m complian the pre ons of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: _ Date: 0 u inn Authorization Expiration Date: HTE# 7 _ 5 - 1 -Fa a Permit # ah$D7 Harnett County Department of 1'liblic Health Site .'ketch ISSUED TO: �p PROPERTY LOCATON: Q2osee G 2U J -s C. SUBDIVISION Fa6o - c,2Lr b) ON /� LOT # S Authorized State Agent: wo l9L oLks�pny Date: LA Sq,s, Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On -Site Wastewater Section Property ID: Lot #: SORAITE EVALOATION File #: for ONSITE WASTEWATER SYSCode: TEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 Q QeL , Design Flow (.1949): 3'1S 0 i Location of Site: proP�Y Record Prop' Size: Water Supply: [] Public[] Individual Well Evaluation Methodd AugerBoring [] Spring Type of Wastewater. [] pit ❑ Cut Sewage ❑ Industrial Process ���✓✓✓ dEl mixed [] Other R O F 1 SOH. MORPHOLOGY L .1940 landscape Horizon .1941 OTHER PROFHBFACTORS E Positiod Depth.1941 .1942 # Slope % (In.) Structre' ConsistenceWetaesy soil .1943 .1956 .1944 Profile Texture Mmaab Color Soil SWO Rest Class I Ly IN. Class Honz & LTA o -VU IG s � Ci ti� _s..__,,,. _. C Site Classification (.1948): Evaluated By: t.. Others Present: PS 35