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IPACHTE# CHarnett County Department of Public Health Improvement Permit 2 6 3 9 5 A building permit cannot be issued with only an Improvement Permit _ PROPERTY LOCATION: ISSUED TO: t~'v~ ~~-~r t-ti Ate} > -02 SUBDIVISION "'r~a-t 02 LOT # NE4P~, REPAIR ❑ EXPANSI~ ❑ Type of Structure: flv P 4 C:~ (3~ Proposed Wastewater System Ty e: Co cv -,r Q- ,-S7 \Q N p. L Projected Daily Flow: s 't O GPD Number of bedrooms: LA Number of Occupants: max Basement ❑Yes No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well 1 O J feet Permit conditions: Permit valid for: Five years ❑ No expiration Authorized State Agent:: -'41~+~- Date: 1LA Ill 1 \ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan of permits. The permit holder is r sponsible 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 Improvement rmit 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. 4 ISSUED T0: PROPERTY LOCATION: SUBDIVISION 7 ++y wct _ LOT # / Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? LJ Pes ❑ No Type of Wastewater System" Q. +,r-4 Q,S `b fy f~L_ (Initial) Wastewater Flow: Lt`3 U GPD (See note below, if applicable C O s~- .r 6t-4 ~N 0 N N L (Repair) Installation Requirements/Conditions Number of trenches L-k Septic Tank Size t-® O 1~ gallons Exact length of each trench t O © feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: N inches Maximum Trench Depth of: a~ 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 Q, inches below pipe Aggregate Depth: inches above pipe Conditions: 1 f;L- 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 specifed is different from the type speciped on the application. / accept the specipcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to rev tion 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 Construction Authorization is sQbject to compliance with the " ns of~aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH 1 Authorized State Agent: Date: IN Constru Authorization Expiration Date: HTE# Permit #3 Harnett County epartnlent of 11Vblic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: Q4 SUBDIVISION oCZ LOT # 2- Date: Department of Environment. Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITR EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Ap Address: Proposed Facility: Locat iod of site: Water Suppl; Evaluation Method: Type of Wastewater. plicant: Date Evaluated: Design Flow (.1949): AYC Property Recorded: Public ❑ Individual ❑ Well ❑ Auger Boring ~O Pit Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other cut mixed P R O F SOIL MORPHOtDOY OTHER 1 L .1940 L W .1941 PROFILE FACTOR3 = B apo Harizm .1941 E 4 Posidad slvp~ % Depth (1n) .1941 d sm h .1941 gall .1043 .1946 .1941 hoN® w v Texmm CorWdmo M tne 1e ff Wdn"d Color soil sq" ' Re* CtaM NehIN-2- CIA= Hods. dt LTAE \ _ 7 CY~E7 S~aK L "i~L, Vvl% r 55-1~ C- V? S ~Q• QS F O_~` Sa L' 1T.S` WSJ t1-l-x ~J1~'` G s V~r 1(- C Tr), S J O r S L VIRz s~)sv~' -3 Descripdon WW Ropa*k 5yetem Other Factors 1946k Aviila6b 8 qa .1945 V Ste Classification (.1948X K Eval ated B): sR• LTAR _ Others Present: s