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IPACHTE# 10 -S-'c) -710 Harnett Lou ty Department of Public HealLn Improvement Permit 2 6 2 0 9 A building permit cannot be issued with only an Improvement Permit t \ PROPERTY LOCATION: \.,4 ~Zl'113 ISSUED TO: (-1 T4 C-0'35--<Q> JC"'T- 7 N SUBDIVISION 1 , N cr-- ,s Po N N-~-E LOT # 10r. NEW X REPAIR ❑ XPANSION ❑ Site Improvements required prior to C struction Authorization Issuance: Type of Structure: (GO 1-1P N~ C~.EP,tt ~QO~~,~ jF~,p t 1~ CA ~5 \ ,Q1C A _D Proposed Wastewater System Type: PQ +~P a ~~"In ~~vGT~a t-~ Projected Daily Flow: 34, O GPD op os bt_. C.E 1.JQ c.~r~ \ ~Ea r~ ~C2~b. Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required~fes ❑ No ❑ May be required based on (final location and elevations of facilities Type of Water Supply: ❑ Community "tR~ Public ❑ Well Distance from well ~0 0 feet Permit valid for: )5~ Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: -7 -x\ \V SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit holds is re ponsible 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 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: W y N t., CD tvs~2v C-,'Z ();NJ PROPERTY LOCATION: r 1 ~tJ SUBDIVISIONS ~E~ poi y~ E LOT # lb~ Facility Type: S~pCCCO ~50~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Q V r'NQ'o QU cg!:~ \ 0 y (Initial) Wastewater Flow: GPD (See note below, if applicable g UMF7~ 2~s"jo ~o u v~ z 0 W (Repair) Installation Requirements/Conditions Number of trenches U, Septic Tank Size L C P q gallons Exact length of each trench 6 0 feet Trench Spacing: Feet on Center Pump Tank Size tin©© gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: ti-1~1- 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: n \ G(ZA"Y~. Q!) "J ~ PoSWit....' r-•N<~ e~-`C~ S Ls inches total WATER LINES (INCLUDING IRRIGATION) MUST RE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If ap, Rah / understand the system type specified is different from the type speci>ed on the app/icatian. /accept the rpecificationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocaion if the site p lat, 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 su~je\2t~,mpliance with r f and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Construction Authorization Expiration Date: _ HTE# Permit # ~6afl°~ Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: -v4 ISSUED TO: /~r+ C01-v5r N SUBDIVISION 1~~66nr 96im-LOT # t0 C R6C:W5 ~►,rE~'to~ Date: 'f 11 T Authorized State Agent: Z§19~ 60,>, s0- 100 / 4a0 ---3. G o z~ C.T Department of EwAronment, ' -vlth and Natural Resources Division of Environmental Ht.-,b On-Site Wastewater Section SOILJSITZ EVALUATION for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: Proposed Facility: 3 ac~ac Design Flow (.1949): Location of Sits Property Recorded: Sheet: Property ID: Lot l!: File t1: Code: Property Size: Watet Supply; Public ❑ Individual ❑ Well Spring Evaluation Method: Auger Boring ❑ Pit cut Type of Wastewater. Sewage ❑ industrial Process 0 Mixed. ❑ Other P R O P [ 1940 OIL NORPHOLOOY .1941 THER PROFli.6 FACTOR, L 9 LxWW=po Positiew 31gm % Harim Depth (IM) .1941 Struchww Texture .1941 Conlidetwo mbM10 .1943 soil wem aal Color .043 sod DiVA IN. .1956 Sapro Clap .1944 Re* Hons. PMmi clue A LIAR Urn ••amalF+as AU11 Rap* sy stem Other' Factors (.19M Site Claui$cadon (.1948X AvaiLblo s Ica 1941 Evaluated By: 4' I v.~p as & Others Proxnt: ~ Site LTAR z 4 o- j. "