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IPACHTE# /f -s =a?7 Harnett County Department of Public Health Improvement Permit 26766 A building permit cannot be issued with only an Improvement Permit tt / t/ PROPERTY LOCATION: C c l!= ~1',2c1- ISSUED I.0. 14l fie rt Cly4c ^ GOJ''t rV C-4"•oj.. SUBDIVISION C -11:,1-r LOT # NEW Crd• REPAIR ❑ _ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: F S t X 7,' Proposed Wastewater System Type: rr <-/L V'-' A : o,.c 4 Projected Daily Flow: GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes -F-No R( Ma Required: ❑Yes ❑ No ©Ma be required based on final location and elevations of facilities Type of Water Supply: ❑ Community I✓~ Public ❑ Well Distance from well feet Permit valid for e Five years Permit conditions: ❑ No expiration Authorized State Agent:: Z le a Date: ~ ~ ;z, ` a o it SEE ATTACHED SITE SKETCH The issuance of this permit by t Health 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 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, .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. Cr4 ISSUED TO zg/ c : r s C r~ PROPERTY LOCATION 1 lecl ~ ~ : Q-1 c C pk e ' ceL cr : ~ - 0 ' / SUBDIVISION C LOT # F. Facility Type: ~S © New ❑ Expansion ❑ Repair Basement? ❑ Yes W'~ No Basement Fixtures? ❑ Y s ❑ No Type of Wastewater System** t!e n = (Initial) Wastewater Flow: 3 GPD (See note below, if applicable oZ S eQe~Q,, c~: oh. S._t`fl~- (Repair) Installation Requirements/Conditions Number of trenches 15- Septic Tank Size /000 gallons Exact length of each trench 80 feet Trench Spacing: % Feet on Center Pump Tank Size g allons Trenches shall be installed on contour at a Soil (over: 6 inches Maximum Trench Depth of: /8 -20 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: ~Z, inches above pipe Conditions: 151-1 3fl iv L" 4:` N. fn4 f ~,k r" nn s ~y v A4 e.cr- ct r`r ire ~c.Y ! 12- inches total ✓rU'rF 6e cl-vc a W' W,;-"A_ ~ve~•!?~ /JE De. -F-I a--V4g4 02 WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. O 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 Construction 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 AI (ACHED SITE SKETCH Authorized State Agent /C/(f. Date: p t, /I Construction Authorization Expiration Date: o 016 Z-11(1' HTE# Z777;-a- Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 11 s v,,.I ISSUED T0: SUBDIVISION CCWj "t J' LOT # -14 Authorized State Agent: Date: Department of Environment; Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: / Address: Date Evaluated: /0 (4S z` Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: Auger Boping ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R 0 F I L 940 Landsca e OIL MORPHOLOGY 1941 i H THER PROFILE FACT RS E # p Position/ Slope % or zon Depth .1941 (In.) Structure) Texture .1941 Consistence Mineralo .1942 Soil Wetness/ Color 1943 Soil D th IN. jSapro 6 s .1944 Profile Restr Class Horiz & LTAR ! ~(z~'AIV V Ji~ G O f/ K t' rri Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948): "e Available Space .1945) Evaluated B : S stem T 04-i TAD e(s) C q If o y ~ Others Present: