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IPACHTE# Harnett County Department of Public Health Improvement Permit 2 6 7 2 7 A building permit cannot be issued with only an Improvement Permit \ PROPERTY LOCATION:- C~~p~2 Ess CNavt2 ~ n xD ISSUED TO: ~(7a1~ ost 1"~1 C. SUBDIVISION C.:)PGtiCSS 'Fo~, E LOT # 5 NEW'R REPAIR 0 EYlNSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SC-~J 13 c1 O Proposed Wastewater System Type: ~.5°l o R~O~GS~b N y5r+r Projected Daily Flow: © GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes El No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well feet Permit valid for: Permit conditions: XFive years ❑ No expiration Authorized State Agent:: \ (tXM1%\'S Date: NN Z, 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holder is res onsible 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 Improvem~Ae~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. ISSUED TO: U No2;.0„ ~ti G PROPERTY LOCATION: c- o-65 C- vfuc; SUBDIVISION CiMr-5g o s N j C LOT # Facility Type: 5 F'Q oz `1rx3~/ New ❑ Expansion ❑ Repair Basement? ❑ Yes 'C9, No Basement Fixtures? ❑ Yes No Type of Wastewater System** 2,S°/d 9-E0 vti-,N y sy S y5 C- X\ (Initial) Wastewater Flow: 3~® GPD (See note below, if applicable) P v If,-? QS;&1z9Es~V SIUr~ ~y~T~m (Repair) Installation Requirements/Conditions Numhpr of trpnrhpc 3 Septic Tank Size N o®o gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 7 S feet Trenches shall be installed on contour at a Maximum Trench Depth of. l`'6 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: S 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: I understand the system type specified is different from the type specified on the app/icatiom / accept the speciFcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, p or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This lonstruction Authorization isect o compliance w the pro a La Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: --N~-8- I Construction T orization Expiration Date: 8 ~b HTE # % ) -S L) 1 Permit # -a4-1 -,0 Harnett County Department of iblic Health Site Sketch PROPERTY LOCATON: C--4 Q ct~.~s ~-h vtz C~a, Q•~ ISSUED T0: SUBDIVISION ~~lpCtC 55 o-~ N-N E LOT # 5 Authorized State Agent: Date: u~ 1 Q~~gS ~ J Q n t 6;J F$ ~,,,,br4 - 1 30' D i v .E 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: Proposed Facility: S E-~ScOo N- Design Flow (.1949): 3 6 0 ; Location of Site: Property Recorded: Water Supply: ' a f ublic❑ Individual ❑ Well Evaluation Method uger. onng ❑ Pit ❑ Cut Type of Wastewater: -ETSewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # 1940 Landscape Position/ Slope % orizon Depth (In.) OIL MORPHOLOGY .1941 1941 .1941 Structure/ Consistence Texture Mineralo THER PROFILE FACT .1942 Soil 1943 Wetness/ Soil Color D th IN. RS .1956 Sapro Class Class ofile .1944 Restr estr Class Q.,- S7 L } \i i2 ~v5 ( ~ Horiz & LTAR --3( y- Z e,~ Z- &36 5 sc~~ i:Zt 5:5) 1 G ~ L -7 1 Description Initial S st Repair System Other Factors (.1946): Site Classification (.1948): 0 Available Space .1945) Evaluated B C S stem T e(s) 2 S v y: Oth P Site LTAR . ~ ers resent: