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IPAC RHTE# 31 ~~=~~-►-~~~L Harnett County Department of Public Health Improvement Permit 26729 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: &)Q QS 11 ~J ISSUED T0: SUBDIVISION \r.Itr..~ LOT # NEW. REPAIR ❑ Ei NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S err L 1 Proposed Wastewater System Type: 2~ /o ~y G~~O N J~;~>r Projected Daily Flow: 3~ Q GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well C 0 ® feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Y~~1S Date: S 1 ri1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanc !er 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 Improvemen it 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: t'`N *ay c~~ cwt PROPERTY LOCATION: g'9QScPS ~l z SUBDIVISION \,-IE1-V LOT # Facility Type: 5 W Csv~"~~~~ -X, New ❑ Expansion ❑ Repair Basement? ❑ Yes -Z9, No Basement Fixtures? ❑ Yes X No Type of Wastewater System** Q- 7a 9-r-ov r,-;~, u 'Z) y 5 S Et n (Initial) Wastewater Flow: '5(,0 GPD (See note below, if applicable fo Q-~OUC ~o N S~S-t S(1 (Repair) Installation Requirements/Conditions Number of trenches Ql~- Septic Tank Size L©®Q gallons Exact length of each trench -75 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 3G -c inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 1 Feet on Center Soil Cover: DJ4 -1-d~, inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe 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: /under fond the system type specified is different from the type specified on the application. / accept the specifIcations of this permit. Owner/Legal Represents be Signature: Date: This Construction Authorization is subject to ation if th ite 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 subjerto compli1Pk1 it rovisi f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 945)1~ Date: S Authorization Expiration Date: HTE# Permit # ~~-Ia Harnett County Department of 11-tblic Health Site Sketch ISSUED TO: Authorized State Agent: a e -1,3d PROPERTY LOCATION: 12:~-)QJQ VID _ SUBDIVISION \dEa-c~ LOT 5~o~>v~cnYSOOSt~ Date: 11_ T 'v {ZEPA~cZ P~QL~+ ~ ~~$Z~ 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 ~ QZ Cr 5 Design Flow (.1949): X60 Location of Site: Property Recorded:' Water Supply: ublic❑ Individual ❑ Well Evaluation Method;'Auger B ring ❑ Pit ❑ Cut Type of Wastewater: ,Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other r R 0 F I L 940 Landsca e H i OIL MORPHOLOGY .1941 THER PROFILE FACTORS E # 1 p Position/ Slope % S cr-a',~ or zon Depth (In.) °L~ 1941 Structure/ Texture G z .1941 Consistence Mineralogy .1942 Soil Was/ Color .1943 Soil De th (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR Description Initial Repair System Other Factors (.1946): S ste Site Classification (.1948): Available Space (.1945) Evaluated B System T e(s) S y' Others Present: Site LTAR 6 2