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IPACHTE# &-S---2-22J s Harnett County Department of Public Health Improvement Permit 26772 A building permit cannot be issued with only an Improvemen Permit " PROPERTY LOCATION: c,, ISSUED TO. ( t ✓t a rt f P , -s- SUBDIVISION C cj o - LOT # 9. NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authori zation Issuance: Type of Structure: .S 'r) t oo & b U Proposed Wastewater System Type: . -),d'- 7,> >2e ~ v . og r4" Projected Daily flow: 360 GPD Number of bedrooms: 3 Number of Occupants: L max Basement ❑Yes No Pump Required: ❑Yes ❑ No required based on final location and elevations of facilities RIM Type of Water Supply: ❑ Community f Public ❑ Well Distance from well feet Permit valid for: ?Public + Five years Permit conditions: ❑ No expiration Authorized State Agent:: 'A~~ Date: /l //J- /z°!/ SEE ATTACHED SITE SKETCH The issuance of this permit by a 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. p ISSUED TO: y~ Y4 A C ~ ~ Try e ~ PROPERTY LOCATION: ~ w- ~ ~ SUBDIVISION C o c~ ~~r + ^ LOT Facility Type: ~FD 0 New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** o~. Jtii r~~^- (Initial) Wastewater Flow: GPD (See note below, if applicable ~2 ro &'s, c~'•~n (Repair) Installation Requirements/Conditions Number of trenches o2 Septic Tank Size /000 gallons Exact length of each trench -7,S- feet Pump Tank Size /Go 0 gallons Trenches shall be installed on contour at a Maximum Trench Depth of. /6 -5`6 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: _ c b 0 c) Trench Spacing: Feet on Center Soil Cover: 8 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: /understand the system type specified is different from the type specified on the application. / accept the specircations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiect 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 com ' ce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agen • / `a /W Date: /l /S'~ a !l Construction Authorization Expiration Date: / 15"' z°/ - b,,-- ^!z,:, , i~a e ti,e c( G~- tr v a'0 ,N ° C [ 6 ~Z. 141 -%l c:A HTE# 11-,5--2-7'71 Permit # a~-`7 -7.2- Harnett County ]Department of Public Health Site Sketch Jt PROPERTY LOCATON: /M ISSUED TO: y co-y 4rv C T'° urn SUBDIVISION C cjo pQr- ~car,'~s T LOT # l 9 Authorized State Agent: eL- .~~~lff Date: %//1/J--a d l r ji- t39 ra-v 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: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: F=h ❑ Individual Well Evaluation Method: Auger ❑ Pit Cut Type of Wastewater: ge ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R - O F SOIL MORPHOLOGY I .1940 .1941 P L Landscape Horizon .1942 E Position/ Depth 1941 .1941 Soil # Slope % (In.) Structurel Consistence Wetness/ Texture Mineralo Color THER ROFILE FACTORS .1943 1956 Soil .1944 Profile Sapro Restr Class D th IN. Class ~ Horiz & LTAR f ~dVl G- mar/ V'~G°4 ~CJ - L G- V P7AIJ W f _R ~k (r~l f, ff)-f G `1 ~~G r vk,,AJ Description Initial Repair System Other Factors (.1946): Available Space .1945) System Site Classification (.1948): I T System T e(s) Evaluated By' . ',~M- Site LTAR r, Others Present: