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IPACHTE#--Z.1 - 5--- ?8 68 Harnett County Department of Public Health Improvement Permit 26781 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: V~) r ISSUED TO- vet n Q'Q 45- ~ruc . Ova SUBDIVISION ! 1-+- W-f LOT # t NEW REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sr 0 60 0 Proposed Wastewater System Type: P~~` ~~.~c •'cwrytf~~ Projected Daily Flow: GPD Number of bedrooms: a Number of Occupants: max Basement ❑Yes o Pump Required: L~'es ❑ No ❑ a be required based on final location and elevations of facilities Type of Water Supply: El Community MPublic ❑ Well Distance from well feet Permit valid for: 0-Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~ - flwcs• , ,er'!f/ Date: 111g=2 1"Z-0/1 SEE ATTACHED SITE SKETCH The issuance of this permit by a ealth 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, .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: k-Q VMA C.onS~tru~~`PROPERTY LOCATION: © crf ~~1• SUBDIVISION i r~ 1-+-J.l 4: c~ g Z LOT # Facility Type: -S-F3 Qr New ❑ Expansion ❑ Repair Basement? ❑ Yes Cdr No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** o Z-5--/c ,Qec( Ell, (Initial) Wastewater Flow: y 6 b GPD (See note below, if applicable E",q ' (Repair) Installation Requirements/Conditions Number of trenches a. Septic Tank Size /©6 d gallons Exact length of each trench 80 feet Trench Spacing: _ Feet on Center Pump Tank Size t 013 0 gallons Trenches shall be installed on contour at a R,-- Soil Cover: G ° l2_ inches Maximum Trench Depth of: /8 ° 3° 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 onditions.. S+,C<}" C EtiJ-Lo , 5 ~~~J c4o I ,,.-y Aggregate Depth: inches above pipe r~ieec~ inches total j ~FArooer P l( co,rtb,- c~cllfev,4 ~ c1• de,O 0,o,;.4,,'-.p d Dj-~,o 1,.I'dl ,4,,-~-kR ceded WATER LINES (INCLUDING IRRIGATION' MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type specified on the application. l accept the speciflcations 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 ATTACHED SITE SKETCH Authorized State Agent: W rlff Date: /l e2 ~Ql( Construction Authorization Expiration Date: a~ -,-,o/(-- HTE# l/-J-- A7 8l 8 Permit # Rb'l 8 l Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 0 aG-f ISSUED T0: ~vn•~ ~~~s-~r~~~ SUBDIVISION % -az4,,.r X'cdl LOT # Authorized State Agent: mac /eC /ff Date: ///-Z 2 .21/~ iyf, r ~ yz Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot File Code: Owner: Applicant: Address: Date Evaluated: °~,/mil Proposed Facility: Design Flow (.I9 9Property Size: Location of Site: Property Recorded: Water Supply: LJ Public❑ Individual ❑ Well ❑ Spring Evaluation MethodQ_`Auger Bing ❑ pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY 1 .1940 .1941 PRO] L Landscape Horizon .1942 E Position/ Depth .1941 .1941 Soil # Slope % (In ) Structure/ Texture Consistence Wetness/ Mineralo Color (3 - ~~C--/Z-J- I vv'~" lZ ~"2 • yo L -1 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): ~f Available Space .1945) Evaluated By: System Ty e(s) Others Present: Site LTAR < ❑ Other OTHER LE FACTORS .1943 .1956 .1944 Profile Soil Sapro Restr Class th IN. Class Horiz & LTAR ,6