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IPACHTE# Harnett County Department of Public Health Improvement Permit 26741 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 0Z ISSUED TO: fN(14 P~~11 4ac{,Q~N SUBDIVISION NtcNBE{L l-&E LOT # NEWX REPAIR C~ EKP~INSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: M D `~G n2_ Proposed Wastewater System Type: v 1 `Z4, vc-s,o~t Projected Daily Flow: GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required:'Oes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees the~ alto site is subject to revocation if the site plan, plat, or the intended use changes. The Imp? the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. 5 Date: ~d 3 CO` l 0 SEE ATTACHED SITE SKETCH other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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: N(L-i R1 t2-N t a P~ ~N PROPERTY LOCATION: SUBDIVISION N-r\e,Ftz- l_e.e LOT # ~2 Facility Type: V~0(`3 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes N~ No Type of Wastewater System** P v Pia 2- V REOU a rs 5's ~sr (Initial) Wastewater Flow: ~Co GPD (See note below, if applicable) _ p PUf-%e (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 10 S, n gallons Exact length of each trench ® feet Trench Spacing: _ Feet on Center Pump Tank Size }-®©o gallons Trenches shall be installed on contour at a Soil Cover: 6 inches Maximum Trench Depth of: 1 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" MAX'. 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: Mters C~v.j V0,2- Vt NP,L.. 0TS' . 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. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is su ' 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 subje ~ compliani'~o Lsion t~t~ie Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ' IQ Date: 3 0 1 1 114, ruction Authorization Expiration Date: 3 q HTE # e 1- 5 ` X13 Permit # ar. -I 'i 1 Harnett (county Department of Public Health Site Sketch PROPERTY LOCATON: L pG(a "Ea- VID ISSUED TO: Gc t S1-l 1-Cac~ sJ SUBDIVISION i ~cnC?~rcf2. 1-~t LOT # Authorized State Agent: R~~s ~o t~SVflt't°o~Y-~OtL Date: 1 >T3 0~ ) 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: °3 e, C= Design Flow (.1949): 3 (0 Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method.,q Auger B ring ❑ pit ❑ Cut Type of Wastewater: i Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon .1941 PROFILE FACTORS 1942 E # Position/ Slope % Depth (In.) 1941 Structure! .1941 Consistence . Soil .1943 .1956 Wetness/ Soil .1944 Profile Texture Mineralogy Sapro Color D th IN. Class lass Restr Hori riz Class & LTAR L.5 3 01..73 c7z~v 36 SS'- -56 Z P2 3, 51 j 3a' 5 S 3 P 4-5 . -0D( X 4` [Z. 5 ISP 0 Es t Ivs~r~~ l' 5C' ~2 ss)rJP i( 12 3~'' Description Initial Re air System Other Factors (.1946): S st m Site Classification (.1948): Available S ace .1945) S stem T S) Evaluated By: C7S c.r,.rTeu Co Others Present: