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IPACHTE# Harnett County Department of Public Health Improvement Permit 2 6 7 4 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED T0: Cv,M Pa~fL` p~,t fl ®MG~ 1N1, SUBDIVISION ~Xs1aC--FoC1..~ LOT # a6 NEW X REPAIR ❑ E#QANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `S CFO ('56 n S~ / Proposed Wastewater System Type: Q U memo o ouCsCl O d Projected Daily Flow: y$© GPD Number of bedrooms: H Number of Occupants: 100 max Basement ❑Yes ANo Pump Required.. Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well l®~ feet Permit valid for: Five years Permit conditions: - ❑ No expiration Authorized State Agent:: Date: I 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health apartment in no way guarantees the issuance h r permits. The permit holder is resp nsible 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 t 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: C.v m~es-z' L9.Ns0 OCt.~s eNc PROPERTY LOCATION: P\ SUBDIVISION O ~z..f] LOT # Facility Type: Sip SCI~ X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** 'Pucr4~~ Q~S °lo ~Cs~vc s ~u „4 Sys ~S (Initial) Wastewater Flow: GPD (See note below, if applicable ~ v~ 7o IM 9,G2l, uC~ So~ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 10bZ) gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size N0(!)6 gallons Trenches shall be installed on contour at a Soil Cover: poi inches Maximum Trench Depth of: 36 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 Aggregate Depth: inches above pipe Conditions: 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 speciped is different from the type speciped on the application. l accept the speciTcations of this permit. Owner/Legal Representative Signa Date: This Construction Authorization is subject to revocation if t e pla , lat, 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 ompliance wi he ns h ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: NS Date: Co tru Authorization Expiration Date: 1-4611c HTE# 11 1 Permit # ac:)14y Harnett County Department of Pablic Health Site Sketch PROPERTY LOCATON: n RZ~S k~ ISSUED T0: v LA ~acc s~~tC. SUBDIVISION NsNaer ZzLK~ LOT # Authorized State Agent: R.E))s oi-) t5~- `ToZx---,Date: ta~ C, 1\ 1/ Department of Environment; Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow (.1949): Property Size: Location of Site: Property Recorded: Water Supply: X ublic❑ Individual ❑ Well El S rin p g ❑ Other Evaluation Method Au g ng F1 pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY OTHER I 1940 . .1941 PROFILE FACTORS L Landscape Horizon .1942 E Position/ Depth 1941 .1941 Soil # Slope % (In.) Structure/ Consistence Wetness/ .1943 .1956 .1944 Profile Texture Mineralo Color Soil Sa ro D th IN. Cl Restr Class ass Horiz & LTAR 4;9 r .C S~ L's Q G u~~ rs5P 5 l V Description Initial Rep it System Other Factors (.1946): S em Site Classification (.1948): f..5 Available Space .1945) Evaluated Bytg'( System T e(s) P U Site LTAR Others Present: