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IPACHTE# \~--5-ail)-1S1 Harnett County Department of Public Health Improvement Permit 26746 A building permit cannot be issued with only an Impro ment Permit PROPERTY LOCATION: 'M, 000Ag.0 ISSUED TO: `4'irt N Co ~2V C-C\ 0 N \N G SUBDIVISION 5u ennEct" iu LOT # NEWXI REPAI~ ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Co•.t,tF- r15e13 r1A1.. Projected Daily Flow: 3(6 a GPD Number of bedrooms: 2) Number of Occupants: max Basement ❑Yes No Pump Required: ❑Y s No ❑ May be required based on final location and elevations of facilities Type of Water Supply: unity public ❑ Well Distance from well 1(' )O feet Permit valid for: Five years Permit conditions: ❑ o expiration Authorized State Agent:: v-)IIS Date: 0-I -11) l SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Departmen in no way guaranteeNTheye.ent her permits. The permit holder is r ponsible 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 chanPermit 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 oConstruction 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: coNs-s2vC,5Nc) 1N C, PROPERTY LOCATION: N~c~®v6r~zo SUBDIVISION Sv m m -1~1 )-L.. LOT # _ Facility Type: X/New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System" C-4 NvE~t;~ C1 ter ~1~ (Initial) Wastewater Flow: 340 GPD (See note below, if applicable L-EJrv~/EsS ~ a N'K I- (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1 0r5 o gallons Exact length of each trench l~0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: !'4 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: a inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specilcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is suble vocation if the site an, 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 Z compliarne,,~it ' lions` a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: S Authorization Expiration Date: \ --I HTE# i ti-S=~~D ~ S~ Permit # Harnett County Department of Public Health Site Sketch ISSUED TO: ~1 i ~ Authorized State Agent: V, U~)0,3p~D V6 3~x1 PROPERTY LOCATON: C.,b o U G ALp _SUBDIVISION S,>r.(ngl:\),,I-.L LOT# P~~S~~L ~o~Y cat Date: 0-~ 1111 d Nje, L-EA F 0Zi Y E 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: 6 C D 2 ~G Design Flow (.1949): 3 6 0 Location of Site: Property Recorded: Water Supply: \QPublic❑ Individual [3 Well Evaluation Methodj:]1*;A%ger Boring ❑ Pit ❑ Cut Type of Wastewater: ❑1Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon 1941 PROFILE FACTORS E # Positions Slope % Depth (in.) .1941 SWcture/ .1941 Consistence .1942 Soil 1943 1956 Wetn / .1944 profile Texture Mineralo ess Soil Sapro Color D th IN. Class Restr Class Horiz & LIAR 1~3~ S jk c 5l~g 1t7lgL~~~1 PS Description Initial Repair System Other Factors {.1946): S stem Site Classification (.1948)P S Available Space .1945) S stem T s) n Evaluated B Site LIAR , Others Present: : ~