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IPACHTE# Harnett County Department of Public Health Improvement Permit 26857 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: R- ISSUED T0: 1J ~y ca u ~v CJ G-C~.S SUBDIVISION LOT # a 1 NEW REPAIR ❑ PANSION ❑ Type of Structure: 5yU Q% 5 Proposed Wastewater System Type: t~S°Lv lpsC~ vCS, dz\1 ~y s~G try Projected Daily Flow: 4-6 O GPD Number of bedrooms: N--)~ Number of Occupants: max Basement ❑Yes ~KNo Site Improvements required prior to Construction Authorization Issuance: 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 VO ® feet Permit valid for: Five years Permit conditions: c1- ❑ No expiration Authorized State Agent:: Date: 1 N S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of of ermitr. The permit holder is respa uible 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 Per i 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: Lt a v ai, F-5 Q v,i~;o 6a~~ PROPERTY LOCATION: L s~» Ca ~n SUBDIVISION LOT # 2 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'N No Basement Fixtures? ❑ Yes '~R No Type of Wastewater System" ~eSJV C;) gi N S`1 s s ~K, (Initial) Wastewater Flow: Lf? G GPD (See note below, if applicable r ~-0f o P-GZ'Q 4~(Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size IQ 0 G gallons Exact length of each trench Lft©o feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 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: r1 N M v Tf~ ot-- Q'D oz N 62 N ELC~ Oy CCI- ptzsa~~ Cti~ 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: l 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 subject to ion if the sit Ian, 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 sti~ to compliance th ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: lad) 4 l Constr 'on Authorization Expiration Date: 1 HTE# t1-TD - -.)1 ",-l ) Permit # `I(- arnett County Department of Public Health Site Sketch ISSUED TO: Authorized State Agent: `33'} PROPERTY LOCATON: SUBDIVISION LOT # l SVLyL ~~J6' Date: Department of Environment; Health and Natural Reso urces Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WA S Code: TEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: \ Proposed Facility: L)g6~td~r.s Design Flow(. 1949):ti3'i0 pd Location of Site: 'P Property Size: Property Recorded: Water Supply: ")ZPublic❑ Individual ❑ Well 0 Spring Evaluation Method Auger Boring El Pit ❑ Cut Type of Wastewater: /Sewage ❑ Industrial Process ❑ Mixed P 'R O F SOIL MORPHOLOGY I .1940 .1941 L Landscape Horizon PROF oil E Position/ Depth .1941 1 1941 Soil # Slope % (In, Structure/ Consistence Wetness/ Texture Mineralo Color I 2 ~o o~lo G 1_s Yr~1.~►~ a~ ` ssu c- ~ ~ 5 5P lea, ~ 0~ ~ 3 O G 14 N5) SP ~~~2 ~~a~ a4 i✓s v~~\NP 5 0 ~ G z+s vF2 C_ rninat epair System Othe r Factors (.1946): s m Site Classification (.1948): .1945) w Evaluated By; 4Type(s Others Present: ❑ Other OTHER LE FAC .1943 Soil .1956 .1944 Prn>Yle 5apro Restr Class Class Horiz & LTAR US Uf 1° 5 P?