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IPACHTE# 1 I Harnett County Department of Public Health Improvement Permit 26861 A building permit cannot be issued with only annIImProvement Permit PROPERTY LOCATION: -aE2L)l 4 E-_ R ISSUED TO: N"(,r SUBDIVISION '1" r-- S>,i vNm \ i LOT # 5G NEWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 9T-: fl ( 51 A L-cl~_ Proposed Wastewater System Type: (Z.0 r4 ~lC~r~fi t QJ N ~.L Projected Daily Flow: 3b d GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo 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 t OC) feet Permit valid for Five years Permit conditions: ' ❑ No expiration Authorized State Agent::"~ Date: \-zi.e Za..I 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o permits. The permit holders 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 Pe it 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 T0: ~`►~~~cnA2`~- l1kllkl__15 lP-3 PROPERTY LOCATION: rcn~E -`uL QtD SUBDIVISION Tt r-- S y tr 1 LOT # 54 Facility Type: xt's 7 J e New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No Type of Wastewater System** r•,`~~'S 'v kL- (Initial) Wastewater Flow: 3Cd GPD (See note below, if applicable C. rv-t Erb Q N Al- (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size t qj ®a gallons Exact length of each trench t ro feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: I-L-N 3L 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: aT inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe Q L 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: 1 understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Sign Date: This Construction Authorization is subject to revocation if t Ian, at, 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 si compliance wit~uroo and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Construction orization Expiration Date: _ HTE# Permit # D g~~ I Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: `)t~SEtZL)~NG ~7 ISSUED TO: \4 At G t~4G SUBDIVISION -TIA6 S Qmm tN LOT # 51Z_ Authorized State Agent ~-C-H z ~E2 ~Ot- Date: S°J- SLl°1 / r 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 g ~ WQt- S Design Flow (.1949): 3(-0 Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Cut Type of Wastewater: 8 Sewage ❑ 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 Position/ Depth .1942 1941 .1941 Soil # Slope % (In.) Structure/ Consistence Wetness/ 1943 1956 S il .1944 Profile LS Texture Mineralo Color o Sapro D th IN. Class Restr Class Horiz & LT A R C_ ~ (g . ~S Description Initial Rep it System Other Factors (.1946): S ste Site Classification (.1948): S Available Space .1945) S Evaluated By: ci-~ 7 ystem T e(s) _ Site LTAR Cc/ , cf, Others Present: f3 M