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IPACHTE# Harnett County Department of Public Health Improvement Permit 2 6 8 6 5 A building permit cannot be issued with only an Improvement Perm PROPERTY LOCATION: qfz' N ISSUED TO: B 11-1- CA -PNa"/' V\cj MC.S SUBDIVISION PPCTTc~ ay5 of nA7 LOT # ~3 NEWWX REPAIR ❑ EINSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S CCJC LA 0 Proposed Wastewater System Type: ZL-%'0/a ee-0UC:Xi.bN S A M Projected Daily Flow: GPD Number of bedrooms: 3 Number of Occupants: c max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: SaJ 3OI 1) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarani es the usuan ther permits. The permit holder is 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 Improveme rmit 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: la:~ o c~ES PROPERTY LOCATION: S f tea GG -4 `RID SUBDIVISION e0s-iNo to s Qo> >,3T LOT # 33 Facility Type: New ❑ Expansion ❑ Repair Basement? El Yes No Basement Fixtures? ❑Yes No Type of Wastewater System** a.,SO/o 9-54ayc--~ o NJ Sy 5-, C ,r (Initial) Wastewater Flow: -C4® GPD (See note below, if applicable :I) 2.~ C, ©N Sys (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 dJQ gallons Exact length of each trench 2~-O o feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 1 % inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: I Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( 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 specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to mucation 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 sub~,ctvto compliance, tt`h rZ i hhe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: nN"'. Date: 1 i Constfhkon Authorization Expiration Date: lD, HTE# 0 -5-x50 U Permit # ab~~ S Harnett County Department of Public Health Site. Sketch PROPERTY LOCATON: I t N ~E~ ISSUED TO: ES SUBDIVISION Pkys e7 as ~'a~ N LOT # 33 Authorized State Agent: t Div ~ic~-tom ,0 Date: t X13 al N \ G v N-f Ef 2,9:, vss' 6-2 C.1 C) Q Co ti 1 eso 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: 3 `v d Pc Design Flow (.1949): S b 0 Property Size: Location of Site: Property Recorded: Water Supply: O Public❑ Individual ❑ Well Evaluation Metho~° 14uger_Bohng ❑ Pit Cut ❑ Spring Type of Wastewater: ~f'~t" °gewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY I L 1940 Landscape Horizon .1941 PROM E Position/ Depth .1941 .1942 .1941 Soil # Slope % (In.) Structure/ Consistence Wetness/ Texture Mineralo Color -34 S li~-R 35)s 0-)a ,K C s ~ ~J'YI Description Initial Repair System 1- e l l e ❑ Other )THER ,E FAC .1943 Soil Other Factors (.1946): Site Classification (.1948): 5 Evaluated By: CrS Others Present: .1956 1944 Profile Sapro Restr Class Class Horiz & LTAR