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IPACHTE# I )i --5-~Q1-1 Harnett County Department of Public Health Improvement Permit 26864 A building permit cannot be issued with only an Improvement Pg~mit PROPERTY LOCATION: ` tN GG ISSUED TO: ~-L CZ.. KCL,4-. NkQ rnES SUBDIVISION 9" n rv3 o ti N; LOT # 40 NEWX REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5VQ (6~ ri3u Proposed Wastewater System Type: CQ5;0/0 Ps. QQSA4 N Projected Daily Flow: C? GPD Number of bedrooms: Number of Occupants: ~O max Basement ❑Yes No Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community `K Public ❑ Well Distance from well C?Q feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: 9-k-N AS Date: Ya 30 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o ttgr permits. The permit holde 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 Improvement 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: ~Jtt-L Ct-q'acfh4. ~\OM6S PROPERTY LOCATION: --T~,r1 t:GN SUBDIVISION `PeM 0 .a~3 Pd', 14r, LOT Facility Type: 5 5:7-0 `(4% "3 'AD ~ New ❑ Expansion ❑ Repair Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes No Type of Wastewater System** `~lo P-E,pv G' ~ o rv Sys ; E W1 (Initial) Wastewater Flow: G GPD (See note below, if applicabl11 . $ 0 +°W-7 ri 9-~.©V e.-N- k Z N\ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size \'ObC) gallons Exact length of each trench ®C7 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C., -)2, inches Maximum Trench Depth of: \1 -Xi-) 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: /understand the system type specired is different from the type speciTed on the application. / accept the speci6catioas of this permit. Owner/Legal Representative Signature: _ This Construction Authorization is subject to revocation Construction Authorization is plat, or the intended use changes. The not and Rules for Sewage Treatment and Disposal and to the conditions of this Date: is a change in ownership of the site. This SEE ATTACHED SITE SKETCH Authorized State Agent: S Date: I V1 Constru ' n Authorization Expiration Date: HTE# \ ~-°5-- '2)-l Permit # '~,A fo too I50, Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 (5b0rJClr, Design Flow (.1949):. Property Size: Location of Site: Property Recorded: Water Supply: bPublic❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method Auer Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY OTHER I 1940 T 19ai L E # Landscape Position/ Slope % L 5 Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy 1942 Soil Wetness/ Color 1943 Soil D th IN. 4 jSapro .1estr 944 oriz rofile Class & LIAR 4 - b . 7,J:5 Af S i 91~ J~ 5G L Fn- 5 L~[ y ~ Description Available Space (A System Type(s) Site LTAR t~ac3cj` 1T~ System Other Factors ( 1946): Site Classification (.1948): 5 Evaluated By: l6 Others Present: _