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IPAC RRHTE#01%-5-fg3`A7 as Harnett County Department of Public Health - s I ) 9'6 (ZQ Improvement Permit 2 6 3 5 7 c~`a - s- t c13rt°1 QS 1- A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: w W ISSUED TO: nn A~"N 0 'J SUBDIVISION LOT # 3 NEW;, REPAIR ❑ EXPANSION ❑ l Type of Structure: Q9y cA--,2f~ S3u ti LOt - 6 5 Proposed Wastewater System Type: Pu mP7 c) Gosvy6 Nei T 49%L- Projected Daily Flow: 11 ~S GPD Number of bedrooms: - Number of Occupants: S max Basement ❑Yes XNo 801 io14G 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: F-1 Community Public El Well Distance from well I ®O feet Permit valid for:J five years Permit conditions: ❑ No expiration Authorized State Agent:: \ti\ Q~~S Date: t , SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is res onsible 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 Permit 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: 0 Y70QN02 ~'\0 t,3 PROPERTY LOCATION: SUBDIVISION LOT # Facility Type: 9 tN , c.4,cLr-- Basement? ❑ Yes `K No Basement f Type of Wastewater System** P u cnp-7, o (See note below, if applicable _ Pomp o Installation Fe uirements/Conditions X New ❑ Expansion ❑ Repair ixtures? ❑ Yes X No Co"-'J -t ~ n rJ N- (Initial) Wastewater Flow: C10T-4rr+~tr,u,.t0-•L. (Repair) Number of trenches 5 \ v"d GPD Septic Tank Size aZ1 ab gallons Exact length of each trench ti3C) feet Trench Spacing: c1 Feet on Center Pump Tank Size 'D-©°Q gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. 9A-"30 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) USE fa t_ Act G I- D - Q.-, 07t Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: a inches above pipe Conditions: Mg-f- s Oav S,s~ QsL,oct'~o ~t~is-en,L-1--ta>\Id*4 ~S -z- ~a. inches total L- Py-t®u -c t`N-45> ~LTL'R,~ncN~ `~~E ~CC.e.ES1T-1 QF ymP- 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: I 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 subiect_to revocation 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 subject to compliance w e pro sons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Co ction Authorization Expiration Date: HTE# 41-5-)o13~2~L' '3`g C, va2. Permit # Harnett County Department o Public Health Site Sketch PROPERTY LOCATON: l~ wya~W ISSUED T0: So_~y c~ogj ~Q SUBDIVISION LOT # -'S Authorized State Agent~OzwF~'So174SDoR~,) Date: ! 1 3} P u cqF o CA nt v ~i> ~ O rd A 1, I 2~P~ ~rL P.~.~A L%-, : qZ-~, Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/S1TE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility:?S /oaycx, Design Flow(. 1949):1)x, Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well Evaluation Method: Auger Boring ❑ Pit ❑ Type of Wastewater: ewage ❑ Industrial Process ❑ Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other Cut Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope °.b Horizon Depth (In.) .1941 structure/ Texture .1941 Consistence Minemlo .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1936 Sapro Class .1944 Restr Horiz Profile Class & LTAR w 0~ 0 44% G 5 vim, Nsl ~ 1; ~Pg -3a G~, Q S 'tF2 N s 1 "54 L vP X5,1 3U,.~ ~ g>_ vim. Ns1~•Q Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948). 9 Available Space .1943 Evaluated By: Cj'C s stem Type(s) Gcrr,r 4uA C- rw R \r e Others Present: 0 vJ Site LTAR 6 .L