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IPACHTE# ~Sr~-253U~} Harnett County Department of Public Health Improvement Permit 26387 A building permit cannot be issued with only an ~Improvement Permit PROPERTY LOCATION: CGS 19 ISSUED TO: \")14 Co "5\- (2"v C-1 L 0 H SUBDIVISION 12ss7;~~5 12~~GE LOT # 1 NEW REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5F0 (fi2"bs) Proposed Wastewater System Type: 2-`a"/o +~.ouGT to sa Sys; , Projected Daily Flow: t--i 4b GPD Number of bedrooms: L-' Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -'91. Public ❑ Well Distance from well 1 O d feet Permit conditions: Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees the is ce site is subject to revocation if the site plan, plat, or the intended use changes. The Imp the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. S Date: N SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 T0: ~yH ~N 2,vC>~ ah1 PROPERTY LOCATION: oc,s SUBDIVISION 1 Q471&-1s; J.~r 1= LOT # \1 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No Type of Wastewater System** ~-~lo RGS~o sJ SyS'-s6s-. (Initial) Wastewater Flow: GPD (See note below, if applicable.) 2~G1~ ?\'E.ou cC l0 0 SY5-S 6~ (Repair) Installation Requirements/Conditions Number of trenches L-`[ Septic Tank Size 1 5-12 d gallons Exact length of each trench © Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 2,x--1 (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Aggregate Depth: inches below pipe inches above pipe 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: /understand the system type specified if different from the type specifed on the app/ication. / accept the specifIcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiect to revocation if the site Dlan, slat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This Construction Authorization is subject to co ce with the pr 'ons 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: ~C" N~ nstruction Authorization Expiration Date: ~ Permit valid for: ,.~K Five years ❑ No expiration feet Trench Spacing: Feet on Center Soil Cover: S inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) HTE# t1-5-~5 t-1V? Permit # Q'r. Harnett County Department of _ i lic Health Site Sketch PROPERTY LOCATON: ISSUED TO: \-t7Kiv av5°> V c-'ST O ~t SUBDIVISION --i4 ~ 5 } (-)GE LOT # 11 Authorized State Agent: Q ~~iS L~ sLssZ i of xs~oCtF Date: ),4V1 4 L) j' t5 d Y.G~1 ~ Q G~,y ~ E~Z~y 1.-SJ Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: 41 ~ f' Proposed Facility: 'A'6(-D-zm- Design Flow (.1949):0:9 Locatiotr of Site: Property Recorded: Sheet: Property ID: Lot File Code: Property Size: Wata t Supply; Public ❑ Ilydividual ❑ Well ❑ Spring Evaluadon Method: Auger Boring ❑ Pit Cut Type of Wastewater: _M Sewage ❑ Industrial Process C1 Mixed. ❑ Other P R O F SOU. MORPHOLOGY OTHER 1 L .1940 L d .1941 PROFtLLt FACTORa an aeap~ Horizon ,1941 E b Poaidew Slope % Depth (1n ) .1941 .1941 Sb h ! Soil 143 .1916 .190 Frof11® . uc w ConsiateM Taxwm Minaralo wetnead Color soil sq" M Re* CAN ok IN. Clan Hais. ak LTAIt t -1 0-3 G 15 3w- 5 t-~ SIs~ s 1 r 5 - 5~ " - \1 ('n. N55 N c I- ii~72 5 NQ Other Factors (.1946k Site Classification (.1940 -0 S Evahuated By: Others Present: L~,-~ Ps 5-- 1