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IPACHTE# 11-~.-~ Harnett County Department of Public Health Improvement Permit 26393 A building permit cannot be issued with only an (Improvement Permit PROPERTY LOCATION: % ) N~ a~1 9-'O ISSUED T0: ~asLt Gt.s~a O~c S SUBDIVISION Vc,7ic9~a~ Qc,tq-,~ LOT # _ NEWA REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 M( a-a(. Proposed Wastewater System Type: 'c*Sa/o ~®Sa gy m Projected Daily Flow: '?2 (g:? D GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes ❑ No A May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 1K Public ❑ Well Distance from well 100 feet Permit conditions: - Permit valid for. Five years ❑ No expiration Authorized State Agent:: Date: `-L) , l 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss ~e of other 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 Impro ment 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, .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 TO: Qb 1"-7.- PROPERTY LOCATION: 1 sr~G~ 5 VQ~ SUBDIVISION ~~'~a Po LOT # 3 ) Facility Type: A New ❑ Expansion ❑ Repair Basement? ❑ YesI No Basem ent Fixtures? ❑ Yes No Type of Wastewater System' 0_s~ Sys t~ (Initial) Wastewater Flow: -~>6 GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size i oo O gallons Exact length of each trench a-~© feet Trench Spacing: r1 Feet on Center Pump Tank Size tcacno gallons Trenches shall be installed on contour at a Soil Cover: 1141 inches Maximum Trench Depth of: --X y inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-114" 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 ]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 is different from the type specified on the application. / accept the specilcationr of this permit. Owner/Legal Represents be Signature: Date: This Construction Authorization is subject io-ne ion if the ite 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 su m compl%Q~e witk isi the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: X1)1>l Con ction Authorization Expiration Date: HTE# II S--SS z;%l Permit # a63~3 Harnett County department of 1`1-tblic Health Site Sketch PROPERTY LOCATON: T~1467 Ilj ISSUED TO: b CGS SUBDIVISION 9P;N)C) Ns LOT # ) Authorized State Agent: Q.L. Al, y ~y , e, - app Date: lOC) .re 156/ Department of Environment, Health and Natural Resources Shed: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOHJSUZ )EVALUATION File Code: for ON-SITE WASTEWATER SySTEM; Owner. Applicant: Address: Date Evaluated: 3j Proposod Facility: 3 Design Flow (.1949): ?,c-, a Property Size: Locadon of Site. Property Recorded: Watet Supply: Public ❑ individual ❑ Well ❑ Spring ❑ Other Evaluation Method: ❑ Auger Boring 1~aPit cut Type of Waste9water: a Sewage ❑ trrdushial Process 11Trxed. P R O F SOIL MORPHOLOGY OTHER 1 .1940 L Lawseaps .1941 PAOFILti FAL*tpR3 Horizon E Positiow t1 Slope. % .1942 Depth .1941 .1941 Soil 143 00 Struduref Consider" wameld .1956 ,1944 AV& Soil Taxhm Mirarslo Color IN - 11 - Sapre _.Elan Re* Ctsu Harit. !i:TAI! ~i `oC C5 ' >I l 5 G, cp Y- Gi ~(L (3C t/ ✓7 C>d c S v~<, NtQ J emu. c.- s~1sR Fes Descripdon Initial Repair sydem Other Factors (.1946X Availabl e s se. . 194! s d Site ClassiHcadoa (.1948x s dare. Evacuated Hy:c~) She. LIAR s~ Others Present: