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IPAC RHTE# Z5~36i- Harnett County Department of Public Health Improvement Permit 26411 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 71, Lio ISSUED T0• SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: ; 1 Proposed Wastewater System Type: "'~~la f Projected Daily Flow: 3420 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes ❑ No MMae required bpd on final location and elevations of facilities Type of Water Supply: ❑ Community 2 Public Ld Well Distance from well 10b ` feet Permit conditions: Permit valid for: Ei Five years ❑ No expiration Authorized State Ag • 1/ Date: - SEE ATTACHED SITE SKETCH The issuance of this permit by ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for decking 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 Permio 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: p.L7/') f PROPERTY LOCATION: Zi D SUBDIVISION LOT # -3 Facility Type: New ❑l Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes LKo Type of Wastewater System** 2-6*6 (Initial) Wastewater Flow: 3C 0 GPD (See note below, if applicable ftl c i t? Repair) Installation Requirements/Conditions Number of trenches 2 Septic Tank Size /000 gallons Exact length of each trench /tv feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches Maximum Trench Depth of: 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 Conditions: Aggregate Depth: inches below pipe inches above pipe L 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 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 with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Ag . Z Date: Z- ? - t Construction Authorization Expiration Date: 1 - 7 If HTE# -5-- Z 5~36,1- Permit # ~v dU 11, 41 N r .b ~ r I~ zr a 1 w 71 ~ - - Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section e Lot SOUJSITE EVALUATION File Cam: for ON-SIT& WASTEWATZR SYSTEM, Owner. Applicant: Z5-536 Address: Date Evaluated: Proposed Facility: Design Flow (.1949): 36& Property Size: Location of Site: Property Recorded: l Watet Suppi r U I., OW, ❑ W P IruNdual ell ❑ 11 Spring Other Evaluation Method: IT Auger Boring ❑ Pit . cut Type of Wastewater S ❑ I d ~ . ewage n ustrial Process [ Mtxed P R O F SOIL MORPHOLOOYR t .1940 .1941 PROFILE FACTORS L [.aredalape Horizon ,1941 9 Poeitlod Depth .1941 1941 soil . slope % (In.) Structtvel Caruidance Welned .1943 .1956 .1941 Prom i Mlo Color sod 3■pro Re* Terdur~ Min IN. Claa Hans Clan ALTAR . L 'fc 1 c - 4' Z YZ ~ ~ I ~~SSSP 2, 7, ~6_ ~N sC t j 3 c 3 6 _Z Y 15L NSn~P V'9 7 6 JiC . 3 ~ L l v 5L kc 4 swo Dcairpd a° Repair. SY Otha Factors (.1946 tem Available S nee .1945 site Claasit3cadan (.1448k S s derv a Evshmled By: i Sits LIAR Others Prexttt. Ji