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IPACHTE# 11~~ja5`1 ~C~ Harnett County Department of Public Health Improvement Permit 26454 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: M )c,(16'-) Q!& ISSUED TO: G~ ~tD AQ) trr---5 SUBDIVISION LOT # NEWX REPAIR ❑ E)NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5~F "ro b' Proposed Wastewater System Type: 01Q R.kZuc:'-'m is Projected Daily Flow: GPD Number of bedrooms: 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 Public ❑ Well Distance from well lOC) feet Permit valid for: ` Five years Permit conditions: ❑ No expiration Authorized State Agent:: R.C.~S Date: Z- 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the ' ce 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: C-vm4,C- 2~-Ar~C~ \_\0 cnl~;S PROPERTY LOCATION: ~cao jo~+C2 QD SUBDIVISION 1 %N G ~ 9LPQCf LOT # Facility Type: S RD `S~ n6O New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes X No Type of Wastewater System** 2-S°Lo Rj~_ouc~Cet)N SyS~ (Initial) Wastewater Flow: 3ll~C) GPD (See note below, if applicable L5%ou~s ta,~ 5 y5-~ ~cn (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1©®(3 gallons Exact length of each trench 50 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C`o-inches Maximum Trench Depth of: f ~ 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: l understand the system type specifed is different from the type specified on the application. l accept the specilcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation i Ian, at, 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 w4 ,the prexisia L s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Constructio thorization Expiration Date: 8. HTE# 11- ~~~'S~1a0 Permit # Harnett County ]Department of iblic Health Site Sketch PROPERTY LOCATON: TV\ ~ ISSUED TO: Cv4N*s48s4-i. F>1N C~rnLs SUBDIVISION -frA - LOT # a^1 Authorized State Agent: c~G »S COQ-~vCR,°'t"oLY~ottF Date: l~ `l 11 5L) , 'X\ D R. G- Do UGL-FN,5 Ac"5 DO- Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow (.1949).3-60 Location of Site: Property Recorded: Water Supply: Public ❑ Individual ❑ Well Evaluation Method: 11 Auger Boring ❑ Pit ❑ Type of Wastewater: Sewage ❑ 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 % Horizon Depth (In.) .1941 Structural Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil IN. .1936 Sapro Class .1944 Restr Horiz Profile Class & LTAR U;)--7 Description Initial Systein Rep ' System Other Factors (.1946): Site Classification ( 1948)V-5 Available Space .1943 Evaluated By4 S stem Type(s) a °!o Q-Vto Others Present: 6 Site LTAR 1e M A .3 x ~