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IPACHTE# ' 5-as~iss' Harnett County Department of Public Health Imurovement Permit 26459 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: '(`1NctZO 1C~~tar2 Q)2' ISSUED TO: C-y m ~E2t-A so d S SUBDIVISION 'rt C, 6cv -Y -Nce LOT # 1 t-j NEWV REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 'S V Q Sc> h 6 Proposed Wastewater System Type: c~.S~lo ~CO VC"i. \ C1 s~S 5~5~m Projected Daily Flow: r, ® GPD Number of bedrooms: J Number of Occupants: To max Basement ❑Yes XNo Pump Required: ❑Yes N. No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '5< Public ❑ Well Distance from well \00 feet Permit valid for: Five years Permit condttieas ❑ No expiration Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the i 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 Improv ent 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-v ~43ESZ1-rar+fl YG crE5 PROPERTY LOCATION: `La.v owS2 ~)a_, SUBDIVISION— \ s c.~ R, C LOT # N~ Facility Type: 5 S-- P n Cod New ❑ Expansion ❑ Repair Basement? El Yes :X No Basement Fixtures? ❑Yes No Type of Wastewater System** 9'`Z% 9'&OU C;c e o 0 S°y,s'S'Lc•ati (Initial) Wastewater Flow: 34> © GPD (See note below, if applicable `~)~A ~cGDUG<~0 N '-N svI;M (Repair) Installation Requirements/Conditions Number of trenches a _ Septic Tank Size l bC5® gallons Exact length of each trench S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: a.-) inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Soil Cover: 1 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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 speciTcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revot:06 ,site lat, 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 subjert to compliance wkthe p~ovisQ t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: l l~ Construct) uthorization Expiration Date: t. HTE# ' 1 °5-25`155 Permit # D-G ) 5°1 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:1cra~~°~^'~s~ 1 ISSUED TO: Cu SUBDIVISION 'r► N 6S,a LOT # Date: Authorized State A5ent: ~S VIyG,z 1~~~cSflOQ 145 Department of Environment, Health and Natural Resoumes Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot e Jl: Cam: SOIIJSTTE EVALUATION File for ON-SITE WAS TEWATER SYSTEM Owner. Applicant: Address: Date Evaluated: Proposed Facility: ? 06-Dwo i-, Design Flow (.1949): ~b O5 (J Property Size: Location of Sits. r Froperty Recorded: Wate supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Type of Wastewater. Auger Boring ❑ Pit Cut ❑ I S d . ewage n ustrial Process Mxed P R O P SOIL MORPHOLOGY OTHER 1 L .1940 C xwmmpe Horizon .1941 PROFR 8 FAR:TOR9 9 A Poeitiew Slope % Depth (In.) 11942 .1941 .1941 soil .1043 .1956 .1944 Strum" Comidem Wetnead soil ftM* 3epro Reatr Tertian Mlnxda Cola DaVA IN. Clan Hons. Cfeao ALTAK a-,yy, 0-36 G 5 Vvz- c~e~'gy j 3ta-tip ~z_ 1 6 L DaraiPtio4 Initial Repair system Other Factors 1%6k Available Spa p .1943 S 't Sits classification (.1948X 5 SY*M , Evaluated Hy GK Site LT,1R Others Present. r