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IPACHTE# - D4,t-a-,40 Harnett County Department of Public Health Improvement Permit 26462 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: P.ot~,ms ~ ISSUED TO: M A(LZL:j ter ~:6 vTt is 9-4~ ~CS~S SUBDIVISION Mp aLiLitt 9 RO r-E.Q5 LOT # S NEWX REPAIR ❑ EXPANS N ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: f 1.o 47 Proposed Wastewater System Type: 2•S0lo t~ovc.:1 oN t\ Projected Daily Flow: ® GPD Number of bedrooms: Number of Occupants: C> max Basement ❑Yes 'K 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 1 b0 feet Permit valid for: Five years Permit conditions: _ ❑ No expiration Authorized State Agent: Date: 1 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu ~f 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: M KI-) N 9-0 a ~RS PROPERTY LOCATION: _~(JPsr~s Vo SUBDIVISION f )PcCLNL,), Q 52c,6C~L LOT # 5 Facility Type: r10cD New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No Type of Wastewater System** 2s% 2~ou c ; ~d ,1 S y sTE r• (Initial) Wastewater Flow: 3C GPD (See note below, if applicable ')~°lo ,QECJVC„~C1 ~ Syf'-SC, (Repair) Installation Requirements/Conditions Number of trenches 4 Septic Tank Size 't (!DO 0 gallons Pump Tank Size v c9 o d gallons (s7 aJEED 6) Pump Requirements: ft. TDH vs. Exact length of each trench O feet Trenches shall be installed on contour at a Maximum Trench Depth of. 1a 1'1 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: 'f ir-m j_ ~ oc-- Coycrt- ~v62 Qap~~NF~6L 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: /under Land the system type speci fled is different from the type specired on the application. /accept the specipcations of this permit Owner/Legal Representative Si nature: Date: This Construction Authorization is subject to revoca f the ' e 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 compliant i th tlir~k ' n the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: 12Gr15 Date: a, Authorization Expiration Date: 2 I~ HTE# 1 5- a C~ Permit # Z(, to Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: I~.pP,Ms ISSUED TO: M PaQLI ~l a NCO 6 C-- ct-S SUBDIVISION 20 s 2S LOT # Authorized State Agent: QG~iS~ouvC,,1oU~so~ Date: 2 l~ _ 1 9 n I ~ 56 . s;L--~ 2-8 9 J 160 V 3)3' N~){\ N-\!, Department of Environment, Health and Natural Resources Shed: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOQMSM EVALUATION File for ON-SITE WASTEWATRIISYBTEM~ Code: Owner. Applicant: Address: Date Evaluated: \ Pro osed Facilit : 3 t3~a o m p p y Design FCow (.1949): cl Property Size: Location d Site: Property Recorded: Watet Sirpplp Public ❑ Individual ❑ Well ❑ Spring A ❑ Other Evaluation Method: Auger Boring ❑ Pit Cut Type of Wastewater S ❑ I . ewage ndushial Process Mixed. P R O F SOIL MORPHOLOGY OTH ER [ 1940 .1941 PROFU FACTORS L La wscaw Ramos .1941 9 Poaidod Depth .1941 .1941 soil b 1943 91op~'lti (In) Struchuw/ Consikence Wetness) .19J6 941 Pfrofll® s0I Texh" 10syl Color IM C lw spro HaRe* clus ns A LTM . U 3b~ s LOS) (L~} ! d+ E'r" Qj a- ©L36 s $~c.. t= s 'P w161..7 ~ ~•!@.r ~1 ~ -P5 _ O0fz7~On Willi Repair system Other system Factors (.1946k Av Site C1mWcadou (.1948k slla6b 9 sa .194J s ,tam , c s.s"V8 Evaluated By: Sit. LTAAt Other's Present: 0 n