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IPACHTE# 11-5Harnett County Department of Public Health Improvement Permit 26471 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: -7% ISSUED TO: Lv Cz, P><z, E- rnES SUBDIVISION V~ O ~s r,z tv`\ LOT # `l ~l NEW/ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S OCS °~'~3C~>` Proposed Wastewater System Type: Q s`to OV c;w~ SYs a Erg Projected Daily Flow: 31;~,0 GPD Number of bedrooms: 3~ Number of Occupants: max Basement ❑Yes cQ No Pump Required: ❑Yes '~R No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well t00 feet Permit valid for: Permit conditions: Authorized State Agent:: `kN--- Date: Ne SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is of other permits. The permit holder is ~esponsilhe 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: 9;~ ~-1V3' -,S PROPERTY LOCATION: 1 LL, P'~D _ SUBDIVISION P~,o N5 poi a; LOT # `7 7 Facility Type: X New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes No Type of Wastewater System** -,Sflk) c`C\ON S~(Initial) Wastewater Flow: 3~b GPD (See note below, if applicable ~l) 5 "/o -i-70UG-S \O r.f S Y3~res~\ (Repair) Installation Requirements/Conditions Number of trenches % Septic Tank Size ldo© gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench `-}©a feet Trenches shall be installed on contour at a Maximum Trench Depth of: V~ inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: } Feet on Center Soil Cover: C) inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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: /understand the system type specified is different from the type .specified on the app/icatiom / accept the specifications of this permit. Owner/Legal Representative Signat Date: This Construction Authorization is subject to revocation if t e ' Ian, t, 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 subjeKo compliance with`skk ONQ Q and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Five years ❑ No expiration Q ~-1~5 Date: Authorization Expiration Date: a 1!r. HTE# F X063 Permit # `,~6LVZ \ Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ISSUED TO: ~ ~ 1-1_~~~~~ ~E S SUBDIVISION P .c~ ~s Pati LOT # Authorized State Agent: 1~\ ~R f~~y C~L~y£t2,`~vz X~~C~) Date: ~ a. W/ Department of Emimnment, Health and Natural Resources Sheet- Division of Environmental HealtProperty ID: On-Site Wastewater Section Lot SOIUSITE EVALUATION File 0: Code: or ON-SITE WASTEWATER SYSTEM: Owner. Applicant: Address: Date Evaluated: J ; l Proposed Facility: 3 `ar~<<c~ry r~l Design Flaw (.1949): 3 t 0 Property Size: Locadoa of Site: Property Recorded: Watt t Supp. Public ❑ Individual ❑ Well ❑ Spring Evaluation Method: Auger Boring ❑ Pit Cut. Type of Wastewater. Sewage ❑ Industrial Process Mixed. P R O F SOIL MORPHOLOOY OTHER 1 .1940 .1941 PROFILE FAM L Lan&c" Harim .1943 E Poaltied Depth .1941 .1941 soil Slops % (IM) stucmw Consistence wetnad Soil TeMure Mtnwalo Color ~ mss:.°1`i 5 ❑ Other 1916 p-(I ss15 i y r2 r~,1f~r 'llr " SNP 5 E.1, . >t 1 C i Lf3Z tfStr.,~ Mar Factors (.1946) Site C1aWcadon (.1948) K Evaluated B)r Others pregnt: .1944 FMMS Re* Chao Rorie. a LTAR y r5 M 05 .41~