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IPACHTE# 11"5 a~i3`l Harnett County Department of Public Health Improvement Permit 26477 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: S•i'V4-1 231 ISSUED T0: SUBDIVISION 'I s ")-N c-- LOT # NEW REPAIR ❑ EJANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Co _`iQ (ern ~ ( ' Proposed Wastewater System Type: 2 s°la V~,EOV c5 ~ 0 --4 't) y':r7t Projected Daily Flow: `3(0 ~O GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes No Type of Water Supply: ❑ Community Permit conditions: ❑ May be required based on final location and elevations of facilities ;EQ Public ❑ Well Distance from well 100 feet Permit valid for: Five years ~No expiration Authorized State Agent::>'~ ~►-,\~=~5 Date: '7 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance 3f* o rmits. The permit holde is re ponsible 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: PROPERTY LOCATION: ~A~-'~ r SUBDIVISION E C- LOT # S Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ~ No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** ~^O Oda t'1rG9V CSC N S y ST `~M (Initial) Wastewater Flow: d GPD (See note below, if applicable 0 2~ o ~C-ovC;r~ ~c~?.l SYS'~M (Repair) Installation Re uirements/Conditions Number of trenches L Septic Tank Size tiC7b 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 Soil Cover: G76.~ inches Maximum Trench Depth of. Nl-3So 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 G Aggregate Depth: inches above pipe Conditions: 0o N tri ~)M z--e'2. V1 t>'"5 ©F 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 specifed is different from the type specified on the application. / accept the speciTcations of this permit. Owner/Legal Representative Signat Date: This Construction Authorization is subject to revocation if t e Ian, p 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 ompliance witO e,pr La nd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Z- Date: 1 Constructio uthorization Expiration Date: 3 HTE# 1~ °~J-" 513`1 Permit # y-T~ Harnett County Department of lAiblic Health Site Sketch p~ PROPERTY LOCATON: ISSUED T0: SUBDIVISION ~7 LlE Cs ScL~.1~~~.~ LOT # Authorized State Agent: 0 \4t~vFct-TioLY~S©o Date: 1 -71 atiLlC1 " 2e~ 1--1 w-) `S,~ Deparhnent of Emmiconment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOMME EVALUATION File til: for ON-SITE WASTEWATER SYSTE% Code: Owner. Applicant: Address: Date Evaluated 3~ 1 Proposed Facility: 3 -r, E` Design Flow (.1949)• °~4, r Property Size: Location of Mr. Property Recorded: Water Sirppi MOO 0 Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Cart Type of Wastewater: Sewage ❑ Industrial Process Mixed. it O F SOIL UO"HOLOOY OTHER I L 1440 L 6 .1941 PROFILE PAC E am calm Positioo/ Horizon Depth ,1941 .1941 .1943 soil 1$43 b Slope% 00 struchowt Considece Warms! soil tore Tax minm1o Color IN, 4 ~~'-•r~ 0-~1~~ ~ -s v r=~~-~s1:~tP S,;, Y- !3, ~~L . 10 `t iL C l ~ UmW Factors (.1946) Site Cla"fflcadoa (.19482 Evaluated B)r Others Prexat: De, y r " 1936 .1944 pmm i 9epre Re* Can ell) / 3