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IPACH T E # 11--5- v\ Harnett County Department of Public Health Improvement Permit 2 6 4 7 8 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ?)itow c r 9-0 ISSUED TO: t-~5.5 ltlo UlI-,orc' 5 SUBDIVISION C~cac,~,~pE R-N,-a&5 LOT # 5 NEWA REPAIR ❑ EXPAfV~ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5V© L4G7 ^',Z ) Proposed Wastewater System Type: Q.S°!c, (2 Eo uc~ io rt Sy~~~n. Projected Daily Flow: --56-0 GPD Number of bedrooms: 3 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 ~®Q) feet Permit valid for: X Five years Permit conditions: 77Z- ❑ No expiration Authorized State Agent:: Date: 3lV 111 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance her 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 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: V\0'55 ~ cn~c~U~LQ E~5 PROPERTY LOCATION: ' r► SUBDIVISION Gq,;-QC. ~r1q-5 LOT # Facility Type: '57-0 New ❑ Expansion ❑ Repair Basement? ❑ Yes "F--'l No Basement Fixtures? ❑ Yes No Type of Wastewater System** -~5 A ti S-ys sC: sv\ (Initial) Wastewater flow: 00 GPD (See note below, if applicable °10t~V G-S 1C1~J S~1 Esc (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size VD ® O gallons Exact length of each trench Vo 4 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G' inches Maximum Trench Depth of: ~1-3 O 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 T inches below pipe Aggregate Depth: inches above pipe Conditions: Ar 34' P Et ✓ -1 N s t t_ Q a S ~A ~o w , , Q • 50 , inches total WATER LINES (IN(LUDING 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: /under understand the system type specified is different from the type specified on the application. /accept the rpeciTcationr of this permit. Owner/Legal Representative e: Date: This Construction Authorization is subject to revocation Zh i Ian, 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 ism ct to complian tisio e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3 Constr 'on Authorization Expiration Date: _ HTE# Permit # Ll Harnett County Department of Pablic Health Site Sketch PROPERTY LOCATON: tow N ISSUED T0: M~~S acrE U~i.0tp,.-6 SUBDIVISION GCLP,aoE ~»G-S LOT # Authorized State Agent: (i~5 oL~vGYz'C©y~.S~JO(trr~ Date: 1~1 r , ,s~ Department of Environment, Health and Nahual Resources Shed: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOLUSITR EVALUATION File M: for ON-SITE WASTEWATER SYSTEMz Code: Owner. Applicant: Addresa: Dats Evaluated: 1 Proposed Facility: i E~ a Deslgp FIOw (.1949):.3 c ; Property Size: Location of Site: Property Recorded: - Watet Supply: Publlc ❑ bdividtW ❑ Well ❑ Spring ❑ Other Evaluadon Method: Auger Boring ❑ Pit Cut. Type of Wastewater. [`Sewage ❑ Industrial Process Nbed. P R O P SOIL MORPHOLOGY OTHER l .1940 .1941 PROFR$ lACTORI L LXWXM a Horizon .1942 9 i! Posiflaw Slope % Depth (10 .1941 .1941 sb d Soil 143 .19?6 1944 Protllti ucNt CoruldWe Text n Mlarelo Wetnad Color soil S®pro ReiEr Con 95-4 IN. C1uc Hods. d LTAR C~ ' c~~, 5S31L C..% C=am ~5 !y~ 05. a i-5 CS-~;~, G LS VFq p Site C100cation (.1948) ('S Evaluated By: <7-, Others Present: 9~ P 5