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IPACHTE# 11-fo(- Harnett County Department of Public Health Improvement Permit 26487 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~o~s ISSUED TO: N4~1 ICAN Cok-A45-t fL V L:V Q t.f SUBDIVISION Trcz cn-~ s pcG LOT # '-I_ NEW- 14 REPAIR YPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5'~-Q 'r`Gb J Proposed Wastewater System Type: 'ai- °lo ~~QQC\cj 4 . Projected Daily Flow: '-st'ob 0 GPD Number of bedrooms: L~ Number of Occupants: "S max Basement ❑Yes 'X No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ";K Public ❑ Well Distance from well 1070 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 3 11-7 1 ~S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit hoesponsible 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 ,mproveffiVft 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: yNN C4 N 0_'V U<l0 r4 PROPERTY LOCATION: ~o c..s ~0 l SUBDIVISION_5c ?q!T., ,S W o r-(- LOT # -1 Facility Type: 5 O 47~'~~~~ New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes X No Type of Wastewater System** 7 0/0 Reci ✓u;r) ors r'J ~S'TG. S`r\ (Initial) Wastewater Flow: GPD (See note below, if applicable ~)-Vyo %0bc.T0A (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size t ®©O gallons Exact length of each trench 5 © feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: \ inches Maximum Trench Depth of: 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 Conditions: Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING 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: / understand the system type specified is different from the type spec/fled on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site4an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chanve in ownershin of the cite This Construction Authorization is subject to comp t ~tf ovisions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 3 ) Cons ion Authorization Expiration Date: 3 1 1 HTE# L C, Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: O C) G5 O-D ISSUED T0: YN ~v~-ccwUct cJ SUBDIVISION--7v-L&-r~ LOT # Authorized State Agent nC, oL)vem, iota---Q- Date: 1`7 ~0 13"1 ° Depattmeut of En im ment, Health and Natural Resources Sheet: Division of EnArOumental Health On-Site Wastewater Section Property Lot SOJUSITE EVALUATION File for ON-S"Tv w A a Code: TEWATEIir SYSTEM Owner. Applicant: Address; Date Evaluated ) Proposed Facility: L-)Q Cwo n DeSip Flow (.1949): w Property Size: Location of Site. Proparty Recorded: t S Wata ilpplp; 4Pubgc lwmdud ❑ Well ❑ spring Evaluation Method: Auger Boring ❑ Pit Type of wastewater: S cut, ewage Ir ❑ wwal Process C Mixed P R O P SOIL MORPHOLOGY 1 1940 07RER . .1941 L ~p Harisaa PROFlLH FACT( .1942. 4 91ap~'K ~ .1941 .1941 Soil sb 1943 ucuw Corwdm a Wefnew/ ` T'@Xb" Min~nlo Color sou 1M Cry/r• a " 5 \71, I AS , a ~ ICl zl`d I ~ :S Other Factors (.1946) Site C1AWcadoa (.1948) S Evaluated By Others Prexnt: ❑ Other 1936 .194 Ptottl® 4pru Rear Clw :iw Hons. A W°Alt 'Y'