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IPACHTE# ) ) -5-~V-~o Harnett County Department of Public Health Improvement Permit 26490 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Dcac:-s A~ ISSUED TO: W y~ K <::0NS s ) C.VC\ o '~'A SUBDIVISION 1 R o"~' ra5 LOT # I0'$ NEW;, REPAIR ❑ ~xPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S Cr C3 `56~ ro' Proposed Wastewater System Type: 'la Gt}y~1 nit ~ys~~~v. Projected Daily Flow: O GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No El May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well l©© feet Permit valid for: 'Five years Permit conditions: ❑ No expiration Authorized State Agent:: °'`\16 Date: 3) 17 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua ce of other permits. The permit hold ~r is res nsible 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 syssteml layout. ISSUED TO: `rJ N K Cows N rLo G7\ \a tJ PROPERTY LOCATION: Qocs SUBDIVISION 1adi)T--Q~ a LOT # 10V Facility Type: S f C~ (,676 'x (X) -x, New ❑ Expansion ❑ Repair Basement? ❑ Yes '1-59 No Basement Fixtures? ❑ Yes X NO Type of Wastewater System** 2 5~'l0v c1S o r1 S~ _:r~ (Initial) Wastewater Flow: 3 C 0_ GPD (See note below, if applicable 0 (4,Zvc710 -0 S--JL5 i C-n (Repair) Installation Requirements/Conditions Number of trenches 5 Septic Tank Size 1 to c a gallons Exact length of each trench 50 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 2~Li inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing:_ Feet on Center Soil Cover: 1 a 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revoca a site 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 is subject to compliance 'th th r isio a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: NJ\ ~ Date: Authorization Expiration Date: HTE# 11-5 5`-) 0 Permit # 0 Harnett (bounty Department of lNi-blic Health Site Sketch PROPERTY LOCATON: flocs ISSUED T0: SUBDIVISION _Tcz iM-5 ~,o6E? LOT # Authorized State Agent: ~s L,v 2'ioz~SDOr~ Date: 3171 133' 0S4 1~Se5vs U'~'~'~) D~.~L3y 1-tJ Department of Eav ironmeni, Health and Natural Resomus Sheet: Division of Environmental Health On-Site Wastewater Section Property ID: Lot e SOMME 'EVALUATION File for ON-S T COQ' I & E WASIEAER SYSTEM; Owner: Applicant: Address: Date Evaluated: Proposed Facilltp: Design Flow (.1949): `3607 Locat.f0ar of Site: P ~ Size: Water Suppty~ Public roP~~Y Recorded: • [I Individual [I Well ❑ Spring Evaluation Method: Sewage Boring ❑ Pit Cert. Type of Wastewater; Sewage ❑ Industrial Process Mixed. P R O F SOIL MORPHOLOOY OTHER 1 .1940 .1941 PROFRB FAC C{ L Le ub" Horizon .1941 9 Posiflod Depth .1941 .1941 soil .1543 it Slope % (IM) Structure! Candet = wetnad soil Texh" Min"10 Color IN i LJ O_ c" 5 - ) J9 , a5 6 5 j loci SE3Xs~i 6-n s~ ~L G.s s'pdon Irbl® S as .194! rs a .TAR law s If 13-s"la Repair system Other Factors (.1946k Site Classiflcadon(. 1948X f2-"'5 Evaluated By;, Others Present: ❑ Other .1936 .1941 Pmmi sepm Red r Claw Ciaa Hons. ALTAR . Uc ~s S