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IPACHTE#_ Harnett County Department of Public Health Improvement Permit 26492 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: NJ -'J nN x,45-,c1.y(."~ N G N SUBDIVISION (:p oe--X ~ arcs LOT # NEW` REPAIR ❑ JANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~Q 0~t D Proposed Wastewater System Type: -°lo 9--E-10 v0,10 o k,1 SySTeEx-, Projected Daily Flow: 3 © 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 4< Public ❑ Well Distance from well ~ 00 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 31 \ 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance Mother permits. The permit holder is resp 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 s`ystem` layout. ISSUED TO: N N ~0yc6vv cvz\ C1 N PROPERTY LOCATION: SUBDIVISION C-009aas Ica t~ LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes AND Type of Wastewater System** albOV~ ~osJ ~ys~~~ (Initial) Wastewater Flow: 'Sr-'Q) GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 C~) GQ gallons Exact length of each trench 1 d feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: \a inches Maximum Trench Depth of. a~ 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: l understand the system type specified is different from the type specified on the application. / accept the specilcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocatm a site p, n 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 to complian it ran ' s e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 31' ~ e l> Authorization Expiration Date: ` 3 HTE# 11 _ 5^a ~2,OC) Permit # &,A ct Harnett County Department of 1"ublic Health Site Sketch PROPERTY LOCATON: M NQ',(-~, Q-D ISSUED T0: yN~r ►as-> vc.s ~nt,~ SUBDIVISION _ azoP~cz5 ~YLsY,S LOT # Authorized State Agent: z>v G~ i oZ~sflO> Date: 3 1a:'A l~ `'6 ci,~ / R~~g r~ \ LiO ~ O ~ ~3 ~ Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health On-Site Wastewater Section Property ID: Lot SOILlSITE EVALUATION File M: for ON-SITE Code: WASTEWATElir Owner: Applicant Address: Date Evaluated: Proposed Facility: 3 ~ Y,m DeSiga Flow ( 1949): 3~ 0 I~ . j Locadoa site: Proparty' Recorded: Puropertp Size: Want Supply; Public ❑ luudividual ❑ We]] ❑ Spring C1 Oth Evaluation Method: Auger Boring pit cut. er Type of Wastewater: 1:3 Sewage ❑ In wwal Process Nti:red. P R O F SOIL MORPHOLMY I 1940 at . .1941 L A pr Hoaizae► PROF A FACTORS .1942 posidow M Slope % • 1941 .1941 Sail Structtuw Contidem Wda of .1049 _ 1956 .1944 mMe Taxwe Miwnlo " Color Soil IN. S■pro Redr Clan Hail. Clue A LTAtt % site Classification (.1948X J^~L j~ y Evaluated By; Others Present: