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IPACHTE# t1--5-2.63 Harnett County Department of Public Health Improvement Permit 26493 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: av lpg:N-e l ^%e-L- Q.-,, ISSUED TO: 6-1" CV r+ M \N 6 S SUBDIVISION T►-% L- S u rh r-% ,-s LOT # 1© 1 NEVI REPAIR ❑ EXRANSION ❑ Type of Structure: 5IF0 (y0' "U Proposed Wastewater System Type: Ca r+ 4c--r-r-, . %v,4 P a- Projected Daily Flow: G O GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes A No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well 1Od feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 3 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuai other permits. The permit holder i '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 Reauired 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: Y'' t4es\-\ C„ 1V\cn\t-A r.s PROPERTY LOCATION: J~F~~ -o LASE QL9 SUBDIVISION \"E S V rnrY,'\T LOT # 10) Facility Type: SFOL~IC)r~Ltti-i~ New ❑ Expansion ❑ Repair Basement? ❑ Yes I& No Basement Fixtures? ❑ Yes ,~Vo Type of Wastewater System** C.0 r.-46 r~►'S~ (2 N NL' (Initial) Wastewater Flow: GPD (See note below, if applicable C-4 N vQ,.f :.o C4 p,1.,,, (Repair) Installation Requirements/Conditions Number of trenches l Septic Tank Size ► e CDa gallons Exact length of each trench 1 S O feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: I inches Maximum Trench Depth of: `~''►'3~ 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 Aggregate Depth: inches above pipe Conditions: \ inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specified on the application. / accept the speci(cationr of this permit. Owner/Legal Representative S~gpature: Date: This Construction Authorization is subject to reiolam if the site plan, 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 subjtx to~ompliance ' h sionTyL the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ~~y R C-~,S Date: 'S 1 Abn4ruction Authorization Expiration Date: a,3 HTE# Permit # a4Oti "13 Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: ISSUED TO: cv~s E ss G SUBDIVISION TN. G S y r+r~ LOT # Authorized State Agent: }LN-4ka."~OL~S~CX2F Date: N) 135 I. 6y, f3oU~~~r,'t- F~2 Department of Envimnment, Health and Natural Resources Sheet: Division of Environmental Health On-Site Wastewater Section Property ID: Lot SOUJSITE EVALUATION File 0: ror mu-,gimp Code: WA.9TEWA I I SYSTEM Owner. Applicant: Addren: Date Evaluated: Proposed Facility: 3 IQ6fDQ-M r -N Deslp Flow (.1949): 3r.% d Property Sim: Laa o at Site: Property lteoorded: g er Su . Wat pp Pubtlc D ladividual ❑ Well a ❑ Spring ❑ Oth Evalu tion Method: Auger Boring 0 Pit . Type of waste4vatm- S Cut er ewage ❑ hJust iat Process Mixed. P R 0 F 1 SOIL MORPHOLOGY 1940 alt L . .1941 Landseapy Harizoa PROFU FACTOR, .1941. E Poeltlao/ Depth .1941 .1941 Soil A 310" % (1a) Structt W Condetece Wetnnd . 043 1956 .1944 P}oitl® Tex Mlarelo Color S0R tN. sePro PC* CIA= am LTAIt S ,g cv v.r cc~ >T~s AU 36 Other Factors (.1946) Site ClasaiBcadoa (.1948) S Evaluated By. dC Others free AA