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IPACHTE# I -5-'U )5 Harnett County Department of Public Health Improvement Permit 26494 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Dots ISSUED TO: S)GcgPn-ucLC-- \tXOCr4_ 1DUNt_OGa& SUBDIVISION ~r Eas 9, OLOT # 10 NEW-K REPAIR ❑XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~fl cyt'+x~31 Proposed Wastewater System Type: T,F_,o i gy ~ 0.4 5-15TS^ Projected Daily Flow: >0 GPD Number of bedrooms: 5 Number of Occupants: 10 max Basement ❑Yes X No Pump Required: ❑Yes ❑ No ';k May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~ (16'%46 Date: \OZ'j X) N SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holderl is Bible 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 Improv ent 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: S)c-z4P %uoS-, \1or~. ~pv"L-oECLS PROPERTY LOCATION: ~oGS Rv SUBDIVISION 1 9'WrE25 P, LOT # 1p Facility Type: XNew ❑ Expansion ❑ Repair Basement? ❑ Yes '-K No Basement Fixtures? El Yes ~No Type of Wastewater System** 'ASR'/* R~ov(:;S ~a ) Sy 5 : &n (Initial) Wastewater Flow: GPD (See note below, if applicable) Ala Q.--,c> a<^ )vdy S-,)4.s't::tr (Repair) Installation Requirements/Conditions Number of trenches a. Septic Tank Size %,%Q0 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench t 10 feet Trenches shall be installed on contour at a Maximum Trench Depth of: 1'%-30 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 01 Feet on Center Soil Cover: C' 11 inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 speciTcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subje on 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 and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Authorized State Agent: 'J~Vw tab Date: a3 Constr ' n Authorization Expiration Date: C SEE ATTACHED SITE SKETCH HTE# 0 :"~,-05 Permit # a~ ~H Harnett County -Department of ablic Health Site Sketch PROPERTY LOCATON: ®oGS ISSUED TO: V5-j\ U 0 0011-~QEa SUBDIVISION 1' I Q TTV--4 S LOT # 1O5 Authorized State Agent: Date: 3Z Imo} 150 1~- Es->> u c,>`y D 1=28`2 1--N Department of Environment, Health and Natural Remmus Shed: Division of Environmental Health Shed: ID: On-Site Wastewater Section Lot Pmperty SOIIJSTTE 1zVALumim File Al: f O Code: or 1.4-31 1E WASTEWMER SYSTEM Owner. Applicant: Address: Date Evaluated: Propond Facility: 9 Pfa Dedo Flow (.1949): C, r r) Prop" size: Locad.60 of Site: Pro " Water SitPPIT! Pub0d ❑ Individual ❑ Well ❑ Spring Evaluladan Mcthod: Auger Boring ❑ Pit q cut. Type of wastm titer: Sewage ❑ Industrial Process [J Mixed P it O F SOULMORPHOLOOY OTH 1 .1940 .1941 L [ardsaps Haizm ER PROFIIB PAR.'it 11942 9 Posidad ~ .1941 .1941 301 M Slope % (1n,) st w 1$43 ucbm Condd o" wernesat TO Min"Ie color soil QY L el ' , /v 10 - site Clauidcadoa (.1948k S Evaluated By e5 ~ Others Premt: P, C, ❑ Other 1916 .1944 pmmi Ispro Re* Clan aau Haig. ALTAR