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IPAC RHTE# ~-s7- Harnett County Department of Public Health Improvement Permit 26438 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION X41-76 j o ISSUED TO' w' ~ SUBDIVISION LOT # NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: sr-iN Proposed Wastewater System Type: ZSJv - d Projected Daily Flow: 3( GPD Number of bedrooms: Number of Occupants: C, max Basement ❑Yes No Pump Required: es ❑ No ❑ May~b2 required Di sed on final location and elevations of facilities Type of Water Supply: ❑ Community Public Well Distance from well /00 feet Permit valid for: Five years Permit conditions: 6 r W- 2-y-' - C J 5aZ14-4 (J ~ f Z9 ❑ No expiration Authorized State Agent- - ~ 1-1, IVA Date: q -12-11 SEE ATTACHED SITE SKETCH The issuance of this permit by a Health Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 system layout. ISSUED TO: Z4--tLt, 7~" s•s 'y5 PROPERTY LOCATION: SK 0& b > 62-b / SUBDIVISION LOT # Facility Type: Q New Expansion ❑ Repair Basement? ❑ Yes~© No - Basement Fixtures? ❑ Yes No Type of Wastewater System** 1ra-,►4,~'JGFc #2J~~ (Initial) Wastewater Flow: 34-0 GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size 10 0 f3 gallons Exact length of each trench 14) feet Trench Spacing: Feet on Center Pump Tank Size ! gallons Trenches shall be installed on contour at a Soil Cover: 47, inches Maximum Trench Depth of: 10 2 / Z.- 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 l= inches below pipe Aggregate Depth: L inches above pipe Conditions: o T- P-4-11 611A 12- inches total 7-. . WATER LINES (IN(LUDING IRRIGATION) MAST 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 specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan. olat_ or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownershin of the sita_ This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State A Date: q( 2--t f Construction Authorization Expiration Date: g-! -17- -1 ~4 HTE# //--5- -Z63IgIZ- Permit # 26V--3 Harnett County Department of I-Ni-blic Health Site Sketch PROPERTY LOCATON: ,Z. 1°7 j d 1J 1 ISSUED TO: lC' °Gc>: ~ L.. SUBDIVISION LOT # Authorized State Age : XZy4,.-k=A4 Date: Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Property Lot SOIUSITE EVALUATION File Code: for ON-SITE WASTEWATER SYSTEM Owner. Applicant:1Vj&uz--° Address: Date Evaluated: 3 :3D -i Proposed Fa&1tr: Deslga FIOW ( 1949): 366 p . Lagdo ofSite: a9b5""' Property Recorded ' Size: Wat<rt Snppty lic ❑ Individual Q'Well ❑ SPdng ❑ Oth r Evaluadon INctttod: Auger Haring ❑ Pit Type of Wastewater: (S El. e Cut, ewage ❑ Industrial PMcess Mixed P R O F SOQ. ,wo"HoLoGy ! 1940 F 1 .1941 L Lasdecaps a PRO FACTORa E posidow Dqd .1941 1 941 .1941 soil . N S1gM% (1n) Strvaturd Condetancs WetneW '144a .1956 .1941 Proms Taadrtr+s Minrsto Color Sou Sapre Rsatr clue l Lam, QY. Ctus Haria. ALTM -2,0- 3b 2 law Rapai r system Other Fmctars (.1946k aaa . s stem Site C1a(si8cation 1948X P5 P 1945 G k i 5 s z .Gf EvahztedB)r U7, t Others Present: alt--Iek- Q s C~ 1 S