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IPACHTE#114 Harnett County Department of Public Health Improvement Permit 26568 A building permit cannot be issued with only an Improvement Permit it PROPERTY LOCATION: ISSUED TO: C, S y t22.F--5 Pus L{DL* L-AsQ,~Et>_ {Lo SUBDIVISION LOT # a5 NEW)< REPAIR ❑ XPANSION ❑ Type of Structure: Proposed Wastewater System Type: G~-S' % Q-G!Ducr, c) t, SY ; E, n Projected Daily Flow: 6 d GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ;N No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 CO feet Permit valid for: ,Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: S 1 1 a.I ) ) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance ier 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, .1957, .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: vr-\--N S u 0J-Bf> ? u 11.0 625 - PROPERTY LOCATION: Lf sP`- kD S r fl ~6$ x83 SUBDIVISION LOT # a9- Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fix res? ❑ Yes No Type of Wastewater System** 2~~°1 r C-Cy C;:'S\ p N 7!>y S ; ET- (Initial) Wastewater Flow: 3 GPD (See note below, if applicable rO-S°lo 14SQUG5>, ~M A s y~ TE=t (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size L® ©d gallons Exact length of each trench `S d feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. N% inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: c) Feet on Center Soil Cover: (I 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 10FT. 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 specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation i e plan, p r 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 subjecotiance with the p ' ion w d Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: R Date: 14 onstruc ' uthorization Expiration Date: HTE# 0 a.b5~ Permit # a 65~~ SUS Harnett County Department of Riblic Health Site Sketch Q PROPERTY LOCATON: E-~SP,~ ESL ISSUED TO: 4V G)j L YU ~Lxj~--2S SUBDIVISION LOT # ~-S Authorized State Agent: 2E~15 s-ld ~oL p Date: 51)-0- 1 'i6u' Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property 11): On-Site Wastewater Section Lot SOIL (SITE EVALUATION File 0: Code: for 014-311 m; WASTEWATER SYSTEM Owner. Applicant: Address: Date Evaluated Proposed Facility: 3 G ,c5 Design Flow (.1949): 40 Property Size: Locatioa of Site: Property Recorded: Watet Sapp . PubOl ❑ Individual ❑ Well ❑ Spring Evaluation Method: Auger Boring ❑ Pit Type of Wastewater: Se ❑ I d Ej cut, wage n ustrial Process mixed. P R O F SOU. MORPHOLOGY OTHER 1 .1940 L L b H .1941 PROFRS FACT( ou m pa E Positiow b aizoe Depth .1941 .1941 .1941 soil 1943 Slope % (IM) StrUCK" Consideow Wetness! Sail T@Xh" Mtaaak Color ~.,c) ((r`'` t c~ - -z ❑ Other .1956 .1944 home Restr Clan Hobs. ALTAR 3 xZ~! e Other Factors (,1946k Site Classification (.1948X P` Evaluated By: Others PresentL. f'S~