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IPACHTE# j Harnett County Department of Public Health Improvement Permit 2 6 5 7 3 A building permit cannot be issued with only an Improvement Permit R) PROPERTY LOCATION: 01 ti-U CP,S ISSUED TO: y 1 tT Ct _P+<-tc~ cnE„~ SUBDIVISION Gp.2o 1,> 4, OP5 LOT # c~L NEWX,, REPAIR E) SION ❑ Site Improvements required prior to Construction Authorization Issuance: JE1 Type of Structure: t-',C ~-,f-s- ~ Proposed Wastewater System Type: Z' aO VG \ G N S'-J C- r' Projected Daily Flow:k © GPD Number of bedrooms: 3 Number of Occupants: (0 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"21 Public ❑ Well Distance from well 1Ot feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: 5 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuai other permits. The permit holder is rible 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 i nto this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED T0: PROPERTY LOCATION: W ~ti ~--U GPD _ SUBDIVISION C -g P, 4'+K.s LOT # ~6 Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes I No Basement Fixtures? LJ Yes No Ld ~ayc.> , v , sus Type of Wastewater System** (Initial) Wastewater Flow: 3~Q GPD (See note below, if applicable 2U -~~O Y-CE i c - o ,.t ~5 Gm (Repair) Installation Requirements/Conditions Number of trenches ! Septic Tank Size x-00 a gallons Exact length of each trench N S -g feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 2-x=36 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 ]OFT. 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 specifed on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subjec cation if the Ian, 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 s 'e t to complian ith ithe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: QW--1N-N5 Date: 51,5 h ction Authorization Expiration Date: HTE# l-- 5- S~ Permit # "S'13 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: \A 11--,-- '--UGP,5 ISSUED TO: -kAo SUBDIVISION C.PCWL.)NN QW,5 LOT # Authorized State Agent: ~l5 1~1~~VF.rt `^1d~- Date: 0lQ%)i 11 L'1 3d' Q»~G~ ~sLr~~~ .e--- a. ^ 36 Q V Department of Environment, Health and Natural Resources Sheet Division of Environmental Health On-Site Wastewater Section Property ID: Lot SOILSM EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner. Applicant: Address: Date Evaluated: Proposed Facility: 3 DcdP FIOw (.1949): 36 6 G ~cr Property Size: Lacatlort sice: Ff - * ' ty Recorded: Water suppCy; Pub& ❑ individual ❑ Well ❑ Spring Evaluation bfdhod: Auger Boring ❑ Pit . Type of Wastewater.`Sewage ❑ industrial Process Mixed P R 0 F SOIL MORPHOLOGY R L .1940 .1941 PROF" L F~1~L'ft t and~cap~ Horizon 194' olliflow N Stops !i ~ A • 1941 .1941 Soil R 3ftcwd Consikem weteen! 15143 TOM" Miainlo Soil L 3 Color c~- ~4'~v c Q,~ s sly Site Clu mcad (.1948k $ Evaluated By Q~ Others Present: ❑ Other .1936 .1944 PYomi Ctw Redr am Hail, ALTAR' SR.