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IPACHTE# -S --Zkk L 6 Harnett County Department of Public Health Improvement Permit 26588 A building permit cannot be issued with only an Improvement Pe it PROPERTY LOCATI : 7 -3 G {~.p ISSUED T0: SUBDIVISION t~O s,S 0-> J--% LOT # NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5 ~ = Proposed Wastewater System Type: S"~ o ~tA ~C:> i~ nt Sy3-; E Projected Daily Flow: 3 C7 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes ~No Pump Required: ❑Yes ~KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well It )Q feet Permit valid for: Five years Permit conditions: : _ ❑ No expiration Authorized State Agent:: y \'J--NS Date: 1a-, )ii t ) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holdh is resonsible 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 Improve t 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: 'Q> A-- PROPERTY LOCATION: ►:`s~Eea SUBDIVISION 'PQ~ O SJS a, ~i LOT # 77 Facility Type: SR'~) LS3-'~3~~ XNew ❑ Expansion ❑ Repair Basement? ❑ Yes "X No Basement Fixtures? ❑ Yes XNo Type of Wastewater System" ~-6flUGi gd Y4 S-tS-'s V-- K, (Initial) Wastewater Flow: ~ GPD (See note below, if applicable a; V n oUG; t O•N Sys ~rrs~ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size l ® O~ gallons Exact length of each trench 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: 11 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 Conditions: Aggregate Depth inches below pipe 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: !understand the system type specified is different from the type specified on the app/icatiom / accept the speciflcations of this permit. Owner/Legal Repres i nature: Date: This Construction Authorization is subject to revoc 'f the si Ian, plat, he intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization issue compliance wit pro a Lawt{~a Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Construct) uthorization Expiration Date: HTE# r ) - 5 2-~ Permit # ~~'i Harnett County Department of ni lic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: )eve N _ SUBDIVISION f,0~7Se)~a LOT # ~SLO~rIE2~OLSSiXy~Date: 0 1 ~a- ~ y C-PLt~i G2- ~ GL Department of Environment, Health and Natu m! Remurce9 Division of Environmental Health Sheet: On-Site Wastewater Secdoa Property ID: Lot SOIUSITR EVALUATION File 0: for ON-SITE WASTEWATEILSYSTEMF Code: Owner. Applicant: Address:. Date EvallLatad: Proposed Facility: 3 Design Flow (.1949): 3 So,:~ Property Size: ocatloa of Site: PrDperty Recorded: WatCt $uppljr 00 ❑ Individual ❑ Well um rin ❑ Evaluation Method: uger Boring ® Pit Type of Wastewater Sp g ❑ Other e~ Se ❑ Industrial Process i4lixed P A O P SOIL MORPHOLAOY 1 1940 OTHER . .1941 L Landteap~ Haizoo PROt7Lg-fACTOR3 1949 E Powdow VqA .1941 .1941 soil N Slope li (ia,) Strucnsrd Candkean Welnad •'Y` •t44s .1916 1944 Ptoitli Tom" Mlamlo Color 9 011 [N. S®pro Cfaq ft* CIAO . Hods. AUAR' Q lr d ~`T ~J ' ZJ l ~1, v~ all 3ita Ctaq"cattan (.1948, $ Eva ted By: Prexnt: