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IPACHTE# 6`1 Harnett County Department of Public Health Improvement Permit 26595 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N\3fL&erL-1 QD ISSUED T0: C-Ply VS, 9n:!-,6 ~--~N NZ '~Z) Ede.L&116tf: SUBDIVISION C~,oS~c+s.OiZ3`~ LOT # NEW, REPAIR ❑ _ EXPJ JION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: O~ Proposed Wastewater System Type: 90-0 o `aS o r'~EOU~,TI ON Projected Daily Flow: '>C © GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo Pump Required: "Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water-stpp o Community Public ❑ Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: :~t,~ ~ ~R.~-,tA5 Date: _ 'I )i 1 } SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the trance of other permits. The permit holder is res 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: C m) k'`.---i-, ~J ~I~1SJpME N~ PROPERTY LOCATION: y25G2:~,i SUBDIVISION 2,06e4-No SIT LOT # 5 Facility Type: S®(5-7^x X New El Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'A No Type of Wastewater System** Pv m47o °lo Es~Uc.-~ T t) ta Y5 Esc (Initial) Wastewater Flow: GPD (See note below, if applicable mw7 3 W/o ~.Ez~ -:s y R i 0 . epa r) 5• ( Installation Requirements/Conditions Number of trenches Septic Tank Size 16 Q ® gallons Exact length of each trench ® feet Trench Spacing: Feet on Center Pump Tank Size \ 01Z7 It, gallons Trenches shall be installed on contour at a Soil Cover: 1a. inches Maximum Trench Depth of: d-1-~ 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: QP,s " of PN c~r✓Pe~ Sb. S u rn rT so 4 PQ)-) C,P6 t e N inches total ?czoe us~v \ -71 CQ W va. $~s 2 oprn ~+s-sC , -1 Sy6-ctn. .s..i +<cnm ?a ~ ?,W oC)m )~o 0:56 WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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. l accept the specifications of this permit. Owner/Legal Represent i nature: Date: This Construction Authorization is subject to revocati a 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 islziz } ckt~o compliance 1vi~the pr the L sand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: y Date: _ Construct) uthorization Expiration Date: NTE# ~ l-',)- a-- e16--1 Permit # U 5 ~5 Harnett County Department of i-lic Health Site Sketch PROPERTY LOCATON: I-) vas&rLl ISSUED TO: 1 rsP G--~. SUBDIVISION e.0sC6c,No T- LOT # ~ Authorized State Agent: Q ~~S o L EIL " S`OI-NQ-5 6- Date: 5®" r Q.~.P cam, ~ (l, I " _4 a.s'-N> D IV Department of Envimnfnenk Health and Natwat Resources Shed: Division of Eavifonmental Health On-Site Wastewater Section Property ID: Lot SOILISTTE EVALUATION File for ON-SITE wASTZWATEII SYSTEM; Coda: Owner. Applicant; Address: Data Evaluated: PmPOW Fxilhp: 3 QGD%von DesigpFlow(.1949):3b0 Pv%" Size: Location of Mr. Pro lieoorded: Pe~Y . Watet Sup&,".. IlC ❑ Individual ❑ Well ❑ Spring ❑ other Evaluation Method: An, Baring ❑ Pit Cut. Type of wastewater, ag e ❑ Industrial Process C Nxed. P R O RP 1 .1940 .1941 E Posldad HOLOGY OTHER pe Horizas PROFlLH Fq(*rORS L a 1941 P F~9411LMI > .1941 Sat1 144,1 .1944 Plrotll® 0 Slope % 00 Coluldem wetmaw Mlneeela 9oi1 S°pre ro Re* Cleur . Color tN. Cfam Hans. LTAH' c..5 0 -a " * pc~'s Ss-6 Site CILsOcadon (.1948k S Evaluated By: (3-~ Others Present: