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IPACHTE# ~ Harnett County Department of Public Health hDrovement Permit 2 6 6 5 6 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Q) t ~tz.s ~U ISSUED TO: CJ70,3eC.Q.oS5 L'-C,., SUBDIVISION _5 o a`t C Gtt,o ss LOT # 106 NEWX REPAIR ❑ 'RPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SqQ Proposed Wastewater System Type: Go art G-r-A ' N o N Sh L Projected Daily Flow: t, ~ ® GPD Number of bedrooms: LA Number of Occupants: ~ max Basement ❑Yes ",No Pump Required: ❑Yes >r No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well C d © feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: ' 3 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua other permits. The permit holders resp isible 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 Improvemen it 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: 1--~- C-.. PROPERTY LOCATION: 0 v Fs2H1LL5 SUBDIVISION S>0NECX?-o 5 3 LOT # 1®C Facility Type: SPCA ~~Q XS C)~ ;15~, New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes No Type of Wastewater System** C4 N-4 ~a5 ~a N P,.L (Initial) Wastewater Flow: !O G GPD (See note below, if applicable WN E..r'~c? N At.~ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 1 cn gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 2-00 feet Trenches shall be installed on contour at a Maximum Trench Depth of. V8 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: a inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 R tative Signature: Date: This Construction Authorization is subject ation if a site n, 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 islktacompliance "one Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: v a ~ayV ~G aa_5 Date: 1 Constr n Authorization Expiration Date: HTE # 1 °5-Dell-5 Permit # ~1~6 5(c, Harnett County Department of Pablic Health Site Sketch PROPERTY LOCATON: ~yF.tZ.~\1t-a.s Y.S ISSUED TO: S oN .14 LI--C- SUBDIVISION i0v-4Z.CR-ti5:~ LOT # Authorized State Agent: taS ~1-~vs a- ~a a Date: 1311r ~ ° "tom S-1 V2'S~ 062,>'~t 63}' s 9}S 13i' Department of Environment Health and Natural Resources , Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOILISITR EVALUATION File 0: Coda: C ode: : for ON-SITE WASTEWATER SYSTEM Owner. Applicant: Address:. Date Evaluated: Proposal Facility: '10 M9-x rr-, Desiga Flow (.1949): ij~o Property Size: Locado!>E lice: Property Recorded: Water Supply;:. )aPub#6 ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Type of Wastewater ❑ I 4s Cut . ewage ndustrial Process Mixed. P It O SOIL MORPHOLOGY 1 1940 T OTHER . .1941 L Lrndscap~ Hariz L P ROFILE PARTOR9 posided .1941 Depth 1941 1941 Slope % (1a) uc"W Conddeme webeaw f ,1 49 9 i .1944 Aville ed Mlnrato Color t IN. pre Cl io . Ha CIS orts&. A LTA>! 1' ,Z (S V ' . S . . msg R°vv y 0 Uttter Factors i9~ ) - Site ClassiEcation S Evalutled ted By.- ~ R a, Others Present: