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IPAC RHTE# ~V9~ Harnett County Department of Public Health Improvement Permit 26600 A building permit cannot be issued with only an Improvement Perm, PROPERTY LOCATION: O`f~sz~a~~a.s ISSUED T0: d os5 1-Z.~~- SUBDIVISION S-saty & (ZAU155 LOT # 141 NEWX REPAI ❑ ANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Sao Proposed Wastewater System Type: s 4v';z- 'S' ®sJ Projected Daily Flow: t-)"% ~5 GPD Number of bedrooms: L--► Number of Occupants: max Basement ❑Yes "K No Pump Required: ❑Yes ~9 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community '10, Public ❑ Well Distance from well i0 5'-) feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~S Date: -71-A ti!~)-~\1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder responsi a 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 Impro ent 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: S-1-7 Os-4<-- PROPERTY LOCATION: C 'J ~N~15 SUBDIVISION oNE CAPS LOT # X0 1 Facility Type: SF 0 C LAO. XS O- New,, El Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes A No Type of Wastewater System** C..o"yGN"Cl ra rl 1>'I- (See note below, if applicable Qv rY,R~o e„ei tv"\ o ty 4t L. (Repair) Installation Requirements/Conditions Number of trenches 1 (Initial) Wastewater Flow: 4S0 GPD Septic Tank Size I(Z)O(Z) gallons Exact length of each trench 2O© feet Trench Spacing: Ci) Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ( inches Maximum Trench Depth of: 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 A Aggregate Depth: inches above pipe Conditions: 9SA4"'' (z)cv ~ ~`J-oPaS fleL ~cwc=. Y~QQL~Cfa>J; S 1.. 5 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 app/icatiom / accept the specilcations of this permit. Owner/Legal Representativ i nature: Date: This Construction Authorization is subject to revoca' ' the site :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 subject to compliance thvi o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: S y ~5 Date: -T )a ~'N Construc ' Authorization Expiration Date: i i, HTE# Permit # ab arnett County Department of ablic Health Site Sketch PROPERTY LOCATON: Oy Er A ISSUED TO: S'70 t~. SUBDIVISION ~ dNL Cxw*5 LOT # c,I Authorized State Date: `1 lZA-1 i tom Depautment of Environment, Health and Natural Resourc a Sheet: Division of Environmental Health On-Site Wastewater Section Property ID: Lot o e: File Solus][TE EVALUATION C for ON-Q lTB WAa Code: TEWATEIIr SYSTg1Vh Owner. Applicant: Address;. Date Evaluated: Proposed Facility: yoori. S DAP Flow ( 1949): Locado of Site: . Property Recorded: Fropertr Size: Wate# Supply; IC ❑ Lldividual ❑ Well ❑ Spring Evaluadon Method: r Type of Wastewater: Auger Boring ❑ Pit age ❑ Industrial Process Mixed, P R 0 F I 1940 90Q, MORPHOLOGY OTHER ~ HorizOa .1941 PROFILE FA~CTC E Poa1 N 91ope'li (IM Depth • 1941 .1941 Str .1941 3011 ,1q~ +tcnvd Condata0ca Texture Minanfa weteeaaf Color 9011 w: 1 ~0 6 tea" ~ ~ ~ vim,, N ~1 N Site ClassiBcadon (.194ik5 Evalwted Bye Others Present: ❑ Other 1956 .1941 PioAt® lapror Realr Cram ,tame Hodz. Ai LTAIL 6 Sz