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IPACHTE# //°S - X711-7 Harnett County Department of Public Health Improvement Permit 26631 A building permit cannot be issued with only an I provement~iermit PROPERTY LOCATION: ISSUED TO: o ✓a c~ a (r-e LJ SUBDIVISION is t h LOT # C NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: /11 /1 /y k-70 r- Proposed Wastewater System Type: C_ Q&J9-^+" `Et Projected Daily Flow: LTQ GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes Q No Pump Required: ❑Yes LEI No ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: E1' Five years Permit conditions: ❑ No expiration Authorized State Agent:: J4,e~'t"Ct q/ Date: -7 ✓zjJ '/1Z// SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: 116. V" C1 (~..'4 ~J Facility Type: ,1f1 ["New Basement? ❑ Yes ❑ No Basement Fixturf s? ❑ Y Type of Wastewater System** C a AV0.1 J-i gs a. (See note below, if applicable C PROPERTY LOCATION: SUBDIVISION ~v :r-fin LOT #T ❑ Expansion ❑ Repair ❑ No r ~~v ec v . c s c1 it J-At~ - (Repair) Installation Requirements/Conditions Number of trenches i Septic Tank Size 1000 gallons Exact length of each trench /00 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 12(Z~ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: (Initial) Wastewater Flow: .3 U GPD Trench Spacing: Feet on Center Soil Cover: v inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: ®Z inches above pipe /.2 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 sfstem type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownershia of the site. This Lonstruction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this pe it. SEE ATTACHED SITE SKETCH Authorized State Agent: c Date: ,'f-- Z.,,/ Construction Authorization Expiration Date: -7 /Z-r-/2-,/6 HTE# J 7 Permit # Z~- ~-Jf Harnett County epaAment of iblic Health Site Sketch ~a J PROPERTY LOCATON: P~-a16 ISSUED TO: 1,,,gl SUBDIVISION s.. - b,-rb LOT # / Authorized State Agent: > , ~,3~._ , 6111 Date: '7 f/ Department of Environment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: IJZc y Address: Date Evaluated: Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ©'Public❑ Individual ❑ Well Evaluation Method: Auger Bo~irig ❑ Pit ❑ Cut Type of Wastewater: L~j Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texturre .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR 1 ~ ` ~,1r Op l~ 3S S~' l~c~ jrf/ I~ 7 Zf sJGC c/ .4f-4f / Description Initial System Repair System Other Factors (.1946): I)r Site Classification(. 1948): f - Available Space (.1945) Evaluated By: v^ System T e(s) C ti. Csa.t Others Present: Site LTAR x L