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IPACHTE# `1-5-a'11a.~ Harnett County Department of Public Health Improvement Permit 26672 A building permit cannot be issued with only an Improvement Permit ISSUED T0: ~6H%J 9I 111-Ix-NP"+r3'% 015 PROPERTY LOCATION: 71yixia, Qz SUBDIVISION F'E 714®r41L, LOT # t} C. NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: r1e,,' Proposed Wastewater System Type: 9v1 ,i__N e QuNt;w4 9t-U 3 Jtav4Low fno; NNL-G ~i1ca~S~Z Projected Daily Flow: 3 C-0 GPD C.zW w 5- ~O' In Number of bedrooms: 3 Number of Occupants: Co max Basement ❑Yes 'KNo Pump Requiredryes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well 1.Q® feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: "1 1~`6 111 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss o her permits. The permit holder is respon ible 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 Improvem 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 T0: 5 ors N Q P+vL~,F Pr, \Vx5 PROPERTY LOCATION: _7._, La 2- D SUBDIVISION F' E 7YN0 nks LOT #C.. Facility Type: ra . \N40r 0~L'K~ )9~ New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes )<No Type of Wastewater System** Pv-e Qti'`t-P Gti~ .~6ry '~10 10 (Initial) Wastewater Flow: ~e0 GPD (See note below, if applicable Pu0T 1o QL)" Le C-MNVN&PL- (Repair) Installation Requirements/Conditions Number of trenches sat; ta05'Q Septic Tank Size t 00 O gallons Exact length of each trench 3C` 0 feet Trench Spacing: Feet on Center Pump Tank Size tD O® gallons Trenches shall be installed on contour at a Soil Cover: Q, inches Maximum Trench Depth of: 'S 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 Aggre ate Depth: inches above pipe Conditions: Q-r` exL 4 Cow :a a ac~`~Q InG-G"S Ot-j Seto \A0A_P 't°d inches total An ew. 1 0 se- G~c:e c o P,No Y'~G-~~C» OF Gti~ e t.~a~ ~:7i r,eC~.a 1-ay o , Ott Lt_ t3E Or9~F^EQ, C14M\14 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 speciTcations at this permit. Owner/Legal Representative i Date: This Construction Authorization is subject to revocation if t , la , t, 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 is su y$~t~mpliance v the s sand Rules far Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Qf__'y,5 Date: 1-4 11 Constructibt,,Authorization Expiration Date: 7 HTE# Permit # Harnett County Department of iblic Health Site Sketch PROPERTY LOCATON: ~T~syj-~otL ~+G ISSUED T0: ~SoH ~p,VL N~OI SUBDIVISION rr'E~HO~Qs LOT # Authorized State Agent: Qe-"S W uvEL i Date: M 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: Address: Date Evaluated: Proposed Facility: (,L3 p Design Flow (.1949):3~d Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method:N Auger B ring ❑ Pit ❑ Cut Type of Wastewater: 0 Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R 0 F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR L5 ae-s c~ q s~ 0-)2, as 3 S L )q 1 Y- C, 1T)a -7)o t-~d Description Initial S ste Repair System Other Factors (.1946): Site Classification (.1948):'Pj Available Space (.1945) Evaluated By: System T e(s) L P G. F~ Lei \ Others Present: Site LTAR '