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IPACHTE# ~ 1- ~ Harnett County Department of Public Health Improvement Permit 2 6 6 8 5 A building permit cannot be issued with only anprovement Permit PROPERTY LOCATION: oGGs VQ > ISSUED TO: \4-)cl~4 CJ -t'~al~`C1C50 SUBDIVISION 1~ ~ oG.r✓ LOT # ~ J r NEW REPAIR ❑ EX'P SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: fl ~66 x5® S y~-f err, Proposed Wastewater System Type: ~ /o IRZ..~ vC;;'t 010 Projected Daily Flow: t-)%Q GPD Number of bedrooms: LN Number of Occupants: `~o max Basement ❑Yes No Pump Required: ❑Yes o El Kay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community _~6 Public ❑ Well Distance from well feet Permit valid for: ,Five years Permit conditions: ❑ No expiration Authorized State Agent:: ` Date: '8 1 (SX N SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is responlible 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 Improvers nt 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 T0: PROPERTY LOCATION:® Q n SUBDIVISION '~~s Cl-~©c LOT #0_ Facility Type: Sip CC~OxS'7' New ❑ Expansion ❑ Repair Basement? ❑ Yes '159~ No Basement Fixtures? ❑ Yes ~lo Type of Wastewater System** 'oLo ~Z,C-Dv c'C e G ya <G~ (Initial) Wastewater Flow: L'~$ 0 GPD (See note below, if applicable `a-S°Ole QJ- QUC:1a s.t ':->J-.m (Repair) Installation Requirements/Conditions Number of trenches I'Sk 3 1po~ Septic Tank Size lc iC)0 gallons Exact length of each trench Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: Pump Requirements: ft. TDH vs. Conditions: (Trench bottoms shall be level to +/-1/4" in all directions) GPM feet Trench Spacing: Feet on Center Soil Cover: 11. a inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 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 change in ownershia of the site. This Construction Authorization is sk ect V compliarrc,,wit ovisions'Xthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: "il 1.0 14 o truction Authorization Expiration Date: 8 HTE# I Permit # Harnett County Department of niblic, Health Site Sketch PROPERTY LOCATON: QdGS ISSUED T0: ~~I (3-N SUBDIVISION iP-n'Sr-2.s ?-,LOT # 1O Authorized State Agent: Li o L-5~ Date: B t 104 1 i laa ~ «~s ~ wH~ SQGSz.. 1,~.. eJ 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: L I~36JWC) S~ Design Flow (.1949): Location of Site: Property Recorded: Water Supply: IPublic❑ Individual ❑ Well Evaluation Method:ZI\Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ~9 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/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR 1_-5 6 ~o s ~ r Description Initial Systpfn R pair System Other Factors (.1946): Site Classification (.1948) Available Space (.1945) Evaluated By: 1 System Ty e(s) Others Present: Site LTAR .