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IPACHTE# 11-5-:)❑CiL5 Harnett County Department of Public Health Imurovement Permit 26705 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: l-~, 3 CO ISSUED TO: ~2y4~vso N ~ac~S SUBDIVISION V WIsy ® G>,,6 LOT # 15 --7 NEW REPAIR ❑ EXPn11ON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: T 4 L~ y" 1 / Proposed Wastewater System Type: (?vn 10 ~-S°lo REC»!C.-C,Q Projected Daily Flow: 3~ 7 GPD Number of bedrooms: 3 Number of Occupants: Co max Basement ❑Yes e-4Kl, No Pump Required ,Aes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \bQ feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: v ~ci Date: 5o' )3®r N SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuai er permits. The permit holder is respo 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 Improvemen ermit 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: Ps6fr 1 o J, )'4 i., 'A0 MC-5 PROPERTY LOCATION: SUBDIVISION Ca V k-0 00.' 5 LOT # S1_ Facility Type: 5 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** 9ym To 2x /e, tJVG;.10 ysTErr\ (Initial) Wastewater Flow: GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 1 0« c gallons Exact length of each trench u'5 feet Trench Spacing: cil- Feet on Center Pump Tank Size Lo oc~ gallons Trenches shall be installed on contour at a Soil (over: inches Maximum Trench Depth of. 1 ~ 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 Aggregate Depth: inches above pipe Conditions: lk:J ^ \-N ap~-5 a Q)N ~QaS A _ S U aM~T CSC w 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 system 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`subj o revocation if the site plan, 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 is suk fC t complia w rovisio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent:S Date: Co truction Authorization Expiration Date: HTE# Permit # a~5 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:w~ 2,1 ISSUED T0:- o~ S©N ~Oc~GS SUBDIVISION Ow,<6 LOT # Authorized State Agent: c,ZC.~°L1V~t-'S'v 1-fl° ate: 3 O` r ►3~ N- ~ / Ho N -CL Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: '~C>E~2t Clrj Design Flow (.1949): (C., Property Size: Location of Site: Property Recorded: J Water Supply: Public[] Individual ❑ Well ❑ Spring ❑ Other Evaluation MethoAu r Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed P R O F I L 1940 d OIL MORPHOLOGY .1941 THER PROFILE FACTORS _ E # Lan scape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil De th (IN. .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR _Ivi P ti ~ - Y_ set Description Initial S Ste Repair System Other Factors (.1946): Site Classification ( 1948): Available Space (.1945) . Evaluated B : System Ty e(s) P Y rYi7 QQ y Others Present: Site LTAR „y