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IPACH T E # Harnett County Department of Public Health Imarovement Permit 26646 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: I I L-v ccas ISSUED Tfj: & < cam' e c c>/t,f'~n 4;0n SUBDIVISION , ~W e~ moo. er' LOT # NEW N' REPAIR ❑ EXPANSION I-] Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -5,-F D J_3 K 3M Proposed Wastewater System Type: dr7a Projected Daily Flow: x(00 GPD Number of bedrooms: ,3 Number of Occupants: L max Basement ❑Yes L/N a Pump Required: ❑Yes ~ ~ Ld'No ❑ Max be required based on final location and elevations of facilities Type of Water Supply: El Commu - nity E Public ❑ Well Distance from well feet Permit valid for: eve years Permit conditions: ❑ No expiration Authorized State Agent:: ~ 5~ ~~~-w-?~•:- t~~'~~ Date: SEE ATTACHED SITE SKETCH The issuance of this permit by th ealth 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: A& /;c- C. ,'f /-.,I PROPERTY LOCATION: ~ % ( ) 1-vc-c,-f ed. 2/New SUBDIVISION ~ @+z.--I )~~e i- LOT # Facility Type: , ~F ~ ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No (,-7 Type of Wastewater System** 02 S-7" S=e-dQc.- "0A= tiJ~en~ (Initial) Wastewater Flow: U GPD (See note below, if applicable o2s"~d ~e Juc t` os2~ r~~n (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 000 gallons Exact length of each trench 86 feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 116-2 ~ 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 Conditions: Aggregate Depth: inches below pipe inches above pipe 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 speciTed on the app/ication. /accept the rpeci6cationr at 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 ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: c Date: 400 Construction Authorization Expiration Date: 7 HTE# 11-j ' aQ y,2,3 Permit # -k q arnett County Department of 1--lablic Health Site Sketch PROPERTY LOCATON:i ISSUED TO: X, %c- Cc,, c4 :0A SUBDIVISION~wce--~w~-`~wr- ! LOT # 7 1 Date: 9 l cl~ Authorized State Agent: E ~,ofI ,i!G3` : 1I b < <\j e I ►o Ts I a0' I 1 /6 7, 14UJfl- l v~[ C 35~' z I ~C-A C 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: / ( t Proposed Facility: Design Flow (.1949): Location of Site: / Property Recorded: Water Supply: LJ Public❑ Individual ❑ Well Evaluation Method:[3' Auger Bo ' g ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 L Landscape E Position/ # Slope % orizon Depth (In. ~3 OIL MORPHOLOGY .1941 .1941 .1941 Structure/ Consistence Texture Mineralogy ~-~'Alf 1942 P Soil Wetness/ Color THER ROFILE FACTORS 1943 .1956 Soil Sa ro De th (IN. Class ) 944 Profile Restr Class Horiz & LTAR 8-19 1Z-f VFi,, Alr'uf ffi 8 a /'7 ~L ►~n/f„I f/ Description Initial S stem Repair System Other Factors (.1946): Site Classificati 1948 P Available Space .1945) on E l S stem Ty e(s) f va uated B O - Site LTAR thers Present: :