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IPACHTE# r5%iL~ Harnett County Department of Public Health Improvement Permit 2671 4 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Goo2- 5 P te.:,4 Gs 9-D ISSUED TO: AMtic~t ~ C-5E SUBDIVISION LOT # NEW REPAIR ❑ E~IPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: 'M ,kr Type of Structure: slht . ^ ' Proposed Wastewater System Type: Q,5%L , V-i~U Cr, t 0 cv y S £r c~ Projected Daily Flow: GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community `'R Public ❑ Well Distance from well 1 00 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: x,301 14 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance bier 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 T0: ~~r1.S caccl s\( Cc s G PROPERTY LOCATION: r,001- Facility SUBDIVISION LOT # ~ Type: ~r1t~N~ocr~'< New El Expansion El Repair Basement? El Yes No Basement fixtures? L~ Yes No Type of Wastewater System** 9 vw N o c4 S-1 - ~ E. (Initial) Wastewater Flow: 36~ GPD (See note below, if applicable a~/e F-FAVfih %r-d S- T5 (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size l-® © ® gallons Exact length of each trench 13 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 2.1-~ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: c1 Feet on Center Soil Cover: a. inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe pp Aggregate Depth: inches above pipe Conditions: ~arT E N9 ucZF~-'CX, q AS Utz-- D),2-P.'NN YA5 sPoSC06~ ~--~r1 inches total U 'F DC.a., C-4 C=am WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system ttpe specified is different from the type specified on the app/ication. / accept the specilcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is suuIec tion if the site n, 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 su 'compliance e " ns o® Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: "S 30 Constru ' n Authorization Expiration Date: 30 HTE# -`)-S,L3 Permit # D~6"Z ) ~ Harnett County ]Department of Public Health Site Sketch PROPERTY LOCATON: Coal. SRQ.A KGs ISSUED TO: Ee:2, v SUBDIVISION LOT # - Authorized State Agent: t~G COt_1~1E®~ticsxXZ~r Date: °1301 T 7- Cxc~t WDds~EQ PS141\ Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: On-Site Wastewater Section Property ID: Lot SOIL/SITE EVALUATION File for ON-SITE WASTEWATER SYSTEM Code: Owner: Applicant: Address: Date Evaluated: Proposed Facility: Design Flow .1949): 3 Location of Site: er ( Property Size: Property Recorded: Water Supply: -tjPublic❑ Individual ❑ Well ❑ Spring Evaluation Method'[ Auger B rin Other g ❑ Pit Type of Wastewater: Sewage Cut ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY I 1940 OTHER . .1941 L Landscape Horizon PROFILE FACTORS E Position Depth 1941 .1942 # Slope % (Tn, 1941 Soil Structure/ Consistence Wetness/ .1943 .1956 .1944 Profile Texture Mineralogy Color D Soil Sapro th IN. Class estr Restr Class Horiz & LTAR 1 JCL ~ 31- ~ S9lL Ct, 5~ 3`~ Sa G s)~ P5 Description Initial Rep it System Other Factors (.1946): Available Space .1945) S ste Site Classification (.1948): System Ty s) Evaluated By: Site LTAR a Others Present: 3 x~3 S~ 4 ~j'C ~ ~~•C~ 1",tip G'~ 2~fi~ vt A ~ ~'z (J QA `'U 1 7JvS C~'11GM j~1~4..