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IPAC RHTE# GL-5-Harnett County Department of Public Health Improvement Permit 27071 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: dYC~Z~»~15 ISSUED T0: ~rnF2~Gs>.~ ~O MESt n~~l~ SUBDIVISION S ror,Ecczs~S~ LOT # Q_ NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SR'Q ,,,,,,,.,o Proposed Wastewater System Type: Qu-,O 10 2 °lA RE.oU(5N-" 4'J Projected Daily Flow: 35--c GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes XNo Pump Required7'~es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -)K, Public ❑ Well Distance from well 1O0 feet Permit valid for: 'Five years Permit conditions: _ ❑ No expiration Authorized State Agent:: ~ r 1 U Date: .1 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance ier permits. The permit holders respon fble 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 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. n ISSUED T0: ~MG-~2.1C.s~N ~cr•S~~thL;~~ PROPERTY LOCATION: O14M- ~-LS QD SUBDIVISION C-JTor4e g!5..5 LOT # -7 ?3 Facility Type: ~JT'fiJ 1~3~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basemen Fixtures? ❑ Yes No Type of Wastewater System** PurrR (Initial) Wastewater Flow: 3G GPD (See note below, if applicable QUvr%9-70 Z)- 0% (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size 1 O0 O gallons Exact length of each trench 1 ~;-0 feet Trench Spacing: Feet on Center Pump Tank Size `®®O gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 3t4-347 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: 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 speci(ed is different from the type speciCed on the application. / accept the specipcations of this permit. Owner/Legal Representati j nature: Date: This Construction Authorization is subject to revocatio i e site pla 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 sub ompliance w ve prd ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: N' I Date: ° Constructio uthorization Expiration Date: HTE# 12-5-~°1'a11 CL Permit # 1 Harnett County Dept-u-tinent of Public Health Site Sketch PROPERTY LOCATON: Ovm-N-Z~11.L5 1-9 ISSUED TO: ~ SUBDIVISION STooLctzs5 LOT # ~Q Authorized State Agent: 4.3 LlY ^TOLY~~ Date: '1 F~ i/ Q- COMMENTS: LANDSCAPE POSITIONS R-RIDGE S-SHOULDER SLOPE L-LINEAR SLOPE FS-FOOT SLOPE N-NOSE SLOPE H-HEAD SLOPE CC-CONCLAVE SLOPE CV-CONVEX SLOPE T-TERRACE FP-FLOOD PLAN STRUCTURE SG-SINGLE GRAIN M- MASSIVE CR-CRUMB GR-GRANULAR SBK-SUBANGULAR BLOCKY ABK-ANGULAR BLOCKY PL-PLATY PR-PRISMATIC FILE # GROUP TEXTURES I S-SAND LS-LOAMY SAND II SL-SANDY LOAM L-LOAM III SI-SILT SIL-SILT LOAM CL-CLAY LOAM SCL-SANDY CLAY LOAM IV SIC-SILTY CLAY C-CLAY SC-SANDY CLAY MINERALOGY SLIGHTLY EXPANSIVE EXPANSIVE .1955 LTAR CONSISTENCE MOIST 1.2-0.8 VFR-VERY FRIABLE FR-FRIABLE 0.8-0.6 FI-FIRM VFI-VERY FIRM EFI-EXTREMELY FIRM 0.6-0.3 0.4-0.1 WET NS-NON-STICKY SS-SLIGHTY STICKY S-STICKY VS-VERY STICKY NP-NON-PLASTIC SP-SLIGHTLY STICKY P-PLASTIC VP-VERY PLASTIC - - - .....,.v ..o, . __vU Uvb Ur vUllu mar K, ana No ~or c tcl, S~ G ~ ~ G S 113 ~ 1 E. i~ 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: j~~ Design Flow(. 1949): Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method Au Boring ❑ 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 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 .Q.,- o-6 (7- S L- VPr~ ""j L~~F s- r Description Initial S ste Repair System Other Factors (.1946): Site Classification (.1948).f Available Space (.1945) Evaluated By:O y System T e(s) U r~ S c b Others Present: - Site LTAR L