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IPACHTE# 13 - 5- -- 3i D'58 Harnett County Department of Public Health Improvement Permit 27375 A building permit cannot be issued with only an Improvement Permit Authorized State Agent -F' Date: 11 " Z3 - 1 3 SEE ATTACHED SITE SKETCH The issuance of this permit by t 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 T0: s;;r.{? Ir .cQ C PROPERTY LOCATION: 6tN3.7 5 • r rzb SUBDIVISION LOT # 1 y . Facility Type: 13" New ❑ Expansion ❑ Repair Basement? ❑ Yes [?T—No Basement Fixtures? ❑ Yes Q No Type of Wastewater System ** 2t `lo c '&G-lu u , -5;�, (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) f ti '4 2 5 a 1J3ic dd (r (Repair) Installation Requirements /Conditions Number of trenches Lf Septic Tank Size 1006 gallons Exact length of each trench —71) feet Trench Spacing: Feet on Center Pump Tank Size 100 0 gallons Trenches shall be installed on contour at a Soil Cover: _ inches Maximum Trench Depth of: I e 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: 2- inches above pipe Conditions: c�'r r= r2 12. 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 app lication. / accept the specifications ofthispermit 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 3tt AI IAIHtU Slit SKETCH Authorized State Ag 2 - Date: tj -Z3 Construction Authorization Expiration Date: 1 - 1.1 e 15 PROPERTY LOCATION:6-&1437 45 ISSUED TOO. � ry .�-r ( !�°� -!° -� .. SUBDIVISION f a i�c l00 bS LOT # IqLi NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 e6 Proposed Wastewater System Type: Projected Daily Flow: 3lo o GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes IJ No Pump Required: ❑Yes ❑ No Type of Water Supply: El Community ❑ Ma be required based on Public ❑ Well final location and elevations of facilities Distance from well feet Permit valid for: L!f Five years Permit conditions: ❑ No expiration Authorized State Agent -F' Date: 11 " Z3 - 1 3 SEE ATTACHED SITE SKETCH The issuance of this permit by t 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 T0: s;;r.{? Ir .cQ C PROPERTY LOCATION: 6tN3.7 5 • r rzb SUBDIVISION LOT # 1 y . Facility Type: 13" New ❑ Expansion ❑ Repair Basement? ❑ Yes [?T—No Basement Fixtures? ❑ Yes Q No Type of Wastewater System ** 2t `lo c '&G-lu u , -5;�, (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) f ti '4 2 5 a 1J3ic dd (r (Repair) Installation Requirements /Conditions Number of trenches Lf Septic Tank Size 1006 gallons Exact length of each trench —71) feet Trench Spacing: Feet on Center Pump Tank Size 100 0 gallons Trenches shall be installed on contour at a Soil Cover: _ inches Maximum Trench Depth of: I e 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: 2- inches above pipe Conditions: c�'r r= r2 12. 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 app lication. / accept the specifications ofthispermit 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 3tt AI IAIHtU Slit SKETCH Authorized State Ag 2 - Date: tj -Z3 Construction Authorization Expiration Date: 1 - 1.1 e 15 HTE# 510'59 Permit # Z--13-7 '57 H,,trnett Count-v, Department of Public He(-Atb Site Sketch PROPERTY LOCATON:;%,0—ji 377 Big-d A,� 9b ISSUED TO: -.'�c SUBDIVISION W LOT # Authorized State Agen- Date: 13 [Irk C- L� 0Y) 0 4� 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 Evaluate Proposed Facility:) Design Flow(. 1949): Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: - Auger Boring ❑ Pit ❑ Cut Type of Wastewater: ©- ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color 1943 Soil Depth (IN .) .1956 Sapro Class .1944 Restr Horiz L AL s- qo & -c., ),SK 1, C -311 j L �Z Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948):, y Evaluated By: Others Present: Available Space (.1945) System Type(s) Site LTAR