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IPAC RHTE# d Harnett County Department of Public Health 27678 Improvement Permit A building permit cannot be issued with only an :Improvement Permit PROPERTY LOCATION: L ISSUED T0: SUBDIVISION C,ocgUi— `' LOT # `NY NEW` REPAIR ❑ Et NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F <<iE� �`�`�� Proposed Wastewater System Type: 90 me-5c) 8.5°10 Dv (t ON Projected Daily Flow: 3G® GPD Number of bedrooms: 3 Number of Occupants: Sv max Basement [--]Yes o Pump Required:)yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well t ®® feet Permit valid for: Five years Permit condition ❑ No expiration Authorized State Agent:: Date: n V-1-cl 13 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance o t� permits. The permit hol r 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: ---\ S>,(A. 't0 MSS PROPERTY LOCATION: l SUBDIVISION (::,r, u;FGQ, LOT # Facility Type: S c �3 CH�rxE�� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ','No Type of Wastewater System" u -z*�.5d( o e-f Z y 0)-1 V ,J s��`TI, rn (Initial) Wastewater Flow: 3 C o GPD (See note below, if applicable ❑ Ibow 99-0 "Z Gs>" (Repair) Installation Requirements /Conditions Number of trenches ! Septic Tank Size 10 (T a gallons Pump Tank Size L o ti's gallons Pump Requirements: ft. TDH vs. Exact length of each trench t (�,® feet Trenches shall be installed on contour at a Maximum Trench Depth of: !:i� inches (Trench bottoms shall be level to +/ -1/4" in all directions) GPM Conditions: Nj Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Depth: inches above pipe &�\ 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 specilcations of this permit. Owner /Legal Represent i nature: Date: This Construction Authorization is subject t ev n if the lil an, 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 s ehompliance ' the 'sior�e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: ��� ��� �G1-4S Date: "1 -4 N3 Con • n Authorization Expiration Date: lg HTE# Permit # C­7 � Harnett County ]Department of 1--`ublic Health Site Sketch PROPERTY LOCATON: ISSUED TO: cj--- M r. s ti cr SUBDIVISION -C-,0QRW- Vp-a r 5 LOT # Authorized State Agent: Date: 'J c, sj, �-D N-A * NQ L� ( C) M M 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: C_.1 {3p(i,,n Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method�Auger Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ 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 C3 -1 u1 � 5 �tAL if l G S ID Y G� 0 Description Initial System Repair System Other Factors (.1946): Site Classification (.1948): Evaluated By: Others Present: Available Space (.1945) System T e(s) Site LTAR FILE # COMMENTS: LANDSCAPE POSITIONS GROUP TEXTURES .1955 LTAR CONSISTENCE MOIST WET 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 I II III S -SAND LS -LOAMY SAND SL -SANDY LOAM L -LOAM SI -SILT SIL -SILT LOAM CL -CLAY LOAM SCL -SANDY CLAY LOAM 1.2-o.8 0.8-0.6 0,6-0.3 VFR -VERY FRIABLE FR-FRIABLE FI -FIl2M VFI -VERY FIRM EFI- EXTREMELY FIRM NS- NON - STICKY SS- SLIGHTY STICKY S- STICKY VS -VERY STICKY NP- NON - PLASTIC SP- SLIGHTLY STICKY P-PLASTIC VP -VERY PLASTIC IV SIC -SILTY CLAY 0.4-0.1 C -CLAY SC -SANDY CLAY STRUCTURE MINERALOGY SG -SINGLE GRAIN M- MASSIVE SLIGHTLY EXPANSIVE CR -CRUMB EXPANSIVE GR- GRANULAR SBK- SUBANGULAR BLOCKY ABK- ANGULAR BLOCKY PUPLATY PR- PRISMATIC Show Profile locations and other site features dimensions, references or benchmark, and North G d C. G a P gcinity Map (Not 10 Scale) EL GEND CURVE TABLE R/W -RIGHT OF WAY ,�E CURVE RADIUS LENGTH CH. BEARING CHORD DB -DEED BOOK NOF'N C7 275US 12GTH CH. BEARING 121.74' PG -PAGE PROP - PROPOSED SF- SQUARE FEET io AC- ACRE(S) CONC- CONCRETE ESMT- EASEMEN7 PL- PROPERTY, LINE i 11 22� 1� "23�" COOPER FARMS , COOPER FARMS PHASE I, SECTION 2 ` PHASE 1, SECTION 2 PB 2011, PG 59 ` P9 2011, PO 59 S69'55' 1 1"E. �, 110.19' 'PROPERTY OF:. TRACE ' NAMES, INC. FOSS %p'�A1i'`y: �1}t^ ADDRESS: TAFT `�� 120 LANE a S�A7� f •• 27 CITY: NEAR JOHNSONVILLE, NC 3cii39 � , .COUNT Y: HARNETT C! COOPER FARMS a PHASE i, SECTION 1 `; EO PS 2010, PG 234 29 '. 5 . W rv.DO' 2e.61' � COOPER FARMS PHASE I, SECTION 2 p, PROPOSED HOUSE .f Zat3 PS 2011, PG 59 PO 2011, PG 59 1 sr B. .00' 20,695 SF' V 0.48 f _ N 13.00' n t NOTES z 23.00• c ' PROP CONC m N 10• -SID£ DRIVE q G WALK CA N69- 55'11 "W, 50.37' 2) THIS MAP IS Nor DRAWN IN ACCORDANCE WITH D.S. 47 -10 TAFT LANE rFAYETrEVJLLE, NC 28305 50' PUBLIC R/W 3) THIS MAP CAN NDr BE USCO FOR RECORDATION OR 'PROPERTY OF:. TRACE ' NAMES, INC. FOSS %p'�A1i'`y: TOWNSHIP: JOHNSONVItLE ADDRESS: TAFT `�� 120 LANE a S�A7� f •• DATE: JULY, 5, 2013 CITY: NEAR JOHNSONVILLE, NC 3cii39 � �� 1" = 40' .COUNT Y: HARNETT Cy.0 =?" '•. REFERENCE: LOT 28 TAX PIN: 9563- 74- 6261.00d �'.,'d;' `�I;`` ' �� COOPER FARMS PHASE 1, SECT. 2 Zat3 PS 2011, PG 59 DAVID R. BECKWITH PLS #L -3889 MINIMUM SETBACKS: RA -20R: n t NOTES 35' -FRONT .P.S. SURVEYING, INC. 10• -SID£ C -2589 1) THIS MAP IS FOR PERWTTINO PURPOSES ONLY 25' -REAR 8 FORT BRAGG ROAD 2) THIS MAP IS Nor DRAWN IN ACCORDANCE WITH D.S. 47 -10 GRAPHIC SCAlE rFAYETrEVJLLE, NC 28305 3) THIS MAP CAN NDr BE USCO FOR RECORDATION OR N: (910)484 -6432 ATTACHED TO A DEED TO BE RECORDED. : (910)778 -9440 0 20 40 80