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IPACHTE# ~0--s-4.~ k145 Harnett County Department of Public Health Improvement Permit 2 6 2 0 3 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: NC.'aClW ISSUED TO: C-y m `&G L1-9.VAO riOcnES 1 ty L SUBDIVISION Q ~jp p , NEW REPAIR F-1 EXPJION ❑ LOT : Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~O Q53 xS~" Proposed Wastewater System Type: ?2~o Vcx sd -,j S y.~ Projected Daily flow: 3~p GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes ❑ No )<May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Permit conditions: Public ❑ Well Distance from well S O feet Permit valid for. Five years ❑ No expiration Authorized State Agent:: -``y H5 Date: 1 \d The issuance of this permit by the Health Department in no way guarantees the issuance of o its. The permit holder is responsible for checking with appropriate governingSbodiesA inAmHED Stheir reSKETCH quirements. This site is subject to revocation if the site plan, pla( 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: r•,oen.T~P~~ p ~~er.L~ NG PROPERTY LOCATION: N C a1 W Facility Type: SF~ C53~~c 55 SUBDIVISION _V"') I¢ c 'a~ Ta N y LOT # !J~_ X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo Type of Wastewater System"* a.5 °1/0 2E,p V Gc I Q N SY 5'C EM (See note below, if applicable C (Initial) Wastewater Flow: 360 GPD ~~ld vc.'a stl N ~Y 5 SAM (Repair) Installation Requirements/Conditions Number of trenches L_ Septic Tank Size Ineoo gallons Exact length of each trench CIO feet Trench Spacing: Pump Tank Size vQoQ gallons Trenches shall be installed on contour at a Soil Cover Feet on Center Maximum Trench Depth of: 9, inches _ 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 Conditions: Sr--r. SsSE SxQ -5 c,-) 'Qjti Aggregate Depth: inches above pipe ~"~-Er,+~,yt ~p,s~ aN~ SwP.LI= gmoiv 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: 1 understand the ryrtem type rpecl led is different tram the type specified on the app/ication. /accept the tpecill'catioar of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to revo 'the sit 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 s ct compliance th o e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: h Date: `411) Constr on Authorization Expiration Date: HTE# S o-5-a'-11~5 Permit # ~ba..4Zj H"Il-llett Cotlllt.v Depth-tment of liblic Health Site sketch PROPERTY LOCATON: N1C-anW ISSUED T0: Cvm A \.1, OMGS <<vL SUBDIVISION 1"1,, LOT Authorized State Agent: Date: _ ,"l1 C~ Qb( F'e6Nc- L-A ' 01 ;;L ' Stiv AL Seus P %pg Ile L-K* pQ.A~ NU Department of Environment, Health and Natural Resource Sheet: Division of Environmental Health Property 1D: On-Site Wastewater Section Lot SOIIJSITE EVALUATION File e: for ON-SITE WASTEWATER SYSTEM Code: Owner. Applicant: Addn= Date Evaluated: I -1110 Proposed Facility: 3 GeD-zvc1 Design Flow (.1949): 3 eQ Property Size: Location of Site: Property Recorded: Water Suppiiy; l,Pubile ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method. Auger Boring ❑ Pit cut Type of Wastewater. Sewage ❑ Industrial Process Mixed. R O P 1 SOEL MORPHOLOGY t L andm .1940 La~daeapa Horizon .1941 OTHER PROb?Lg FACTORa E M Poeitioe/ Depth .1941 .1941 _ .1941 Solt 143 Slop% (a Struahlyd Conaiaten" .1956 webmal 1944 Protlts son Tendon miners 3apro Re* Clan Color IN Cla . n Huns A LTAR 'rte UAW Factors (.1946) Site C1a,sificadon (.1948)x' S Others Prewtt FME COMMBN S: S R-RIDGE, S-SHOULDER SLOPE LrLINEAR SLOPE FS-FOOT SLOPE NI -NOSE SLOPE HJIEAD SLOPE CC-CONCLAVE SLOPE CV-CONVEX SLOPE T-TERRACE FY-FLOOD PLAN CROUP 1933 L" 1.2-01 VFR-VERY FRIABLE FR-FRIABLE 0.8-0.6 FI-FIR* VFI•VERY FIRM EFI-EXTREMELY FIRM 0.6-0.3 m S-IRUCTCIRS SG4IMLs.8 GRAIN M- MASSIVE,, CR-CRURS GRANULAR SBK-SVEILANOULAR BLOCKY ABK-ANQULAR BLOCKY PL-PLATY PR-PRISMATIC I S-SAND LS-LOAMY SAND II SWANDY LOAM L,LOAM IQ SE-SILT SIL-SILT LOAM CL-CLAY LRAM SCL-SANDY CLAY LOAM IV SIC-SILTY CLAY C-CLAY SC-3ANDY CLAY SLIOWMY EIIPANSM EXPANSIVE, 0.4-0.1 NS-NON-STICKY S3-SLLOIITY STICKY S-STICKY' V3-VERY 3PICKY. NP-NON•PLArnc. sP-SUGH y STICKY P-PLASM, VP-VERY Pf.ASTIC' 36ow ffls locadom aMd other mile faliaraa d1n@cW retareocas or and NoM ~C~1 ~1.. Q {