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Improvement Permit with Authorization to Construct - IPACHTE# I3- 5- 3:.a ')_5 Hari,. vt County Department of Public aalth 27923 Improvement Permit A building permit cannot be issued with only an Improvement Permit e, PROPERTY LOCATION: C ®�PS� c2y Qr, ISSUED TO: `)Gcc�% r►lc—� SUBDIVISION LOT # NEW )< REPAIR ❑ EXPANSION ❑ ', Site Improvements required prior to Construction Authorization Issuance: Type of Structure: rt a—F 'D r- Qp.<i >c�� Proposed Wastewater System Type: C ocvva" -y V% Projected Daily Flow: Yv'�L -S GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Suppl : ❑ Community Public ❑ Well Distance from well I © feet �jermit valid for: Five years Permit conditions: E 6� Cpl S 6fl O N t-- ",-4D 0 6 E. wee t_ �G o,.� N aid t' bS L ❑,IVo expiration S y'V, I) i:;�._ t',_\ \ P.nih Gu,OC, wsrt.C_ n_ ®ce..7v , C . -pro Authorized State Agent:: i�1_ Date: _�_1 I S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department utno way guarantees thNsuaricedfother permits. The permit holder is resp risible 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 Improve rmit 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: 1'3 }­,q `) `V Facility Type: �` t 1& �_Q-) -x New Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System ** (See note below, if applicable ❑) PROPERTY LOCATION: Gcs58 vtf �� s> SUBDIVISION LOT # ❑ Expansion ❑ Repair No Conditions: _ S C!�_ S U I M (Initial) Wastewater Flow: GPD feet Trench Spacing: Feet on Center Soil Cover: inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) (ate. sQr_.V inches below pipe Aggregate Depth: inches above pipe } 0S15. 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 speciled is different from the type specifled on the app lication. / accept the specipcations of this permit. Owner /Legal Representaf Si nature: Date: This Construction Authorization is subject to revoc ' 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 subj fiance with t ovisio he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: t 3 i Construction Authorization Expiration Date: (Repair) Installation Requirements /Conditions Number of trenches Septic Tank Size gallons Exact length of each trench Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of- (Trench bottoms shall be level to +/ -1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: _ S C!�_ S U I M (Initial) Wastewater Flow: GPD feet Trench Spacing: Feet on Center Soil Cover: inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) (ate. sQr_.V inches below pipe Aggregate Depth: inches above pipe } 0S15. 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 speciled is different from the type specifled on the app lication. / accept the specipcations of this permit. Owner /Legal Representaf Si nature: Date: This Construction Authorization is subject to revoc ' 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 subj fiance with t ovisio he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: t 3 i Construction Authorization Expiration Date: cu J 0 CL Ev, 6, 00 0 G') O)o C 0: , n�Pr-?u n5prm - �b- 5' -0 m 0 . -t- 3'1< 5 M :3 rl) IA ul + 'D C) -3 0 0 10 r- --4, -3 rx) Lq W;O @ rD 00 ro in 00 LA C+ 1+ 9 C + + Ul c :3 0 M :3 0 1 3 m3 ro X 3 p M m :3 n n m :7 :y m ru ra M LA COk 'n bum ROad _X, am 'D 0 rx er 0 CL (D a 3 cr r o CD CA CD Z C, 0 0 T 110 0 m I � 0 m 0 :5 C2 Q n dNo p U) c+ %,D :3 — CD c cl, IA < nt -5 — OD 0: , n�Pr-?u n5prm - �b- 5' -0 m 0 . -t- 3'1< 5 M :3 rl) IA ul + 'D C) -3 0 0 10 r- --4, -3 rx) Lq W;O @ rD 00 ro in 00 LA C+ 1+ 9 C + + Ul c :3 0 M :3 0 1 3 m3 ro X 3 p M m :3 n n m :7 :y m ru ra M LA COk 'n bum ROad _X, am 'D 0 rx er 0 CL (D a 3 cr r o CD CA CD 91 N 4) C: z ro N 0 Ln Ln Qr ro ZY C+ CD C:) l< p (0 p ru ED Q 0 (D 0 rD 70 (D Q < (D <+ d rD ro ;;u _0 0 p p -5 0 C+ (A 3 ro :5 C+ C, OR CO CD '< cn 3 91 N 4) C: z ro N 0 Ln Ln Qr ro ZY C+ CD C:) l< p (0 p ru ED Q 0 (D 0 rD 70 (D Q < (D <+ d rD ro ;;u _0 0 p p -5 0 C+ (A 3 ro :5 C+ � x Shoat: Property ID: Lot #: CCSC SOIUSITE EVALUATION File #: for ON -SITE WASTEWATER SYSTEM AppID: Owner: North West Harnett Fire Station Applicant: Address: Date Evaluated: 121912013 Proposed Facility: Fire Station Design Flow(. 1949) Property Size: Location of Site: Cokesbury Road, Harnett County Property Recorded: Water supply: [XI Public [ ] Individual [ I Well [ ] Spring [) Other Evaluation Method: [X] Auger Boring [ ] Pit [ ] out Type of Wastewater: [XI Sewage [ I Industrial Process [ ] Mixed 1 LS, 5% A, 0 -5 Gr, SL VFR, ISIS, NP P Bt1, 9 -25 SBK, SC BC, 25 -32 Bt1, 5-22 SBK, SCL Fl, SS, SP R BC, 22 -29 SBK, SCL Fi, $S, SP 0 PS 120" SOIL MORPHOLOGY C, 29 -383 1 SG, SCL Fl, SS, SP F $>i1 L Landscape Horizon .1941[ E Position/ Depth Structural coftwo"04 a> # slo a" tN. extum Miners rAR 1 LS, 5% A, 0 -5 Gr, SL VFR, ISIS, NP 10 YR 4/3 Bt1, 9 -25 SBK, SC BC, 25 -32 Bt1, 5-22 SBK, SCL Fl, SS, SP 10YR 6/6 BC, 22 -29 SBK, SCL Fi, $S, SP 1Q YR 616, 5YR 416- mottles PS 120" C, 29 -383 1 SG, SCL Fl, SS, SP 10 YR 6/6, 10YR 611 mottles 2 LS, 5% A, 0 -5 Gr, SL E. 5 -9 Gr, SL Bt1, 9 -25 SBK, SC BC, 25 -32 SBK, SCL C. 32 -38 SG. SC 3 LS, 5% A, 0-4 Gr, SL Bt1,4-24 SBK, SCL BC, 24 -30 SBK, SCL C, 30-39 SG. SCL 4 LS, 5°% A, 0 -6 Bt1,6 -24 BC, 24 -31 C, 30 -38 R, NS, NP 10 YR 4/3 t, NS, NP 10 YR 618 SS, SP 10YR 616 PS! 32" SP 10 YR 616, 5YR 4XI-mottles SS, SP 10 YR 5/4,10YR 611 mottles ;, NP 10 YR 413 10YR 6/6 10 YR 6/6, 5YR 416 - mottles 10 YR We,10YR 611 mottles 7,6 YR 4/6 10YR 816 10 YR 618, 5YR 416�mottles 10 YR (116, 1 QYR 6/1 mottles S PS SP SP SP System Ty e s , NP SP SP SP Description Initial System Repair Mtem Available Space .1945 Yes Yes System Ty e s Accepted Acne ted S, 0,4 S,04 S,0.4 S, 0,4 j. ' l ^" i 11 Other Factors (,1946):' 1247 of � Sall Evaluation By: Alex Adams` Others Present; Jason Mall � RTC Owner: Address: Proposed Facility, Location of Site: Water Supply: Evaluation Method: Type of Wastewater: CCSC SOIL/SITE EVALUATION for ON -SITE WASTEWATER SYSTEM North West Harnett Fire Station Fire Station Design Flow ( 1849) Cokesbury Road, Harnett County JXJ Public [ J Individual () Well [X) Auger Boring [ j Pit [X[ sewage [ [ Industrial Process Sheet; Property ID: Lot #: File #; ApplD: Applicant: Date Evaluated: 12/9/2013 Property Size: Property Recorded: I I Spring [ [ Other [ ) Cut [ J Misted P R O F11 i L E # ,1940 Landscape Posibon/ S10pe °fo LS, 5% LS, 5% LS, 5% LS, 5% LS, 5% horizon Depth tN» A, S IL Mi RPHOLOOY ` 1 + . ` t Qf. 1' I 10 YR 4/3 1 OYR 614 10 YR 616, 5YR 410- mottles PS! 30" 10 YR ENO, IOYR 811 mottles 10 YR 413 10 YR 5/6 10YR 1116 P8102" 10 YR 64 6YR +418- mottles 10 YR 818, 1 OYR 0/1 mottles 10 YR 413 10YR 816 10 YR 618, M 416 mom# PS M8" 10 YR M. 10YR 011 mottles 10 YR 413 IOYR 614 10 YR 678, SYR 41Ckmities PS 10 YR 816, 1OYR 611 mottles 10 YR 41 1OYR 610 10 YR 0/0, 5YR 4/6- mottles P5/28" 10 YR 6116,10YR 811 mottles , r Aace ed t Pr9►r OAg & TAR S, 0,4 S, 0.4 S,0.4 S,0.4 . 01 1841 Structure! Te Wr6 Gr, SL J1 VFR, NS, NP X44 F # 1¢ 5 6 7 8 8 Btl,6 -24 SBK, SCL Fl, SS, SP BC, 24-30 SBK, SCL Fl, SS, SP C. 30-36 SG, SCL Fl, SS, SP A, 0 -5 Gr, SL VFR, NS, NP E. 5 -8 Or, SL FR, NS, NP Bt1, 9-25 SBK, SCL Fl, SS, SP BC, 25-32 SBK, SCL Fl, SS, SP C, 32 -38 SG, SCL F1, SS, SP A. 0-6 Or, SL VFR NS, NP Bt1,6 -20 SBK, SCL Fl, $S, SP BC, 20 -28 SBK, SCL Ft, SS, SP C, 28 -34 SG, SCL FI, SS, SP A. 0 -6 Or, SL VFR, NS, NP Bt1,6 -24 SBK, SCL FI SS SP BC, 24 -30 SBK, SCL Fl, $S, SP C, 30-36 SG, SCL Fl, SS, 5P A, 0-4 Or, SL VFR, NS, NP Bt1,4-24 SBK, SCL Fl, SS, SP BC, 24 -28 SBK, SCL FI, SS, SP C, 28 -38 1 SG, SCL F1, SS, SP Descri lion initla' S stem Repair System Available Space .1945 Yes Yea S System T e(s) Aace ed t Accepted Other Factors (.1 W): Sall Evaluation By, Alex Adams Others Present: Jason Hall a� 1 � t V \ a r S,;o