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IPAC RRRHTE# 0-2-5- I(Ze;,,T.),Q Harnett County Department of Public Health 28939 hDrovement Permit A building permit cannot be issued with only an Improvement Permit �7 PROPERTY LOCATION: S aL P.7 i) M C-5 r-�) ISSUED TO: P.s sc—` t— 90U X L-0 X25 1 C— SUBDIVISION H L) rV-CA4 Y o t LOT # NEW X REPAIR ❑ EX7011 ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: v')2 0 2S o iefQwcT10ti Projected Daily Flow: 3C;,® GPD Number of bedrooms: --'t' Number of Occupants: max Basement []Yes KNo 1, Pump Required:btes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well t O 0 feet Permit valid for. Five years Permit conditions: \ ❑ No expiration Authorized State Agent: vas' ?5 Date: $ ) 6 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees theiQllc of other permits. The permit holder is respo le for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site pian, plat or the intended use changes. The Impro t 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 Buildine Permit The commuctio t and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the atuched system layout ISSUED T0: i— gv't—ups � "zU PROPERTY LOCATION: S t c �'S �P YGS R;J SUBDIVISION "v ti 1 52s o T LOT At _!1,� Facility Type: SNTJ L56 x L \X New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? es )5< No Type of Wastewater System" Vu m p-0 c1 "�0 91G uc'l iD lt Sy5 i 6� (Initial) Wastewater Flow: 0 GPD (See note below, if applicable ❑) _ Q v M e \ c) �S coo Q-( (D (Repair) Installation Requirements/Conditions Number of trenches R Septic Tank Size 1 0 0 o gallons Exact length of each trench a 60 feet Trench Spacing:_ Feet on Center Pump Tank Size i 000 gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of 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: h. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: QC�u) � , $CN56-p ©N inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the grtem type specified is different from the type speahed om the app/icadon. / accept the rpecihcatiom o/ this permit Owner/Legal Date: This Construction Authorization is subject to rero 'f the site em, plat at the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the sin. This Construction Authorization is subjeelmlwtipliance vv "sion a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: `j �2' Date: Authorization Expiration Date: HTE#�� �j 16 Y5a6Lc( (� Permit # ISSUED TO: Authorized S-� Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: S vFS No�)6� SUBDIVISIONHy Ni gty N nfs LOT # 1 i W,46n-70I-Ys Date: g 11 I 1-�OJS G 5K' V� L A � Q � E A a�3" May 25 07 07:26. michael .esker 9IDB224540 P.1 Southeastern Soil & Environmental Associates, Inc. P.O. Box 9321 Fayehevae,ReNC 28311 Pho/Faa (910) 522-4540 EmailR k.13851®aaL 0 a f4krTj*f UY"J ED 111- 4 /J VM1•�-' G 4y � r neA�f i (24-1�yL I (�euJE fbTotAc/c oma, '0' $-c e,A, 7 / 7 SOIL/SITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING GROUNDWATER DRAINAGE/MOUNDING • SURFACEISUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION !DESIGN 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: M Design Flow (.1949):3 Location of Site: Property Recorded: J\ Water Supply: Publico Individual C] Well Evaluation MethodAug B Ping ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 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 (W.) .1956 Sapro Class .1944 Restr Horiz Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) Others Present: Site LTAR s �nS 5a vC ��y C'IL Vtorr" aiuINP', P