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IPAC RHTE# 12-�a�12�3� Harnett County Department of Public Health 291 Imarovement Permit A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION- TSNGGNV—D ISSUED TO: Ent1 Acer L5�GQ5 lcv e- SUBDIVISION P5—%\c�'NS UIS LOT # 14-�L NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SFZj(�)rx3 Proposed Wastewater System Type: PvoL,�o `SSA\X'—IW Projected Daily Flow: —VoZ GPD Number of bedrooms: rJ Number of Occupants: �' max Basement []Yes ANo Pump Requiredj�'Res ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community Public 11 Well Distance from well d� feet Permit valid for. years Permit conditions: ❑ No expiration Authorized State Agent:: 11 Date: %)1311-16 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the isma other permits. The permit holder n res onsible for checking with appropriate governing bodies in meeting their requirements. This site is subject m revocation if the site plan, plat. or the intended use changes. The Improve. nt 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 .1958, .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 attached system layout ISSUED T0: �S�c�G�l V1Lo Lyp� PROPERTY LOCATION: \ Ttv66rf Q SUBDIVISION Pc�l oA5 LOT #.)4- Facility Type: "3�7 New 11 Expansion 11 Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ��\j No Type of Wastewater System** oij S ' ' (Initial) Wastewater Flow: 34 6 GPD (See note below, if applicable ❑) U mP ^moo �� VNED (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t (0 a © gallons Exact length of each trench AY5 C) feet Pump Tank Size t 00:�) gallons Trenches shall be installed on contour at a Maximum Trench Depth of. QL0 30 inches (Trench bottoms shall be level to +/.I/4" in all directions) Pump Requirements: (L TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. !S ) inches (Maximum soil toyer shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total **If applicable: / understand the system type specibed it different a%nm the type speri/ied on the app/kation. / accept the specifications o/ this permit Date: This construction Authorization is 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 Authorizatia`,j�9ppjLo to rompb i coy of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: %I Authorization Expiration Date: NTE# G4--5- 'Q)A3`_ Permit # --M�1 Harnett County Department of Ynblic Health Site Sketch PROPERTY LOCATON: S iN6GN ISSUED TO: � U oG2,S wG SUBDIVISION k'o "j -s j LOT # Authorized State Agent: CF�iS b t-)fA i OLY- p Date: of 3 f� 1 � P4 ( 1 —� L NOvst, _ S7 s5 2 C �tiMUG� 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: (s� p2rl Design Flow (.1949): �6'Z�, � Location of Site: Property Recorded: Water Supply: public❑ Individual ❑ Well Evaluation Method] pager Boring❑pit ❑ Cut Type of Wastewater: N Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 SOIL MORPHOLOGY - OTHER L .1940 Landscape Horizon .1941 PROFILE FACTORS E Position, Depth .1941 . 1941 .1942 Soil # Slope % (In.) Structure/ Consistence Wetness/ .1943 .1956 SiIN. .1944 Profile Texture Mineralo Color D h Caro Restr Class L 5 Horiz & LTAR 0-3) G S VFQ_"3),Q .S 3 zi) G 75 v" 1 NS'yA '33 q( -z rt' e5 'S eK G Description Initial Repair System Other Factors (.1946): Available S ace .1945) S sterrt,.� / Site Classification (.1948): v S stem T s) Evaluated B Site LTAR Others Present::