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IPACHTE# Harnett County Department of Public Health 30127 Improvement Permit A building permit cannot be issued with only an Improvement Permit /� PROPERTY LOCATION: W L L—VCegG eo ISSUED T0: YER�O:J i� L SUBDIVISION 5weG'Ca�r;h'i( 7. LOT# y� NEWX REPAIR ❑ JJ [I Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SEfl(-1-7 'x5 S" Proposed Wastewater System Type: % P.6 U cS I u r. SYSTEM Projected Daily flow: LsIX0 GPD Number of bedrooms: 4 Number of Occupants: max Basement []Yes XNo Pump Required: []Yes 'trjo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ), Public ❑ Well Distance from well feet Permit valid for., Five years Permit conditions: ❑ No expiration Authorized State Agent:: ,! Date:61151151 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees uance of other permits. The permit holder s 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 mpravement Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be insulted in accordance with the attached system layout ISSUED T0: `Y SAIL -0 wy 1 L PROPERTY LOCATION: W a LL Ly GHS Ro (3 a SUBDIVISION Svrcfz 406N@z- LOT # 41'1 Facility Type: Spp-1 5]� New ❑ Expansion ❑ Repair Basement? ❑ Yes ", No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 9-SCle (Initial) Wastewater Flow:4� GPD (See note below, if applicable ❑) o AF1>. SYS, (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size X00 d gallons Exact length of each trench aua feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 30 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 Aggregate Depth: Conditions: 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. inches below pipe inches above pipe inches total **If applicable: / underseand the system type speriled is different from the type spe6fed on the app/iradon. / accept the sperilcatios r of this permit. owner/Legal Representative Si tures Date: This construction Authorisation is subject to reronn " 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 subject4 compliance witl ie pr Zn.gLthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 15 Date:—011! o action Authorization Expiration Date: c HTE# M 'S u T 160 Permit Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: f, Lvc p,-� R� ISSUED TO: 1 VCQC R G SUBDIVISION SwCCiwfrrr' 7— l 1 LOT # 114 Authorized State Agent: *�5t i Otj D0 Date: 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: % P60<lsc*� Design Flow (.1949): Location of Site: Property Recorded: Water Supply: MPublicEl Individual ❑ Well Evaluation Melbod:m Auer Boring ❑ Pit El 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 (IN.) .1956 Sapro Class .1944 Restr Horiz a© SGL ci 351 sC �S L rzrL 33) N� a ©-)6 5C;L 6- j' S" Descriptioninitial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) 1 Evaluated By:,n< System Type(s) . Others Present: Site LTAR