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IPACHTE# Harnett County Department of Public Health Imurovement Permit 2 6 7 4 3 A building permit cannot be issued with only an Improvement Perini PROPERTY LOCATION: S ti SagnA-\ 12A ~1 ISSUED TO: ~Jl'~sr~ty C-ciNS <cW c,S~ Cl N SUBDIVISION 5, Fran D\ t a_LQ6 E LOT # NEWA REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~`O Proposed Wastewater System Type: a,5°jo NaV Sy~i m Projected Daily Flow: '3A © GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes ',Iq No Pump Required: ❑Yes ~R No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community K Public ❑ Well Distance from well 10 O feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent::g Date: 17- l~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder is 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 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 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: s ~~w ~,.r5.ct,vc.~lo N PROPERTY LOCATION: S ~EQ'Q-P,S 1 s~-r>,~ I , ~ s SUBDIVISION LOT # y3 ` (5aPA~" Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes '1~ No Type of Wastewater System** rc)-S°( o ~GzJV cr ~ G N Sys T~ (Initial) Wastewater Flow: 3CO GPD (See note below, if applicable o j Po mew- a~ o 9--c-~Sa vet Q N (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size Lo©~ gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ' inches Maximum Trench Depth of: a~ -3® 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 Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INtLUDING 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 specified is different from the ty pe speciled on the application. / accept the specilcations of this permit. Owner/Legal Representative ure: Date: This Construction Authorization is subject to revocation ite pa , la( 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 ec compliance the pr $e e s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH [Authorized State Agent: =ti5 Date: IZ A Construct n Authorization Expiration Date: a. a16 _ HTE# "'A Permit # ',V Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: S' E't tz~ 2R~ t-- ISSUED T0: ~~r G~\a SUBDIVISION S~csa~ sa A L~-ca LOT # y y "~®1YS®8 Date: VD - Authorized State Agent: lp ) f d~ cJt C 5 c j ~ PFi~ZC}~ R 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: 'I ~ L-~) Design Flow (.1949): e j1 Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method;E~\AugerBoring ❑ Pit ❑ Cut Type of Wastewater: [Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I 1940 SOIL MORPHOLOGY OTHER L . Landscape Horizon .1941 PROFILE FACTORS E # Position/ Slope % Depth (In.) .1941 .1941 Structure/ Consistence .1942 Soil 1943 1956 Wetn .1944 profile Texture Mineralo ess Soil Sapro Color D th IN. Class Restr Class j LS Horiz & LTAR cJ= Sal r _ ~ g S ~f 5& l 1-39 Gs~ ~s~^>4 0 a 0 5 Description Initial epair System Other Factors (.1946): Available Space .1945) S Ste Site Classification (.1948): 1p Evaluated By: Site LTAR _ K Others Present: