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IPACHTE# = Occ-33 Harnett County Department of Public Health Improvement Permit 27310 A building permit cannot be issued with only an Improvement Permit / PROPERTY LOCATION: C 1 A 05' YZr ISSUED TO: �� -�J�/ f'/a %��f SUBDIVISION M c- n•.; I &// 'e ;44-c LOT # /07 NEW IZ' REPAIR ❑ ,EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SFJ (. X`M Proposed Wastewater System Type: N f — X �-7� 4 d-4 'J-.rA' Projected Daily Flow: 8 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes 2"'No Pump Required: Ofes ❑ No ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: 0-Five years Permit conditions: ❑ No expiration Authorized State Agent:: 4 w- . �! Date: 3 ///-2-d 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the kealth Department in no a guarantees the issuance 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 Improvement 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 TO: PROPERTY LOCATION: d 14 of `/2-I SUBDIVISION g.r:,e e f/ .2.d LOT # 103 Facility Type: R New ❑ Expansion ❑ Repair Basement? ❑ Yes ET No D Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" AeJ -4 :' Jt'„ (Initial) Wastewater Flow: V80 GPD (See note below, if applicable �— lee 4 Installation Requirements /Conditions Number of trenches 3 Septic Tank Size l000 gallons Pump Tank Size /0130 gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench AD v feet Trenches shall be installed on contour at a Maximum Trench Depth of: ,2 4 inches (Trench bottoms shall be level to +/ -1/4" in all directions) GPM Trench Spacing: 9 Feet on Center Soil Cover: /Z inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: l understand the ayrtem type specified it different from the type specified on the applitatloa. I accept the apecircationr of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in nwnenhin of the sits Thit Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Cw6a C� Date: 1.,20 /17 Construction Authorization Expiration Date: J 1112 ° / G _ HTE# I3 -_67 _- 3c)' -33 Permit # R-� 3l0 t �U �d,fc i2C r z (3� v 3 ,6 l //7 �oLdI- ) 41 -J/1 e 34 i �U z its-' 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: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑Well Evaluation Method: ❑ Auger Bqeng ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 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 zj ,,� sti s - �C, YL Description Initial S st em Repair System Other Factors (.1946): Site Classification (.1948). Evaluated By: 2y,, Others Present: Available Space (.1945) System Type(s) (< al Site LTAR 3° wxw ml 0 NAIL S.i VICINITY MAP (NTS) TOTAL 3.146 SQ.FT. THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT CREATE A NEW STREET OR CHANGE AN EXISTING STREET SHAWN T. RUMBERGER, PLS L-4909 DATE THIS MAP IS ONLY INTENDED FOR THE PARTIES AND PURPOSES SHOWN. THIS MAP IS NOT FOR RECORDATION. NO TITLE REPORT PROVIDED. FRONT 35' SIDE 10' REAR 25' h SIDE STREET 20' MAX_ HEIGHT 35' A'. =AIR IMPERAOU5 AREA HOUSE 2,316 SQ.FT. ;A lvLMP4 DRIVE 604 SQ.FT. 0 wj-1 fvwf F —�tt WALK 106 SQ.FT. 0 k"i S.-I DECK 120 SQ,FT, 0 NAIL S.i VICINITY MAP (NTS) TOTAL 3.146 SQ.FT. THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT CREATE A NEW STREET OR CHANGE AN EXISTING STREET SHAWN T. RUMBERGER, PLS L-4909 DATE THIS MAP IS ONLY INTENDED FOR THE PARTIES AND PURPOSES SHOWN. THIS MAP IS NOT FOR RECORDATION. NO TITLE REPORT PROVIDED. / 11 —`\ t1031 j�- � SITE PLAN APPROVAU DISTRICT SE GRAPHIC SC= so 0 I inch = 50 ft. P R E L I M I N A '1� Y 0 sw fr F R SAVVY HOMES APS --- BELLOW HOSVINGFON DRIVE ;-o 1 10-1 NlAmli. BELA. PIDI;L sUii-)IvlsIoN G.*� —.1 T.x K.Ar Ic .. r 2;7 FISH DRIVK r IIPPFR ATTT RIVFP. TWP,, HA:'Nl If Crj- '4C ANGICR. NC 275131 ulwmsmmmmwmmxmwm 7 ........... o,wvz : DATZ: P.B. "007 K, �`6 h —`\ t1031 j�- � SITE PLAN APPROVAU DISTRICT SE GRAPHIC SC= so 0 I inch = 50 ft. P R E L I M I N A '1� Y 0 sw fr F R SAVVY HOMES APS --- BELLOW HOSVINGFON DRIVE ;-o 1 10-1 NlAmli. BELA. PIDI;L sUii-)IvlsIoN G.*� —.1 T.x K.Ar Ic .. r 2;7 FISH DRIVK r IIPPFR ATTT RIVFP. TWP,, HA:'Nl If Crj- '4C ANGICR. NC 275131 ulwmsmmmmwmmxmwm 7 ........... o,wvz : DATZ: P.B. "007 K, �`6