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IPACHTE# Harnett County Department of Public Health 28601 Imorovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: gvyrsa" c '�)a ISSUED TO: ncyr--E ���+CJ SUBDIVISION c)P"e �osar LOT# t3a NEW'N' REPAIR [] ESION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: s V -Q 163 Lj I u Proposed Wastewater System Type: 901-R—T o as Qos .5ys ;C --M Projected Daily Flow: L`1150 GPD Number of bedrooms: 14 Number of Occupants: max Basement []Yes XNo Pump Required.�RlYes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply. ❑ Community Public ❑ Well Distance from well 10 0 feet Permit valid for, Five years Permit conditions: ❑ No expiration Authorized State Agent: $k- Date: t l U 15' SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the its f 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 me changes. The Improves rat 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 Deposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1952, .1954, .19SS, .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: ���eG l�ornr�> PROPERTY LOCATION: B0Q SUBDIVISIONO 7 C fN i LOT # 15;1, Facility Type: S G -"i (63 rat 11a� New ❑ Expansion ❑ Repair Basement? ❑ Yes ts3 No Basement Fixtures? ❑ Yes fo Type of Wastewater System** Qv 'n'p ) o Vo c—OV C., 10 g SYr 6td (Initial) Wastewater flow: L11'90 GPD (See note below, if applicable ❑) o Ptt nQ �U c).S if \-110 (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size 5 ©00 gallons Exact length of each trench 30O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth ok 1 % inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: fL TON vs. GPM Conditions: Trench Spacing: 'i Feet on Center Soil Cover: C -inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FL FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the r}rtem type rpeciled iJ dilerent from the type specified on the application. / azrept the rperilcationr of thin pili Representative Signature: Date: This construction Authorization is wb ct to revocation if me 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 eomplim m93senraf the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: �� ��� PC—) -D Date: 103 3 Authorization Expiration Date: HTE# C Permit # 9`60 Harnett County Department of Public Health Site Sketch \ PROPERTY LOCATON: Dyc ,ft � G 02 ISSUED TO: Cy c_C_ t \o F' S SUBDIVISION ON r,A N � LOT# 132-. Authorized State Agent: 0 Date: e L)VI).46 C)6- 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: �4p2'� Design Flow (.1949): J, Location of Site: Property Recorded: Water Supply:(\\Public❑ Individual [I Well Evaluation Methoir:Q Auger Be Zg ❑ Pit El Cut Type of Wastewater: Sewage ❑ Industrial Process J 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 ]LTAR .1941 Structure/ Texture .1941 Consistence Mineralo .1942 Soil Wetness/ Color .1943 Soil Depth (IN. .1956 Sapro Class .1944 Restr Horiz L l vi-� 51^P �S if q c S3 Description Initial Repair System Other Factors (.1946): S ste Site Classification (.1948)i�S Available Space (.1945) v Evaluated By: System Type(s) -Lcy) Others Present: Site LTAR . u V d-3C)U 1, 1.6