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IPACHTE# Ivy — 5 -�3.70 Harnett County Department of Public Health 28615 Improvement Permit A building permit cannot be issued with only anprovement Permit (R PROPERTY LOCATION: ilC G, -"P ON ISSUED TO: M�2�� ��A� w �E SUBDIVISION �CA2` � I,, cc—_ LOT# 10 NEW"J REPAIR ❑ E;7SION ❑ Site Improvements required prior to Construction Authorization Issuance: Type Of tincture: _"!'Z --Q L k0 nVy Proposed Wastewater System Type: is Qbfl I)S t Q rd v S C r Projected Daily Flow: tdo O GPD Number of bedrooms: 3 Number of Occupants: ro max Basement []Yes `�No Pump Required: Dyes _D311fo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well lei 0 feet Permit valid for. �Khve years Permit conditions: ❑ No expiration Authorized State Agent: >> The issuance of this permit by the Health Department in no way guarantees the issuance site is subject to revocation if the site pian, plat or the intended use changes. The Improvement the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: SEE ATTACHED SITE SKETCH s. The permit holder A responsible for checking with appmpriate governing bodies in meeting their requirements. This shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Pefmit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in actorduce with the attached system layout ISSUED T0: (~l a4 �T A� �� r �Gc7S PROPERTY LOCATION: g�v - 0AN9 C` SUBDIVISION rgAQ-� tai G LOT # 10_L Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement FixQures? ❑ Yes 'Doo Type of Wastewater System** cr/. S1LGDu (Initial) Wastewater Flow: 3/ta0 GPD (See note below, if applicable ❑) / ��sT Go Q t jD . � , (Repair) Installation Requirements/Conditions Number of trenches T Septic Tank Size t OOCi gallons Exact length of each trench s S'O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: Y%"30 inches (Trench bottoms shall be level to +/.1/4" in all directions) Pump Requirements: h. TDM vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover, (;--A 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 IOFL FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type specibed it different from the type specified on the app/kation. / accept the specilcatiom of this permit use Date: not be transferred when there i communion Authodaation is WA9,to complialst6 ithliRir�of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Authorized State Agent: Date: til Z 1S Authorization Expiration Date: SEE ATTACHED SITE SKETCH HTE# 15—S--3730 Permit # 6 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ISSUED TO: �AQCT�S� z G� Qu w SUBDIVISION 1 l0�<G R�a1c�l LOT # LC) Authorized State Agentib— L)v6L7OL—So0 Date: Sl IZiI) 3O bvFFS(1 �I � 3 3yy6_ 2 G QLv E Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 Design Flow (.1949): 3460 �e Location of Site: Property Recorded: Water Supply: )R.Public❑ Individual ❑ Well Evaluation Method A er Boring ❑ Pit ❑ 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 Snucturet Texture .1941 Consistence mineralogy .1942 Soil Wetness/ Color .1943 Soil IN. .1956 Sapro Class .1944 Resn Horiz G s+S��tP •K cr,41 G Description Initial Repair System Other Factors (.1946): System Site Classification (.1948):5 Available Space .1945 Evaluated By: i�r\ System Type(s)) Others Present: J Site LTAR • Y 1 )x\50 Q_\er30