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IPAC RRHTE# IS -5`3r. 2 Harnett County Department of Public Health 28796 hDrovement Permit A building permit cannot be issued with only an I2provement Permit /y�� PROPERTY LOCATION: Zlv e �cL�vb ISSUED TO: GaTC--5 �aV1LQ\NPw SUBDIVISION1t46EvJ ilImNL LOT NEV✓'X REPAIR ❑ ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SQSJ (5", n1i5ANSION Proposed Wastewater Sys 7 e: 904YN d 5 Projected Daily Flow: Ib 0 GPD Number of bedrooms: 3 Number of Occupants: Oman Basement ❑Yes No Pump Required:;Ntes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community / Public ❑ Well Distance from well 100 feet Permit valid for. Five years Permit conditions: — ❑ No expiration Authorized State Agent: Date: SEE ATFACNED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issusto a er permits. The permit holderis�si e for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation a 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 requirement of Rules .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordama with the attached system layout. ISSUED TO: Giiv'7--'G-5 v s "-D, NN en. PROPERTY LOCATION: S v t4 o O rL-X�J� ��� SUBDIVISION N % 4G4r t •5 rviE LOT # )TQ Facility Type: S� s'x New ❑ Expansion ❑ Repair Basement? ❑ Yes �, No Basement Fixtures? ❑ Yes -, No C Type of Wastewater System" P„M° to c Oo R6pvr:5�1 ors (Initial) Wastewater Flow:3� GPD (See note below, if applicable ❑) P u m e l 0�;15C a/ o QZD (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size soo o gallons Exact length of each trench 2.'15 feet Trench Spacing: Feet on Center Pump Tank Size s, ovd gallons Trenches shall be installed on contour at a Soil Cover. S - a inches Maximum Trench Depth of S"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: h. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: Payx%C' R�V--'Eo a a,r Pr302 inches total 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. **If applicable: / understand the syrtem type specified is different from the Ve speciled on the application. / accept the rpech7 atiotor of thin permit. Owner/Legal Representative Signature: Date: This construction An is subject to revootian if the site plan, plat or the intended use changes. The Construction Authorization shall net be transferred when there is a change in ownership of the site. This combustion Authorisation is mbjEct m m " with theVkyisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: v Date: struction Authorization Expiration NTE# 15-5- 36�a2�2 ISSUED TO: Authorized State Agent: Permit # a$l�} Harnett County Department of Public Health Site Sketch 30� PROPERTY LOCATON: JvNa \4s 6 `"4 G SUBDIVISION 'C,w r -C -,j Y 0, N %. LOT # 155fl Date: art) � IQ( SVINO ortN16 (�J 1490iEp /o/ii�/S' SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC. PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET SUBDIVISION: T/ulE.+ Pl- pw,y T" INITIAL SYSTEM: APPROVED 25% RECUCTION DISTRIBUTION: c£Rrw r. LOT l rlr, P"mr Ta REPAIR-+PlrvlTo zs/ t.Ea.�vra.r DISTRIBUTION -COico BENCHMARK: 100.0 LOCATION 7b/ nF 0.46/o/, -r L ,I.7 77. NO. BEDROOMS: 3 LTAR a -a cA'/a` ft4oii., LINE FLAG COLOR ELEVATION LENGTH YA g 9�•f8 rs - a�' YB 8 g7.,rs zo ' TYPICAL PROFILE 3 2- lej v 2 7ya • l s� /r4 4 Pr 18-2A" DATE /*/� THERE SHALL BE NO GRADING, CUTTING, LOGGING OR OTHER SOIL DISTURBANCE IN SEPTIC AREA