IPACHTE# 16 3-'1616 di Harnett County Department of Public Health 29253
Improvement Permit
A building permit cannot be issued with only an Improvement Permit fr-�.L
PROPERTY LOCATION: 1D'3 CC- Sri if, Ln
ISSUED T0: ZjUtia M Gore a ; J, n r 5 t • SUBDIVISION LOT # /
NEW 2' REPAIR ❑ EXPANSION ❑
Type of Structure: _ 3 8 2 F1cus e—
Proposed Wastewater System Type: 250% (ZeAucl:on Ase�FfSy� .
Projected Daily Flow: 36 o GPD
Number of bedrooms: 3 Number of Occupants: Lomax
Basement ❑Yes fro
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public V Well Distance from well t 0 o + feet
Permit conditions:
Permit valid for.
gKrlve years
❑ No expiration
Authorized State A / � Date: r Z.1aZ zv/C SEE ATTACHED SITE SKETCH
The issuance of this permit by 1 ealth Department in no way guarantees the issu ce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject m revocation it 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 pmvisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit
The anstmction and installation requirement o1 Ross .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. ?J(-. 66
ISSUED TO: Oo. hc. VA etre4�tt\ty a Sr, PROPERTY LOCATION: (3": /f
SUBDIVISION
Facility Type: 6 2 14 0,y e= YNew ❑ Expansion ❑ Repair
Basement? ❑ Yes Ipei' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'ZS 6/0 2e aocJtzon — Ga.. LrrL (Initial) Wastewater Flow: _
(See note below, if applicable ❑)
Q�%v f1t-60(4,Cn /lrrira�� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 oL c gallons
Pump Tank Size toots gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench 4 0o feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 28 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
LOT # /
06 o GPD
Trench Spacing: q Feet on Center
Soil Cover. I(o @i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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
SZ Ix inches total
**If applicable: / understand the system type speciled it different from the type speuled on the application. / accept the spec/lcalonr of thir 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 change in ownership of the site. This
Construction Authorization is subject to complianre with the previsions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. )tt AI IALMtU lilt SRt ILH
Authorized State Agen • Date: t 2 4 0'Z / Z- r L
ruction Authorization Expiration Date: t ?a-Joz-/ zoL F
HTE# lis " S ---/ V 20q Permit # Z q 7-,s -Harnett County Department of Public Health
Site Sketch
t,> G S Sp
PROPERTYLO(ATON: g�rc. 4�'•b� Ln. 1. ."Ut•keN
ISSUED TO: Vlc no. MtCeX kV , 5 ! _ SUBDIVISION LOT # I
Authorized State A it: /Date: t -7, -Z-
()s
o5
y41r
dL Tr, nl[, C�4 sopp�� r r
('41k .3 1-C M4ve-S b`.s
MM5A +wrtf +t(. 5.a loac
�f PUMP {o rrpnj, Yci:
3 ►dost
�int%5
CD Cenbcr
� �s% Qed�cl:on 5
+� Z8'•n -Tcer6, V,e,4
� 3sry wade Ereru,H
-M 36o C7pb oes,,31\
Top l; Ae, Shwkd \w
GePro-a�makly IjF1 Qci
l; iiC
50'
30•
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
J), A"
Owner: Mef �ANAApplicant: Qaow Oeczd411- Zol
Address: 0 v r, 13 r, f { Ln . Date Evaluated: l 2�
Proposed Facility: 3(32 Nva s{ Design Flow (.1949): 3609`1gµ7
Location of Site: IJur„ ef-,4h LA Property Recorded: ry
Water Supply: ,_,/ ❑ Public❑ Individual B Well
Evaluation Mothod:1eAuga�Boriij�g ❑ Pit ❑ Cut
Type of Wastewater: 6 ewage ❑ Industrial Process
Sheet:
Property ID:
Lot N:
File N:
Code:
Property size: t{ . y 5
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
N
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
1 PROFILE FACTORS
Profile
Chas
k LTAR
.1941
Structure/
Texture
.1941
Consistence
Mm o
.1942
Soil
Wetness/
Color
.1943
son
.1956G
SWO
Class
.1944
Rab
Honz
1-. - GZ-C�G
1. r
- �1 \ 4
/
l.J• (. I .SL
�f. SSI 5r
—
�y
UK�s�`
q t +
Mra�Cna�
P4attJ�s.t
r
��'�
hr.
Z9 -4E
6 Act.
I , s P 54r
—
4-19
—
—
0.45
Description Initial Repair System Other Factors (.1946): A- a-e-
Ssten Site Classification (.1948): Pro ��i:onwlly 5v�(-4.blL
5 Evaluated By:
2=T e(s)
23 % d L,Others Present:
Site LTAR 0 . o S