IPACHTE# i c,; _5 - ycfr5'9 Harnett County Department of Public Health 29264
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit PprcdCr6;'a Qel
PROPERTY LOCATION: 10 SANrsa orlaW Or � 52 1 Zo y
ISSUED TO: CUM, VMCAA 00098 rle— SUBDIVISION Co c 1i nw S4, c'scnS LOT # Yl
NEW li/ REPAIR ❑ ERPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `( f5 (L 5 6 1;t
Proposed Wastewater System Type: Z5 "i ct d c! bra S� ten �Q a rap)
Projected Daily Flow: 4 s O GPD
Number of bedrooms: ImF- Number of Occupants: "S max
Basement []Yes GAO
Pump Required: fes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet Permit valid for.Iii ive years
Permit condi I s. ❑ No expiration
Authorized State Agent: Qf a Date: 1'Z I 33 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Realth Department in no way guamntees 'ssuance of other permits. The permit holder is resp nsihle 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 vement 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 peMiL.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19S2, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in ucordance
with the attached system layout.
/' pvn�reasa Rb )
ISSUED TO: CaMfoerlard 40Ws-, Cxn PROPERTY LOCATION: nbe -x2l'oaXetS Dr-. l $2 t Zo I
SUBDIVISION Tnc S Pci %ra f5 LOT # !/
Facility Type: q 6 tZ 5 FO I" New ❑ Expansion ❑ Repair
Basement? ❑ Yes G}-Ro Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z-6' (?eAQCkS0N S)t S><<s✓i �Nf9p) (Initial) Wastewater Flow: V1 G GPD
(See note below, if applicable ❑)
2 S% Rcd0c ,6o/,, S y SA" -IRepalrr
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /moo gallons Exact length of each trench 50 feet
Pump Tank Size /V=,0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zmoo — 10 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: _7 Feet on Center
Soil Cover. /4� — 2fiff inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
_ z inches above pipe
—(Z,'— inches total
If applicable: / understand the ryrtem type spedfred it different from the type sped#ed on the application. / accept the rpedfl6tions of this permit.
Uwner/Legal Representative Signature: Date
This construction Authorization is subject'tion 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 sub complian ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized St to Agent: zr1 Date:
o ction Authorization Expiration Date:
HTE# I Cc - S - y0rYy Permit # `-7 4/ -
Harnett County Department of 1."ublic Health
Site .'ketch
�Portaesa5a Rd�
PROPERTY LOCATON: 16 5 prl n , r/p „e rs t*-� 52 i Z i
ISSUED TO: C lob Iv Tn - SUBDIVISIONC .�c�Sea on " LOT #
Authorized State Agent: Date:
.q
I /
I
Liam
to
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2
Soe Q
50 J
ZS% Oed�ck�on Sfsl�t— / l
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
C..MW/'na HV Kes,✓c .
Owner: if ,,- O Applicant: C o rn l y�s
-trJ
Address: 10 Seng Or, Date Evaluated: tz{oP//L
Proposed Facility:4B(L 5,,i�D Design Flow(. 1949): J(?e-7 ,J
Location of Site:&roj ; 4q, �,.,5o 45 Property Recorded: f C�
Water Supply: Wublic❑ Individual ❑ Well
Evaluation Method:❑bl uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ['Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0. s At
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structurw
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
0 -to
LS
K 5W Sip
,.�,a
r—
—
_
S
10-19
ZN-'lei
sy • �5
VFt, 55`� %
N�
4�*
�
O'j�
Description Initial Repair System Other Factors (.1946): .vorre
System Site Classification (.1948): Pro,�136,� j f; .f k L
Available S ace (.1945) Evaluated By: System Type(s) Ifs' ib O -ed- Others Present:
Site LTAR