IPACNTE# - V0110 Harnett County Department of Public Health 29276
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit h , I y bre •�J1
�� rr�b PROPERTY LOCATION: #r Litt/ SrmninvLa. s/L ry
ISSUED TO: ✓✓r��� SUBDIVISION v�a50an $
— LOT # !—
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 492 5 r0
Proposed Wastewater System Type: ZS% "..aF+'on Ssslem (Pwea�
Projected Daily flow: 4S6 GPD
Number of bedrooms: Number of Occupants: g max
Basement ❑Yes [Pfo
Pump Required: l;i ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ti;�ffbfic ❑ Well Distance from well feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Ag z v A .(�, s1-� Date: I L�-l/1 SEE ATTACHED SITE SKETCH
The issuance of this permit by Iealth Department in no way guarantees the issuance of 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 use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject in 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 requirements of Rules .1950. .1952, 19S4, ASS, .1956, .1957, .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
Gd w6—rtL- A.z Qxf �Gb .t jb�r k Si"'^7 �'or
ISSUED TO:
� PROPERTY LOCATION: nttJILJ+.I SPnnu Ga � 1 �2 / u�� �
SUBDIVISION 14 ±Lg 400 Ad u LOT # S
Facility Type: 4 6(L SF_9 0/New ❑ Expansion ❑ Repair
Basement? ❑ Yes 04o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** e) (Initial) Wastewater Flow: I/V GPD
(See note below, if applicable ❑)
/z0010 aad„C1-'6e eP695 S•dJ�(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size loot - /r3o gallons Exact length of each trench /640 feet Trench Spacing: Feet on Center
Pump Tank Size 420 -rz.So gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: Z6 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: (t. TON vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specAed is different from the type specified on the application. / accept the rpeciflwh nr o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The (instruction Authorization shall not be transferred when there is a change in ownership of the site. Thu
(onstruction Authorization is subject to compliance with the provisions of the LawsandRules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: /"( � Date: / z -7�-
y. Construction Authorization Expiration Date: / Z= ZC, 2/
HTE# « - i - V6t'!0 Permit # z 9z *G
Harnett County Department of Public Health
Site Sketch
�1 PROPERTY LOCATON: AUaCr4/ S�nw�1 Ln. 32 t
ISSUED T0: �iCu7a�a AotrG�� SUBDIVISION LOT # /S
� � '"�
Authorized State AgefH=/—�Date:
So/ PPpps
S J549w
I
I
PROPosCP
G o 2" 66
a4�
A
loo,
20'
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
e
On -Site Wastewater Section
Lot
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
�n
Owner:(r„yii k7nAPplicant
Address: Loh /3 'fl" 1" 113,'4 Date Evaluated: 141-y'14
Proposed Facility: y62 SfL Design Flow (.1949): 410 5 l�� property Size: 0,L47 A
Location of Site: A jzq Property
jl� 4,4�f
Recorded: Y e,, Water Supply: 63 rublic[] Individual ❑ Well ❑ Spring
P 8 El other
Evaluation Method'❑ Auger Borim- tt ❑Cut
Type of Wastewater: ewa a
g El Process ❑Mixed
P
R
O
F SOH. MORPHOLOGY OTHER
.1940
L Landscape Horizon .1941 PROFILE FACTORS
.1942
E Positioe Depth .1941 .1941 Soil .1943
# Slope /. (mJ Structure Consistwce Wetness/ .1956 ,1944
Soil
Profile
Sapro Restr
Texture Mlile[Hlo
+ Color D th IN. Class Horiz
3 <o
Class
& LTAR
c, o — z SL � fr. syr f.
PS
0.3
d-14 15z- 6c, Ti 5N Xzr
P5
V, Lie IL_�_ Or F 5 1?
3
�s
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6.3
Description Initial Repair System
Other Factors (.1946): N
System
Available S ace .1945)
Site Classification (.1948):
System T s)
Site LTAR o • � Zed.
`3
Evaluated B y' a,jj{ e,w [.
Others Present:
G 3
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