IPACHTE# Ile - 5 - 3y as9 Harnett County Department of Public Health 29268
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit / a,Ij� Rct
11��� PROPERTY LOCATION:351 6 x cn�r 5A%� Dr. 1 5 2 d 3)
ISSUED TO- 5-wular1 �uldll5 Sn< SUBDIVISION �/�s 1uL Pr 9/,– X7I� LOT
NEW fN REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 8 t2 5 2 9
Proposed Wastewater System Type: 25io 14,6,Y-+44
3ysf r a
Projected Daily Flow: 0 bb GPD
Number of bedrooms: 3 Number of Occupants: d max
Basement ❑Yes
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
LKo
❑ No f3"Ma be required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well feet
Permit valid for.
LM'twe years
❑ No expiration
Authorized State I(genr C— /' ll3a— ✓��L Date: / Z'� 1/� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ijdalth Department in no way guarmtees she 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 h�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 requirements of Rules .1958, .1952, .1954, .1955, .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.
ISSUED T0: 3"--,/ 0 Wyftjer-s -7ik
facility Type:
s a 6p— S F>
VNew
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes
aNss�.rd SZa.
PROPERTY LOCATION: (jwcfar ASVv;re Dr. C 02 d43
SUBDIVISION ,1A.J Im Po %nEc Wy -1y LOT # 'YZ
❑ Expansion ❑ Repair
❑ No
Type of Wastewater System** S VC5 ztz:A (Initial) Wastewater Flow: 266 GPD
(See note below, if applicable ❑)
Z,5i, Ilea 9c�; -' S (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size tOor> gallons Exact length of each trench I noo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I I - Z-4- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: y Feet on Center
Soil Cover. 6 - t z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
Z inches above pipe
Z inches total
**If apolicable, / understand the ti type fpedfled iu different from the type rpedfed on the app/kation. /accept the Jpecifcat/onr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonzation 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
tanstrucuon wmonzation IS subject to mmphance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: y, Date: / Z —21y1 lf�
�.► Construction Authorization Expiration Date: 12 Zd
HTE# " 5 ' 3 10'-5'? Permit # 2 9126 ?
Harnett County Department of Public Health
Site Sketch
� PROPERTY LOCATON: 35 / 0y(ofd 5h,'� Dt ( S (Z
ISSUED TO: 5&ncd .6,&r5 1pG• SUBDIVISION en Gb 11J.-- PNa= LOT # Z
Authorized State Age^::�L'-- z / AY Aryf1 Date: Z - ZR
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Department Of Environment, Health and Natural Resources
Division of Environmental
Health
On -Site Wastewater Section
Sheet:
Property ID:
Lot #:
SOHJSITE EVALUATION
File #:
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: Jh- Applicant: 51-1 6" bl e
Address: �9 Oxive31.: e ), Z
Date Evaluated: d: I �c B�
- I (G
Proposed Facility: &
.
3.?2 S ,,- Design Flo:
Location of Site: „ -gw ( ) JL•^ ,dJ Property. Size:
Property Record
Y{-5
Water Supply.
Evaluation Method:( gQ ftbllico Individu Well ❑ Spring
Pit
Type of Wastewater: ,e'§ow e - ❑ Cut
2 -Sewage ❑ Industrial
❑ Other
Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940
.1941 OTHER
Horizon PROFILE FACTORS
L Position/
E Position/ Depth
.1941 .1942
# Slope % (In.) SuucMd .1941 Soil
Texture Consistence Wetness/
.1943
soil •1956
.1944 Profile
Mingo Color
!� /J'= J- S S<-'(•� �T �S,i% z
Sapro
Class
Restr Class
Horiz &LIAR
PS
34 "`
�6r
Z, L 6- � 5 ed"
o .,s
3 4A6
lip
c, 3
Site Classification (.1948): V s, ,.,i�� S-, F..,r✓�.
Evaluated By: i�r i�r_z� ✓
Others Present