IPACNTE# I( - s - -/0 Sc/ Harnett County Department of Public Health 29293
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit O)Ar:j( .A L'.) kll� CLd
PROPERTY LOCATION: A uk, vmn Gree i5e, Cn C 5-0— it 41 Z J
ISSUED TO- I(e:ItIrl Ce,0- a O(A SUBDIVISION LOT # _C,
NEW Y REPAIR ❑ EXANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 129 .Q Q_ 5 C D
Proposed Wastewater System Type: ZS j„ 0 ea v &j4 n
Projected Daily Flow: '960 GPD
Number of bedrooms: 3 Number of Occupants: 6 mag
Basement ❑Yes CNo �
Pump Required: ❑Yes ❑ No R May be required b Wd on final location and elevations of facilities
Type of Water Supply: ❑ Community ElPublic IlQ Well Distance from well feet Permit valid for. 125 Five years
Permit conditions: ❑ No expiration
Authorized State Ag .rte �"�'(R�/Lei, '—�— Date: / — 'Z — / 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by tll I alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 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 .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: r -ed I PROPERTY LOCATION: A LA z)mn gree S 2 I Af/L
SUBDIVISION LOT #
Facility Type: 36 Sri ((New, ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 252E, l'nn 6,1 S (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSin nCc�uG4Gn SySferf (Repair)
Installation Requirements/Conditions Number of trenches LI'
Septic Tank Size t o06 gallons
Pump Tank Size gallons
Exact length of each trench t O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z9 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Trench Spacing: Feet on Center
Soil Cover: l6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: (t. TDH vs. GPM 6 inches below pipe
1 Aggregate Depth: Z inches above pipe
Conditions: K�+'P POI.S(>� Cintl sJv=%`r C -s s.ci .r aa.f /Y�a c, i- ga. 1Z
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 system type spedfed it different from the type speciled on the application. / accept the rpetilcatom aphis 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 compliant 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 A ent----'}— `9
g Date: L— td / 7
xfonstruction Authorization Expiration Date:
HTE# YO - S • 46 389 Permit # Z 9 Z 93
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: AQaJAIN 9tePZe�r lfr i4 2'>
ISSUED T0: 6Ce��l. t t e a ri SUBDIVISION LOT # G
Authorized State Age (tom/� Date:
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Department of Environment, Health and Natural Resources
Division of Etivaonmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
BaA?_-
Owner:_,P67 Applicant:
Address: C, c 'I vi-, G, Date Evaluated:
Proposed Facility: 3'3oZ 5-1p Design Flow (.1949):
Location of Site: 4.4-- S�a�ez., Property Recorded:k
Water Supply. ❑ Publico Individual 64ell
EvaluationMethod:E, /4ugerBoripg ❑ Pit ❑ Cut
Type of Wastewater. Q-tewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: t J Y 9 /t C. -
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOB. MORPHOLOGY
.1941PROFILE
071U R
FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
M'
.1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapm
Class
.1944
Rcstr
Horiz
Profile
Class
& LTAR
I
G Z
o zy
�� sL
�, s�fs�
PS
yf
D 3S
i6
""'it ,I
Description LutiaI Repair System Other Factors (.1946):
S
in Site Classification (.1948):
AvaibableS a .]945V, Evaluated By:n
31�•
s amT s < :� 2-5 �- �, Others Present: �
Site LTAR a' 3 C _ 5 ic.=u,3 /Lv�ur fZF,s�