IPACHTE# tr6 S"c%0�%f� Harnett County Department of Public Health 29295
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 6 C' //-.x—C) 2 0 ad ( S 2 11-3,z)
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ISSUED TV—M&jS A&AW. 113,1'k tz + Re j, -j SUBDIVISION R'y4r'S /Dice LOT # Ifs
NEW 121" REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Zl TL 5 Ft!:,
Proposed Wastewater System Type: U!%o
Projected Daily Flow: 3 6 o GPD
Number of bedrooms: 3 Number of Occupants: r. —max
Basement ❑Yes 2-yo—
Pump
- o—
Pump Required: Dyes ❑ No UP,_EiAl,,a�y [be required based on final location and elevations of facilities ,�
Type of Water Supply: ❑ Community blic El Well Distance from well feet Permit valid for. L�J"Five years
Permit conditions: ❑ No expiration
Authorized State A&Mr te: SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 requirements. This
site is subject to revocation it ie 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, .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 TO: Oo55 140&..- *,lel (Z"; k- PROPERTY LOCATION: Q +ile�� Y�_b . $ CL I 3 `L)
�� SUBDIVISION 2,ve rS}�� LOT # t1k-
Facility Type: 3 QQ2.- S V- i ER New ❑ Expansion ❑ Repair
Basement? ❑ Yes 5;4o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** "ZAff t7ed.,cA:CNn 5 y6h+n (Initial) Wastewater Flow: 3Gd GPD
(See note below, if applicable F -1)w
-z6% f1c_1yCX;oto $ (Wts �(Repair)
Installation Requirements/Conditions Number of trench s
Septic Tank Size -'043g gallons Exact length of each trench 65 feet Trench Spacing: q Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over, C, inches
Pump Requirements: h. TDH vs.
Conditions:
Maximum Trench Depth of: lK inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
Z inches above pipe
1-4- inches total
**If applicable: l understand the swilm type spetiled it different from the type spelled on the application. / accept the spec/!cations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authonzd State A e Date: i— G - / 7
I onstruction Authorization Expiration Date: /— < - z Z
HTE# iv - S qo," Permit # s q Z 9-5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: fs,xjt,"ra CZ -,k t l_ M
ISSUED TO: I O66 , HpAy R6,;WosA&It2 SUBDIVISION a ive e,4 e\Cr_ LOT # ZI
Authorized State Agent Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot #:
SOIL/SITE EVALUATION
File #:
for ON-SITE WASTEWATER SYSTEM
Code:
flus NoroS..Y✓7
Owner:d ZJ,' Applicant: Moss 114. 1v4dtl
Address: `p4 L¢ 0,tt.,.ri 2,b, Date Evaluated: b4/04/14
Proposed Facility: 362 5FD Design Flow(. 1949): '3
Location Property
on q;y�r-{}°nv Property
Size: Q, y�
pyite: Recorded: fz�
Water
Water Supply: Wublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑/�getBoring
❑pit
Type of Wastewater: r�� El cut
4,tr�ewage El Industrial Process ❑Mixed
P
R
O
F SOIL MORPHOLOGY
1
OTHER
.1940 .1941
L Landscape Horizon
PROFILE FACTORS
E Positi od Depth .1941 Soil .1941
# Slope /o (N.) Stmcture/ Consistence Wetness/
.1943 .1956 .1944
Profile
Texture Mineralo Color
Soil Sapro
D WIN. Class
Class
Class
e
Horiz
oriz
& LTAR
e
3y+
O:rlO G2 S� rr. SSSP sr
IP5
117-3o Gk, 5c �'; 5 P S.
30
30 } P"'rAt
v - 3-S
M4 _;,t PM
v
1v Z6 Elk
PM
MHk.:rl
Description Initial Repair System Other Factors (.1946):
System Site Classification
AvailableS ace .1945) (.1948):
Ste•<ebld
S stem Ty s) ZS% �. Evaluated By:
Site LTAR , Zos �° �� " Others Present:
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