IPACHTE# I -+- 5 - L4 c-, Szs Harnett County Department of Public Health 29307
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit /'0)1�k g}aye to - S
PROPERTY LOCATION: 9U IP,.,ne Sa scan QA f sn 1 FG 9
ISSUED TO TO Shoo, bk"V-rnOa SUBDIVISION a; vee Cc-e"'A- LOT # -S
NEW Lam" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `Z S3 CZ gr=n
Proposed Wastewater System Type: ZS%
Projected Daily Flow: �5 fe A GPD
Number of bedrooms: 3 Number of Occupants: fo max
Basement ❑Yees�s� U40
Pump Required: hdPes ❑ No ❑ May)e required based on final location and elevations of facilities ��
Type of Water Supply: ❑ Community �blic ❑ Well Distance from well feet Permit valid for. P— ive years
Permit conditions: ❑ No expiration
Authorized State SEE ATTACHED SITE SKETCH
The issuance of this permit catch 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 on compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Pump Requirements: (t. TDM 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.
`v inches below pipe
Z inches above pipe
t Z inches total
**If applicable: / understand the sissem type spedfyed /s different from the type spedffed on the app/icatian. / accept the specifications 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 construction Authorization shall not be transhrad when there is a change in ownership of the site. This
wnstrucbon muthonzabon IS subject to compliance with the provinces of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt AIIALRtU Slit MILH
Authorized State A 2C � � Date: <— 3,a -/ -7
�Gfistrudion Authorization Expiration Date: 1 —•?1Z
Construction Authorization
(Required for Building Permit
The construction and installation requirements
of Rules .1950, .1951,
.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
�Gld Sloe 2d. 5.
96 Ruma 'WCI1,an
ISSUED TO:
G1 cmc rfton
PROPERTY LOCATION:
44 . S2 t-F%S'
� SUBDIVISION 2,es
C � LOT #
Facility Type:
D
R New ❑/expansion ❑ Repair
Basement? ❑ Yes &KNIT
Basement Fixtures? ❑ Yes R No
Type of Wastewater System"
1-9 jo
itedJC-)v,0/\
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
= Qe A
JC-�,c.kA (Repair)
Installation Requirements/Conditions
Number of frenches
Septic Tank Size /000
gallons
Exact length of each trench /OCS feet
Trench Spacing: 9' Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. 6i 4 inches
Maximum Trench Depth of.. _ L 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. TDM 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.
`v inches below pipe
Z inches above pipe
t Z inches total
**If applicable: / understand the sissem type spedfyed /s different from the type spedffed on the app/icatian. / accept the specifications 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 construction Authorization shall not be transhrad when there is a change in ownership of the site. This
wnstrucbon muthonzabon IS subject to compliance with the provinces of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt AIIALRtU Slit MILH
Authorized State A 2C � � Date: <— 3,a -/ -7
�Gfistrudion Authorization Expiration Date: 1 —•?1Z
HTE# 14- -,6 - 4bsZ's Permit # Z-930
Harnett County Department of Public Health
Site Sketch
alb 5lwjc 2� 51
PROPERTY LOEATON: GIG P, --,mg :54.. L,On 2, CS(L Iq(. R J
ISSUED TO: �USH.�Cx_. �Io c Kr1on SUBDIVISION Q-; x) Cro s-�- LOT #
Authorized State At: Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
'Sa6h-k
Owner: (tjl,,,cv wo Applicant: 'J'06h0— 6lIeW CA
Address: `f0 POMP AW, 04 Q�t , Date Evaluated: & 1 1
Sheet:
Property ID:
Lot #:
File #:
Code:
r
Proposed Facility S r Design Flow (.1949): $GO i^�yJ Property Size: G .
Location of Site: L Property Recorded:
Water Supply: Pu lic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Bor ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (@l.)
.1956
Sapro
Class
.1944
Rem
Horiz
L
K L
rQ sSy
t'S
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Pcrur�
f�K(eli4
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L G%
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): PCO u i5�ot� ,5'vt..bve
Available Space (.1945) IV Evaluated By: AOare.� GvCr� fi—.
System Type(s) 'v Others Present:
Site LTAR 003
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHAITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: /A'�rJ:p
Proposed Facility: Design Flow (.1949): Iko
Location of Site: �,;Property Recorded:
Water Supply:,—,/ ❑ ublic❑ Individual [3 Well
Evaluation Method:3 Huger Boring ❑ Pit ❑ Cut
Type of Wastewater. Ey Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
07HER
-PROFILE FACTORS
L
E
#
landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure'
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
7
Description Initial Repair System Other Factors (.1946) -
System (.1948):
Site Classification
Available 5 ce (.1945 Evaluated By:
Sstem T s Others Present:
Site LTAR 5r I