IPACHTE# I -4—S— 4()"q Harnett County Department of Public Health 29320
Improvement Permit
A building permit cannot be issued with only an I,nssProvement Per Cfly - sr45' ,
PROPERTY LOCATION:51 G a'� L: nK b r-. 5� t � `� l /
ISSUED T0: e�Ttsf SUBDIVISION CmsS Link P/.,c� c LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ',TBQ 7
c50s%
Proposed Wastewater System Type: 1 Si. f" 6v,�4ecv%
Projected Daily Flow: c3(-16 GPD
Number of bedrooms: 3 Number of Occupants: .__max
Basement []Yes 1; 0
Pump Required: ❑Yes ❑May be required based on final location and elevations of Facilities
Type of Water Supply: ammunity ❑ Public ❑ Well Distance from well feet Permit valid for:IvC F ve years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 0.:5 /6Z /Z4 -1!n SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject to avoratlon 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 .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: C0M4&'4- /„Li� --vi<AG PROPERTY LOCATION: Slc{ C-� L,;vl
� SUBDIVISION Grass C a'Ak C�ikr� LOT # 1_
Facility Type: �//�arL .SFC>((� S6 '/ LbT New ❑ Expansion ❑ Repair
Basement? ❑ Yes 211T Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** s --z6 M (Initial) Wastewater Flow: 9&6 GPD
(See note below, if applicable ❑)
2�, il?� . �.Tsbw� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /vc�y gallons Exact length of each trench GS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: w inches
Pump Requirements: ft. TDM vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: I feet on Center
Soil Cover. ve 7 inches
(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.
G inches below pipe
Z,_ inches above pipe
2 2 inches total
If applicable, l understand the system type spelled it different from the type specified on the app/ration / accept the Jpecilinations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plan. or the intended use changes. The Canswttian Authorization shall not be transferred when there is a change in ownership of the site. This
lomml[nnn Authoriation is subject to compliance with the provisions of the laws and Ru age Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State A Date: U 1lev
Construction Authorization Expiration Date: ngZ';J 17�
HTE# `/0666 Permit # lzl 5 Z"b
Harnett County Department of Public Health
Site Sketch
CHa\�bem�E.. S�n'n�6 11-1
PROPERTY LO[ATON: 151'4 C!jbS Lj'ar Dc
ISSUED TO: COM"wi. 4ciftWn A� SUBDIVISION Cross L; nK Oace LOT # tZ
Authorized State Agent Date: n /n/��
U
h
N
z'S%v
1Z C
P( oYO-i %s1>
coq 1 Y S G
5 rt>
w/ eon"co A beLx-
iw' I
C ROSS � , r 2 v%o,,,v
-)t P;w b fnq M%35} 6e sh�loxc
11;5K eJnv�g4 -to jek
vY �C rAn c,,A nA— be -
m u;n{rn�nG.�. �A
10'
nor+ Qer GWk panlP w�11
�x «Ivi red
it 11�! rI rf to +o-nK i6 2'1.
5.Jl k Vin, AV
On c°1,1qOfr'k CnS o e
h ov1�
o
n
N
Department of Environment, Health and Natural Resources
Division of Environmental Health
Sheet:
On -Site Wastewater Section
Property ID:
F
Lot #:
SORAFM EVALUATION
for ON-SITE WASTEWATER SYSTEM
File #:
Code:
Owner: �(,�f�Y f%,�
Address:FcY1.Z
Ian.)
j4 tSC.ti DateEvamted:Oz/tu�lT
Proposed Facility. 5 Design Flow (.1949):
Location of Site: UcdS r! pill (- d5��
Recorded:
Property size:
Water S 0 Individual
unM [Public❑ Individual/ ❑ ell
Evaluation Methods Auger 6
❑ Spring ❑ Other
it ❑Cut
Type of Wastewater. Sewage ❑ lodustrial Process
❑ Mixed
R
O
F
I
.1940
IS'0pc%
Ian.)
L
Landscape
Hori mo
E
PnstNud
Depth
#
SOIL MORPHOLOGY
.1941
Structure/
4 L 3G-I4f( SI
IZyy . G
l4�
i A(
.1941
Consistence
Mineral
soil
Wetness/
.1943
SOD
vY
SIU
.1936
Cs
Site Classification (.194-8): Qrp✓rj.r.�j ��{�
Evaluated By;
Others Present:
.1994 Profile
Rratr I Class
1/5
m
CSS