IPAC11- 5-4094
HTE# I a - 5 - Noq 9s Harnett County Department of Public Health 29328
Imarovement Permit
A building permit cannot be issued with only an provement Permit Jystu� 6rWh(„ Lt\
PROPERTY LOCATION:��A i� o (ZA � biZ I Q s-11 -
ISSUED Tt� CAra -� fipy rl Cw! f SUBDIVISION LOT # 2
NEW [v7 R AIA 0 fiIpANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S i3_ CZn F 5 �y n`
Proposed Wastewater System Type: Z, , CL��. �—.
Projected Daily Flow: S C,GPD
Number of bedrooms: 3 Number of Occupants: C— max
Basement Dyes loililo
Pump Required: ❑Yes ❑ No P4ay be required bas on final location and elevations of facilities
Type of Water Supply: El Community ❑ Public hell Distance from well hoc).-+ feet Permit valid for:lie years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: G 3/6 Z I / I 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 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 to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accardana
with the attached system layout�+�
ISSUED TO: � C'a a— c6Yk e- r1ancAna PROPERTY LOCATION: grrr F! (� t t„2 i UU3��
u — SUBDIVISION y LOT #
Facility Type: 390 SFtJ uy` K ' r t� 2 --New ❑ Expansion ❑ Repair
Basement? ❑ Ye�Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" e7 6o r t s :�w b Tc (Initial) Wastewater Flow: 3 Cso GPD
(See note below, if applicable ❑)
t 5% t2ar-J a -k -in \. (Repair)
Installation Requirements/Conditions Number of trenches z_
Septic Tank Size t CxX7 gallons Exact length of each trench 1 \ S feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 17— inches
Maximum Trench Depth of Z"inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
6
Aggregate Depth: 2-
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
_ inches above pipe
I -Z-- inches total
**If applicable: / understand the system type specified is different from the type spelled on the app/icatim.. / accept the specilcadons of 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 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
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: C5.?o /0 2-
Construction Authorization Expiration Date: hx16r- / ZZ
HTE# 17 - 5 - u��`�`� Permit # 2 q3 Z,9
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:tjorx� nrOC4 L_n C 52 jg4_3 _
ISSUED TO: a S rlSUBDIVISION LOT # �'Z
Authorized State Agent Date: 0 3/0 2 /
25 i� 2 cDvcpo,J
2FaA,�
R �
\S I \ c1CY)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
a� "
�I.
Owner: rZd�U` Applicant: C"' -J �cc/Icr7
Address: Cc+ L (.cs.FC,..y * Q,S,Date Evaluated:
Proposed Facility: -36(L JpD Design Flow (.1949):
Location of Site: Property Recorded: y'�
Water Supply: ❑ Public❑ Individual Uf Well
Evaluation Method: AugerBori El pit El cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 'v . Z % k -
❑ Spring ❑ Other
❑ 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3I4�
-32
GSL b I.
V�f SSS si
PS
►*` S to %
5 q yk`
y'g
o.
Z
�r�o
ut all,
V -KS
pn Gi.
K5(`5
�Sd (r� 4011
418
Ps
)L -Uy
6K
7 Sly 37711
NSI
G.
f 1'31,
7.6'►t& yzlt
146
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) V Evaluated By: �
System Type( s) 25 Others Present: A-1tde,,7 GJfr+n� 2
Site LTAR