IPACII-5-4(3:wg 29329
HTE# 1'q- -"D ua Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:h-, 1dac� m5(iJ . S2 N57IV
ISSUED TO:: SUBDIVISION LOT # _L
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 A0 SFJs l e.0 k X 6q
Proposed Wastewater System Ne: Z5Y� ul. l . -i,/ > 31r rl
Projected Daily Flow: J to ri GPD
Number of bedrooms: Number of Occupants: bmax
Basement ❑Yes 040
—
Pump Required: ❑Yes ❑ No ay be required base anal location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ell Distance from well /GD vol feet Permit valid for: ars
Permit conditions: ❑ No expiration
Authorized State Agent::-.►L�_ Date: 0 0 3 / 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 res onsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plaS 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, .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.
ISSUED TO: 7CENIG I tau 1�eSb �-�C• PROPERTY LOCATION: W5ft— 159-4
SUBDIVISION LOT #
facility Type: 36fc .Stagy Gp�X 5 5'� LTJ' New ❑ Expansion ❑ Repair
Basement? ❑ Yes or Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" Z 5 i� 10fe-C'UCk; n A S� a !�_ (Initial) Wastewater Flow: 36p GPD
(See note below, if applicable ❑)
Z Si 4 ac_ktcA S 534_^ (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size /vdG gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Exact length of each trench //_S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2G't- IF" inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: `� feet on (enter
Soil (over. /41 Derr inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: z inches above pipe
egle',im) I z 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: / imoeatand the system type specded is different from the type specified on the applboom / accept the spedfiations of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject in 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
Authorized State Agen . �� ��2F.�� Date: d 3 /G 3 // �-
Construction Authorization Expiration Date: U3���� s -z
HTE#
r�- 5 40-44-8
��-5-40149 P ;t# 29329
ermi
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: K"6- 46CVAS �, (6a kS71UOT�
ISSUED TO: S t`�^� �u X 13 �c�c SUBDIVISION LOT ##
Authorized State Agent. ,t5, 2! 42� Date: 6 3 � 1// :7-
G �F c.o n lnov r ±roan
Bek. / zGm) k�
5{e(�o.anS �,ahctj
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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
fliv
Owner: IQnxG3GZ
nL Applicant:
W'WC'-/ d /4—'o
Address: F;,,K AZnns (0- Date Evaluated: 1
Proposed Facility: 96rL 5F'h Design Flow (.1949): -
Location of Site: Property Recorded: rO
Water Supply:�/ ❑ Public❑ Individual ell
Evaluation Method:L�J Auger BBo}'�g ❑ Pit ❑ Cut
Type of Wastewater: E Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ( . Z 5 A( .
❑ 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 (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
iz Yo
9k 5(,
pj 5 P 54
srrc00
G. q
o- iv
6a 5L
%
PS
5E
ell
yofi
o. q
R s 5
IRS
ZO.41
64 5(i-
P s
yz r
v. y
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948): Xf Ah/L
Available Space (.1945) F Evaluated By: ,�. J� G.�, � n /Z
System Type(s) v Others Present: i
Site LTAR