IPACHTE# 1- --5-4�$ Harnett County Department of Public Health 29333
Imarovement Permit
Authorized State AgeDate: UE3Z U$/ /zt' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other per mitx The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremena This
site is subject m revocation if the site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 'T -5-T- u OA
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: BO�-Lo I ,yu,
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ISSUED TO: /��T h]u c �&
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SUBDIVISION 15 y`idl on 5 b 1 ..;
<; o r- LOT # -e
NEW REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e-102 SFc-,
Sy'Y63'�
Z5�o 5 aiS -/BM
Proposed Wastewater System Type: 25id
(See note below, if applicable ❑)
Projected Daily Flow: t/ 8e�
GPD
75% fZJLAck'oti Sus,E� (Repair)
Number of bedrooms:Number
of Occupants: '8
max
Basement []Yeso
Septic Tank Size /ao
gallons Exact length of each trench '06
feet
Pump Required: ❑Yes ❑ No
91fivbe quired based on
final location and elevations of facilities
Type of Water Supply: ❑,Community
Is�Y'Public ❑ Well
Distance from well 'W,0 i"- feet
Permit valid for.iCi}f v`e years
Permit conditions:
(Trench bottoms shall be level to +/-I/4"
❑ No expiration
Authorized State AgeDate: UE3Z U$/ /zt' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other per mitx The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremena This
site is subject m 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
(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 TO: 'T -5-T- u OA
-(5 , �iG- PROPERTY LOCATION:
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SUBDIVISION 5 "A+On
S�bx'n Cs LOT # Lf E'8
Facility Type: ""MC 5�
�..��
06yt Y53% LT New ❑ Expansion ❑
Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
Z5�o 5 aiS -/BM
(Initial) Wastewater Flow: ya'U GPD
(See note below, if applicable ❑)
75% fZJLAck'oti Sus,E� (Repair)
Installation Requirements/Conditions Number of trenches 2.
Septic Tank Size /ao
gallons Exact length of each trench '06
feet
Trench Spacing Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: / $ inches
Maximum Trench Depth of: 30
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: fL TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
/2- inches total
**If applicable• / understand the system type specified it different from the type specified on the application. / accept the spetifeatiom of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation it 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
Lonstmcnon 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 AIIALHLU SIZE SREILN
Authorized State Agent l ,��'�� Date: 03/a,r/1-1
Construction Authorization Expiration Date: v3/og/r L
NTE# I —v- 5 - NO V9 Permit # MS3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 9,QCGkI° L"V?— U (s q— II�1
ISSUED TO: 1:15TG 11k,�S,1nr. SUBDIVISION SiLkn 6�6d:„,5;c,,,
Authorized State Agent �' Date: 6 ��/}
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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
b
nn�y
Owner: ,11 /> ^ Applicant: T Qo� S3 77/"e -
Address:
{'
Address: L4 fo /3,t41e 1Ka ". Date Evaluated: 0,510 T//:7
Proposed Facility:y5a 5 Gxj Design Flow (.1949): VJV
Location of Site: ,SL440A S�kd�v'S Property Recorded:
Water Supply: LorPublicEl Individual ❑ Well
Evaluation Method: Auger Borin - El pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: / , ✓e 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
Rent
Horiz
2
2
rJq6`5/sem
►/
�i 8
5 0
3
2
U -q$
fir.)s�
b oj
Description I Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By: A �
System Type(s) 7 Qom. `o Others Present:
Site LTAR i V.6 1 G- &