IPACHTE# ► -5 qt) 9:5 Harnett County Department of Public Health 29337
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
�c' PROPERTY LOCATION: 63-1 InJCci CLQ $ 2 1432
ISSUED TOY �uktkt -_, "- SCA,ccni L) kk;AMS SUBDIVISION LOT #
NEW IV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0ft5EQ(Oli sssi-), 260. Sait4'xt��%-s'e
Proposed Wastewater System Type: 1- / l/cdou on 5 <1e r"o
Projected Daily Flow: 6-00 GPD
Number of bedrooms: 5 ( 3 tzI Number of Occupants: IM. I q)max
Basement Dyes o
Pump Required: ❑Yes ❑ No ❑s lay be r.red based on final location and elevations of facilities
Publl
Type of Water Supply: ❑ Community LY,c ❑ Well Distance from well feet Permit valid for:
Permit conditions:
of
❑ No expiration
Authorized State Agetilt�G��/ .�6d���-����/1 Date: 05//c/// 17 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The conmu nion and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met. Systems shall be imtalled in accordance
with the attached system layout
ISSUED TO: Turn"4 Jig-o l 1 1: LLiwvks PROPERTY LOCATION: WA6%j 1 lIZA C5(L lu 3Zi
Oct Cemcr,�do/ tdcbM ro- Wj<z A SUBDIVISION LOTLOTT#
Facility Type: j43 Sf4fg5e) . Uri Z01 ecu ❑ Expansion ❑ Repair
Basement? ❑ Yes %L7 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ` -Sia 2cdvc-1jz: c r, S e r {:=ww (Initial) Wastewater Flow: 6 Q GPD
(See note below, if applicable ❑)
1-00lZe2vc t^'on s , s. 4—.L- (Repair)
Installation Requirements/Conditionstrenc
Number of hes Co
Septic Tank Size 1500 gallons Exact length of each trench 4.5 feet Trench Spacing: /� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. / 2 inches
Maximum Trench Depth of: "Z q 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: ft. TDM vs. GPM inches below pipe
Aggregate Depth: Z. inches above pipe
Conditions: NpPosC=o c,A2AGi.e.ho eF-orz 17inches 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: / understand the ryrtem type rpeciled it different from the type rpeciled on the application. / accept the rpedh'cations 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
Commission 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 Agent. ✓ Date: 0,9//'///q
Construction Authorization Expiration Date: V3//4&Z-
HTE# I — S — Uv 85 Permit # 2 13 3 4 -
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W 110,)m lJ a . C$ & 14 SO
ISSUED T0: 1AJ1j1;a.W5 SUBDIVISION LOT #
Authorized State Age Date: 031/1//-7
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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
Owner: a�"�'� Applicant: 1Gan..6 d-15ersk W7 *l IIw4S
Address: 1,0 t ( yv[ n 2a . Date Evaluated: U 3113/1 -4 -
Proposed
1"Y/)} -
Proposed FacilityW. yD f 6AQA6E/ Design Flow (.1949):
Location of Site: yp(Z SFO Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ,
❑ 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
.1943.1956
Soil
Depth IN.
Sapro
Class
.1944
Restr
Horiz
1
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Description Initial Repair System Other Factors (.1946):
System,,— Site Classification (.1948): r.-51
Available Space (.1945) e Evaluated By:
System T s) 2f/o ZS` Others Present: �"GJ
Site LTAR 0.3-S 0.