IPACHTE# Harnett County Department of Public Health 29338
Imarovement Permit
A building permit Cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LAS Lkv
ISSUED T0: SUBDIVISION To Kos c. F4t&rvuym LOT # 6A
NEW R IR ❑ EXPANSION El Site Improvements required prior'to Construction Authorization Issuance:
Type of Structure: 'I M— M A9.zUoMt C V v X +Gt)
Proposed Wastewater System Type: '7-6i a-� S SECe-n
Projected Daily Flow: -3 tea GPD V
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes o
Pump Required: ❑Yes ❑ NoLL�J'�May beer kited based on final location and elevations of facilities
Type of Water Supply: El Community LaYPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
of
❑ No expiration
Authorized State Agent:: 2-T- !'����� Date: <33116 It, T SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m 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 revoation 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 construction and installation requirements of Rules .1958, .1957, .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: LkiR3C� M C.Let. CN PROPERTY LOCATION: US SIO I IJ .
� SUBDIVISION '3't... L M ng:xYy LOT # GA
Facility Type: 36(L Akt,A. t}o t `x Nv- ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25i VIP a,te ar:.r� s "s (Initial) Wastewater Flow: 36 y GPD
(See note below, if applicable ❑)
Z,%O tZ.e-cyc.. Nys,�r� T^ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 000 gallons Exact length of each trench 4y feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches (=m rje-cs
Maximum Trench Depth of: I Z inches (Maximum soil cover shall not exceed Cove.,
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM % inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: k Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / mndentand the rrptem type speciled if different from the type rpeciled on the application / accept the fpecilcatims of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to mention 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 Authorisation 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: ���—!�ti� Date: G 3 /1 6/ l
Construction Authorization Expiration Date: 03 410 1 ZZ-
NTE# -5-4b9 IS Permit # 2933$
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: OS r4o1 tJ
ISSUED TO: 0404 ,n SUBDIVISION (A"IQ(t LOT # i�A
Authorized State Agent: =��/�' !�� Date: O -1 / 1 G, / 1 '4
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOQJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
S
Owner: u Applicant: Lc, ka,J,
Address: LoAr GA JS40 a P>. Date Evaluated: CS1/4 1
Proposed Facility: 300. MA+a�4enr„-Design Flow(. 1949):�/(j
Location of Site: y v j ^�Property Recorded: /a5
Water Supply: �, ' G �,/ blic❑ Individual El Well
Evaluation Metbod: +� Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: I. Sv & C ,
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOB, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/Consistence
Texture
.1941
MIDenilo
.1942
Soil
Wetness/
Color
.1943
Soil
Pl.
.1956
Sapm
Class
.1944
Rest
Hor z
Profile
Class
& LTAR
L Z%
y
(a2 6L
rtz SSS s
PS
N-36
gIC Sri
1 I S ps
i.SY �1Q Z
301
0,
2,3
L Z:o
q
36
�,z 5t
81
rri SSfP
Ki 5 P 5
S(Vh Z5"
301
PS
0.4-S
4,6
L 4%v
p Ii
64 SL
GR SSSS
PS
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13� ��
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304
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (iOv,sirrwt`J S.nh2tt
AvailableSpace(. 1945Evaluated By: tNn3ro—o
S ero T e(s)ZS' /1:4 sy„ ze-1 - Others Present: C-Jmn� its f
Site LIAR b , L"