IPACHTE# J-1-6-469" Harnett County Department of Public Health 29339
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11 t
ISSUED—T0/ 1=u16 cE+� SUBDIVISION ( : (; Iv d ✓vo4 n Cw n LOT # z
NEW & REPAIT ❑ EXPANSION ❑ Site Improvement required prior to Construction Authorization Issuance:
Type of Structure: _300. man qc," (_Z 4' ,e 4o')
Proposed Wastewater System Type: ZSio ge a,. trY-•
Projected Daily Flow: Z&O GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement []Yes LWN-
Pump Required: ❑Yes 5��o 1o Eiilay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I�ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
ILT I YC years
❑ No expiration
Authorized State Agent: Date: b 3/z-2 11 g 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 in conditions of this permit..
Construction Authorization
(Required for Builder Permit)
The construction and instillation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 arc incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: f✓ylo5 ,o Ck r -o PROPERTY LOCATION: 96 S R 16(.1 )
SUBDIVISION—VC olo'�yv C-kZ LOT # Z
Facility Type: 30(L Mcn. W,"- ( Z-4' )c 4d) a -New ❑ Expansion ElRepair
Basement? ❑ Yes Elllro Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25 %a o2e-d xj N 5 s &!!aK (Initial) Wastewater Flow: 36-0 GPD
(See note below, if applicable ❑)
Pump A0 2S% flab-5st�+� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size i coo gallons Exact length of each trench 7-0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: s8"-> Zb" inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: _f.'' '� if inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(o inches below pipe
Aggregate Depth: Z inches above pipe
t inches total
WATER LINES (IN(LUDING 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: / understand the sMem type specified it different lom the type rpedled on the applicadon. / accept the spedlinvionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Audiorization is subject to revocation if the site plan, pla4 or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
tonstmrnon Authortzaton 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: Irl/2r,'� Date:
Construction Authorization Expiration Date: 0 3/ t2- / Z Z-
HTE# 6-4099-6 Permit# 24339
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOR: Sat Ba;IcI (id CSR 1561 j
ISSUED T0: ryloc�io Lc too SUBDIVISION C J,/v CuIogco (Mo LOT # z
Authorized State Ag*ent q _�' ��� Date: 03/ Z z
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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.4"4e_ Applicant: u17y O C -A"
Address: 301 qr..;(.q�l Date Evaluated: 0 3i#r-/11�-
Proposed Facility:7�2 /114 q V_ Design Flow (.1949): 3(A GVO
Location of Site: On -1+/ Q j/��t�, Property Recorded: yO
Water Supply: �.�'Public❑ Individual ❑ Well
Evaluation Method:B_)Gger Bo ng ❑ Pit ❑ Cut
Type of Wastewater: rj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1) R_ -
❑ Spring ❑ Other
❑ Mixed
P
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#
.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 (MJ
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 4,, As 64-1
Available Space(. 1945) Evaluated By: Anvfp.J C -.parr: n , Zrc.fj
System Type(s) V111 t&A Z406 Others Present:
Site LTAR b• "5 — q 5