IPACHTE# Harnett County Department of Public Health 29343
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A -F}K'AS Q-, C 5 CG - I gcyi
ISSUED TO/ CZU at, Dcf" ' a; z -,rTLQV SUBDIVISION A4K tts I/; di,LOT
NEW IV REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '16(L 5tV,>( H4 t S° )e 61'r")
Proposed Wastewater System Type: ZSj. III 5>s hrm
Projected Daily Flow: 14 8 O GPD
Number of bedrooms: + Number of Occupants: 8 max
Basement []YesLlko —
Pump Required: []Yes ❑ No ❑ fa -y bee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ei ublsc ❑ Well Distance from well s oo t feet Permit valid for:If�rs
Permit conditions: ❑ No expiration
Authorized State Agent:'���� Date: D"T /Lcl (/ 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 chxking with appropriate governing bodies in meeting their requirements. This
site is subject to mutation 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 .1950, .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: (OA6J UcyCS Qldg ern PROPERTY LOCATION: AA ki A 2 \ .
SUBDIVISION AAbccA'S Vii ll4AL LOT# /59
Facility Type: 2462 SFt > (14" Y 61t6) 0io4 ❑ Expansion ❑ Repair ✓
Basement? ❑ Yes 0 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System.. Z5%0 AJUeE,-onv�,:f !e -'L (Initial) Wastewater Flow: VAC GPD
(See note below, if applicable ❑�
umr� En Z5% 5 76i4tn? (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I ZOO gallons Exact length of each trench 11-5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of 1'9 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
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
!o inches below pipe
Linches above pipe
t Z inches total
"If applicable / understand the s}rtem type spedfyed it different from the type speciled on the app/icatior. / accept the specifIcationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plan, crshe intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstm[non Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permiL SEE ATTACHED SITE SKETCH
Authorized State Agent' 4�-- ��/1 /%T Date: 03 zy 7
Construction Authorization Expiration Date: 0 34 z -q 12,
HTE# y093z Permit# Z_q3CL3,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A+1c;,7S (Z-," . (S(Z I Ll q-3)
ISSUED TO: (ZOULM DutL5 GtJc SUBDIVISION rA+bctns V:IIk LOT# 1qR
Authorized State Agent: �/� Date: 6>31Z ` Z I
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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,ge,ut/Anp(pplicant: i[O�H/ �` 8v / P
Address: I,/ iV9 KO�,43 d d Date Evaluated:
Proposed Facility: y,4JiL 5/> Design Flow (.1949): W &D
Location of Site: AdK,, f rl, l. � Property Recorded: f Cf
Water Supply: 1 0 ublic❑ Individual ❑ Well
Evaluation Method:❑iKaer Boring ❑ Pit ❑ Cut
Type of Wastewater: ['Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: j. 7 N AC
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTACR
.1941
Structure/
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN I
.1956
Sapro
Class
.1944
Restr
Horiz
.f
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Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space .1945 Evaluated By: a� /�� / 2
System Ts) ZS%r • r4.i• Others Present:
Site LTAR 3y 0.3s