IPACHTE# 1-5-4091 Harnett County Department of Public Health 29348
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION"r LeU3
ISSUED TO: SLS )-IpMAzP SUBDIVISION Co1(G51�v v �K d LOT # 99
NEW REPAIR ❑ EKPANSION❑ SiteImp uired prior to Construction Authorization Issuance:
Type of Structure: 36tZ 5Fb CSoxVos
Proposed Wastewater System Type: '25io /"tzf-c'on �79�
Projected Daily Flow: 36 O GPD
Number of bedrooms: 2 Number of Occupants: C,_max
Basement ❑Yes 1940
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Ell ^�a�y bb equired based on final location and elevations of facilities
LJY fublii ❑ Well Distance from well LOG -t feet
Permit valid for.
L9-rl6e years
❑ No expiration
Authorized State Ag - l? ® Date: Ct3/ -Z �// ;t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranties the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 pmvisions 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 requirement of Rules .1950, .19S2, .1954, .195S, .1956, .1951, .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,s 14c) Ds PROPERTY LOCATION: COICwS� e'ctrk Ln.
SUBDIVISION CC Vie b.xa ec rGL LOT # :5`/
Facility Type: `SO2. SFt> C 50\ VS<6 09-lilzw ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System**
z5i.
S,s 14cm
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
Z5%
(Repair)
Installation Requirements/Conditions
Number of trenches O� L
Septic Tank Size ILY?U
gallons
Exact length of each trench ZOO
feet Trench Spacing: q Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. I Z inches
Maximum Trench Depth of: V)
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
Conditions:
C. inches below pipe
Aggregate Depth: 2 inches above pipe
t z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / ondecrtand the ryrtem type rpedfed it different from the type rpedbed on the application. / accept the rperipraroar 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
Construction 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 AgeDate:
Construction Authorization Expiration Date:
HTE# [ -�" S-WD%I Permit # 2 93y8
Harnett County Department of Public Health
Site Sketch
CL•i(�a6�y 2d.
PROPERTYLOfATON: CoVe,3b�4 Qc.rk-Ln. 92 Igo3
ISSUED TO: Ot11MO-�S SUBDIVISION CvZ&S6Qn; 0C rlG LOT # S 9
Authorized State Agent: Date: C) 3/ Z el / / q
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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: //ate Applicant
Address: 4v1:!O Cv*%vl Q<„ Date Evaluated:
Proposed Facility: 3132 Design Flow (. 1949):-966 Cell
Location of Site: Property Recorded: %G
Water Supply:ublic Individual ❑ Well
ager
Evaluation Method: Bori ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: PJ. 6 :- - rs L .
❑ 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 I
.1956
Sapro
Class
.1944
Restr
Horiz
LESS
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so 98
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): Pfo✓%'sie�u.Nj S.-. Lnb�G
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR r/$ 6V