IPACHTE# i s -yoyyy Harnett County Department of Public Health 29452
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Abc, r Qca . C S(L IfSi)
ISSUED T0: SfC 061 %0. fc\ecs Znc. SUBDIVISION A vS Er, Pl kce_ LOT # _/
NEW/� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 362 (59' x vf,') 5Gn
Proposed Wastewater System Type: ui `, o r2 EDv c.cv
Projected Daily Flow: 366 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yeso
Pump Required: ❑Yes ❑ No L+1'May be required based on final location and elevations of facilities �
Type of Water Supply: El Community f�c El Well Distance from well feet Permit valid for. Ild'tive' years
Permit conditions: ❑ No expiration
Authorized State Agents i9//.i/�'9i ; /��f/s Date: Oe/%r/�Zc>/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject an 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 pronsions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction aM installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aaordance
with the attached system layout
ISSUED TO: 516c^nc,l gvrfders J—nC. PROPERTY LOCATION: A/Ld. (52 fSSZi
SUBDIVISION 4,j5t, P/hce LOT # /
Facility Type: 362 (SQ' v 4 (-' ) S rt) ]?'We w ❑ Expansion ❑ Repair
Basement? ❑ Yes I-fT Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 'Z 5 i� >zc-a'c-k,c'A S,sE<. � (Initial) Wastewater Flow: SCO GPD
(See note below, if applicable ❑)
25/%
ke4ycAcop 5,s�(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size /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: Z`I- inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacing Feet on Center
Soil Cover: IZ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: z inches above pipe
IZ inches total
WATER LINES (IN(LUDING 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, / undemand the system type specified is different from the type specified on the app/imioa / inept the rpeahrationr 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 Stt AI IALHtU Slit S ILH
Authorized State Agent: 2!z�1s Date: CLI l0141'Zvt7
Construction Authorization Expiration Date: 2Y/a4 / L -t -Z
HTE# ► - S - 4 b 599 Permit # ZGN 52
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ALocEtc r a,, -\C5 2 t 55 z)
ISSUED T0: S dun c;1 T3 v lb e ca nc SUBDIVISION n vs F; n Pt k« LOT # I
Authorized State Agent: -. Date: 04/py j zn t�
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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: f$waafj Applicant: Sib,ctl 3)dS Int'
Address: Co} 1 Abeilo.r (Lcl Date Evaluated:
Proposed Facility: -1 Oz 5F6.� Design Flow (.1949): ala 6f10
Location of Site: Property Recorded: Yes
Water Supply: [91Public❑ Individual ❑ Well
Evaluation Method:[t]�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: D --Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ' , U2 '�C
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (. 1945) v, Evaluated By: n n� �a f ✓moi n n_,
System Type(s) 0. WS 0•4rOthers Present: `mss
Site LTAR is V yj;e, yy-