IPACHTE# I-4-s-'V/1zi Harnett County Department of Public Health 29463
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: YZ o I 1 y/LS /-) L5 R
ISSUED C VMbdrlos.A, Wctrac¢g .enc , SUBDIVISION -r l ? 6C.zr— F•.-, LOT # Z
NEW TO' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: YO/Z r ( Z' x 4 * h) 5 F A
Proposed Wastewater System Type: 'LSio /4te .je-�cA S
Projected Daily Flow: ii -1 S a GPD
Number of bedrooms: Number of Occupants: 8 max
Basement ❑Yes &No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
&flay bg required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
Permit valid for:
years
❑ No expiration
Authorized State Agedf:: 77f '�� Date: C2 y / 9 / Z G 14 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 he 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 permiL.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: C,r46 rluaca NonV.4s,Znr PROPERTY LOCATION: (4G1S,1%5 0crud C52 PAiS)
SUBDIVISION 1M ( �cayc _ LOT # 3
Facility Type: 'i�a((dZ'x �� Sr �Es? New ❑ Expansion ❑ Repair
Basement? ❑ Yes Ego< Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z.S%v !!rte e Eec� S, -.ee . (Initial) Wastewater Flow: y39d GPD
(See note below, if applicable ❑)
ZSia
pltdwF'c n S S./c�n (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size I Zcso gallons
Exact length of each trench t oe5 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: `L 7 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: (t. TDM vs.
GPM
Conditions:
Trench Spacing: d% Feet on Center
Soil Cover: /10 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
M 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• / understand the system Ve specified it different from the type Jpecified on the application. / accept the specifications o/ this permit
Dwner/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 he transferred when there is a change in ownership of the site. This
Construction Authorization is
Authorized State
with the Provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 0 d / 19 / LG t 4•
Construction Authorization Expiration Date:
HTE# I1-6--yiIZI
Permit # Z g vas
Harnett County Department of Public Health
ISSUED TO: C.uzntorl.,ty-N 140 W-2, n(
Authorized State Agent:
Site Sketch
PROPERTYLOCATON: (Ioltins 2�� 52 t1d13
SUBDIVISION TIS,, OP—:sGrVG LOT # 3 _
Date: 01/ I I cI I Z G 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: Applicant: t4,�'r-j
Address: Lod- 3 T(c 'ZeurC Date Evaluated: 0I[//'9/lam
Proposed Facility: W(7— St'S Design Flow (.1949): 9?17 tT
Location of Site: 2.at; A5 2 Property Recorded: )v
Water Supply:Public❑ Individual ❑ Well
Evaluation Method:[4--gger Boring _. ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: D 4 9! A L
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
Landscape
Position/
Slope%
Horizon
Depth
(In.)
,1941
Structure/
Scture/
Texture
.1941
Consistence
Mmetalogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN .)
Sapro
Class
.1944
Rear
Horiz
Profile
Class
& LTAR
L 3%
—
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SfSP4�y
PS
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fl S('f�f
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PS
G(Z 5L
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PS
3-48
Description Inisitaml —System Other Factors (.1946):
Available Space (.1945) S r Site Classification ( 1948
): pn
cv,.? , f , ;1
Evaluated By:
SystemT e(s) i2i ;L 2i L Z lzet Others Present: Ano&--> L.sr- rtq Ems.
Site LTAR (j.