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IPACHTE# i a - 6 � Harnett County Department of Public Health 29471 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: g Hat <{c 20 d [52 /5/wl3� ISSUED TO: C !/ Tnc. SUBDIVISION LOT # 'Z— NEW NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure:. 38lL 7y' xy P' Proposed Wastewater System Type: Z5:< /LSI • S>s . Projected Daily Flow: 3,Eb GPD Number of bedrooms: Number of Occupants: G max Basement ❑Yes 19:10 — Pump Required: s ❑ No ❑ MMay be_re�Dired based on final location and elevations of facilities Type of Water Supply: ❑Community &y- ubllc ❑ Well Distance from well feet Permit valid for: �rs Permit conditions: Pe'c _/ cend.{,off o/) ear;s/a, „vc/ern L ❑ No expiration Authorized State Agent::��///�/%/��p Date: © :S/ o z / L r SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no wry guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirement of Rules .1958, .1953, .1954, ASS, .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 ayout ISSUED TO: 6l IxH"d l&s,,(Ar .Tc. PROPERTY LOCATION: fuk `1!� /luad C s2 rv:'l) SUBDIVISION —� LOT # L FacilityType: 3&2 �9'z `/�z '� Er-�New ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** Damo % '73i 4s.s- (Initial) Wastewater Flow: 3ec, GPD (See note below, if applicable ❑)p /l-wala to ZSio rw- SZ'r (Repair) Installation Requirements/Conditions f Number of trenches 3 Septic Tank Size 160& gallons Exact length of each trench 1S feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of.. Zo 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: N. TDH vs. GPM inches below pipe Aggregate Depth: 'Z inches above pipe Conditions: Permi/ mna: h..ir I on ekil, ;I et/ b y�,v,d . a4 /of i � v, I* +J/i/ i t inches total WATER LINES (INCLUDING 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• / understand the -yyriem type speciled it different from the type speciled on the application. / accept the specifications 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 he 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 Authorized State Construction Authorization and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: 0 5 / o z / Zo/ -4 Date: vs/oz/ zoz•= HTE# I *4—S-`y//gyp Permit # 2�4 w Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: t 41', ISSUED TO: tr u rt6e,4,^J- 110Ae" :;;Z- SUBDIVISION LOT # z Authorized State Agent: z Date: OS/ o�- 4. T 4x I I purr To 41/d ftg704V'A n4vati d�-�a' v I A N ' M I voRGff I � r=>�rkA� w�` on be — ay Vy8r _ _ 4b kited per u SFc� kek/fk dcr� may. _ �h0� 'i0 is 3Ecal/ t„AFAVF-rT/7 2oAt) L52 lyk3� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: I Applicant: C o,46z-1o..2 1404405/ Z c Address: Loki'_ �d Date Evaluated: oilz�� Proposed Facility: 1- 1, Design Flow (.1949): 7,C-0 WD Location of Site: Property Recorded: yG..s Water Supply: ;3 -Public❑ Individual ❑ Well Evaluation Method -j eg, Bonn &-- ❑ Pit ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet Property ID: Lot #: File #: Code: Property Size: b, aZ ❑ Spring ❑ Other ❑ Mixed P R O F 1 L E 4 Description .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 (M.) .1956 Sapro Class .1944 Restr Horiz L 3iu v -Ib III ° PS 16 s6 iy( su F/ S l5SYgA/r &J#" 0/, o. N Z L 3%e 0-X Z(-- It sit K( S P 1,sy(I do" 4 Zt 0.4- 3 3/0 o-Zb (mQ 5c, q t.I 5(,L- Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): PTs Available Space(. 1945) Evaluated By: C J f f •a �2ry�jzfs System Type(s) 7. S' S o Others Present:�"`"� Site LTAR