IPACHTE# 14-5-14106i? Harnett County Department of Public Health 29472
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
rr,nfS PROPERTY LOCATION: Na{Gla,•$ T—reda (2ivcr 2d - S IN IQ
J CMQ
ISSUED TO: �A$ A, ns0C5P, alitnlvfunN Gun/ ..: n5 / _ -A :n- inT a ??
NEW LV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'Lg2 SFl�,( LG`9630) 'f' GAakc aE�Z 'yu%
Proposed Wastewater System Type: "ZS % n doc�rAn Sts.
Projected Daily Flow: 2yb GPD
Number of bedrooms: —Z- Number of Occupants: max
Basement Dyes E3 -Co
Pump Required: ❑Yes 11 No f a+3 R y be fired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
❑ No expiration
Authorized State Agent:: 'C� Date: U $ / o y/Z-C) I --7- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealth 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 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .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: TCsMv& k Mor foe, PROPERTY LOCATION: nsc'fcbtn Lr 2scz_ C2:Ner aJ - S a 741s,)
SUBDIVISION LOT #
Facility Type: 4652 'Yd—New ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C-L-,bti setts (Initial) Wastewater Flow: ZOb GPD
(See note below, if applicable ❑)
2,L.-4�ri A 5,54.4 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10c�o gallons Exact length of each trench 80 feet Trench Spacing: `% Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: Iy inches
Maximum Trench Depth of: Z Z 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: (t TDM vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: A41 eu 5( r> eu t ;�/ sl.uct xy� en cent%< Rdd Swhe In , an c cel I L inches total
pro/ +— s7:, vlw. ins ic-kl.
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 ryrteur type rpedled if different from the type rpecAed on the app/kation. / accept the specfleahl s 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 u 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
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: cs5 /o Ai /-Z-0 I *
Construction Authorization Expiration Date: 061ay/2oZ -
HTE# 1-4 -S - yYo68 Permit # Z 9g1 -z
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOCATON: /Ja-che-Z %tcce- Lai ver Rd• -52 11418)
ISSUED T0: Sunte8 �• Mvrs� SUBDIVISION C t-crxA; LOT # 33
Authorized State Agent: 22�i1_ /iL� �� Date: 0SU�'/ZoI
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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: -rcvAe.6 (() Ole
Address: LUZ 33 Ca e tws Cc..1rl Date Evaluated: 6 LI % I Z/14
Proposed Facility: t o(L St. -a, Design Flow (.1949): Ly6 GPS
Location of Site: Property Recorded: %L3
Water Supply: [?{ ublic❑ Individual ❑ Well
Evaluation Method:[ AAager Boring ❑ Pit ❑ Cut
Type of Wastewater: 2-'§'ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: d' ,'4U AC.
❑ 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 J
.1956
Sapro
Class
.1944
Restr
Horiz
3%
d'(-
C'q 5C
11 0s
P5
6--18
$K C
r/ S P5
L4
0.Z5
uG t
PcuY"6
-�
46
6.2-45
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Si
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y
3b
o �5
S
8 jo
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�c ts� dip
G- 4b
r4
4pE
P V—t
01 Z-5
Description Initial Repair System Other Factors (.1946): p
System Site Classification (.1948):
Available Space (.1945) Evaluated n MJ ,v W-.::>
System T s) Others Present: t: I'S
Site LTAR o;" 0, 2'65