IPACHTE# i -5 - 41Zo ( Harnett County Department of Public Health 29473
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit 'SrL loc�6
PROPERTY LOCATION:i1 C4o�^�L 1Jxxr3s fig . �OIA Sfhu f a 0—�l
ISSUED TO: /C-0YACork iirikeL Cy_ SUBDIVISION 0)K.0—A 1.Z>0�5 —� LOT # U—n
NEW REPAIR ❑ KPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a CSCZ � t -b Jj3. G a ` � J � 6 -
Proposed Wastewater System Type: 25;�., t4duc�4id S <
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: mag
Basement ❑Yes EAo
Pump Required: ❑Yes ❑ No LY'MMay b -"iced based on final location and elevations of facilities
Type of Water Supply: ❑ Community D; ubllc ❑ Well Distance from well feet Permit valid for:
Permit conditions: ❑ No expiration
Authorized State Agent: Date: C76/�5// -1 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 be affected by a change in ownership of the site. This permit is subject to compliance with the provision 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 requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
/� 52 200 (w
ISSUED TO: Sa(z MZS Srr . PROPERTY LOCATION: S QA tom},
/ SUBDIVISION OLOT #
Facility Type: 3B2 55=� (53 ( Y 6) ew ❑ Exa9s El Repair
Basement? ❑ Yes o Basement Fixtures? El Yes
Type of Wastewater System** JL5 iv ✓Leff u7.A tin S. c!« (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
1�0 ae-�' Sys /�.,, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I o(30 gallons Exact length of each trench _ feet Trench Spacing Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 10 inches
Maximum Trench Depth of Z Z inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDR vs. GPM
Conditions:
6 inches below pipe
Aggregate Depth: Z 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• / undentand the system Alpe spec/led is diherent fm the type speciled on the app/icatioa / accept the Jpecilcationr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authonution is subject m 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 Agent:Gl'��/ � /S Date: c' $ / 5/; 4
Construction Authorization Expiration Date: �5/ os / zz
HTE# 111- 5 -L1 I Zol Permit # 19 1/ -7-1
Harnett County Department of Public Health
Site Sketch
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PROPERTY LODATON: U r%/d k�vad� 6r (01A5
id S ez- I oc- SJ 1
ISSUED TO: co(,I�orkyko", e SrY SUBDIVISION 6xilto sil,W Boas L T # Yo
Authorized State Agent: ����� Date: US 05 / ZA
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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: L UrAC-f � 'W�' r -/'C
Address:64# 4/0 O,c Date Evaluated: l'*�PY//9
Proposed Facility: $ij2 5r3> Design Flow (.1949): (,PA
Location of Site. -Property Recorded:
Water Supply: ublic❑ Individual ❑ ell
Evaluation Method: er Boring - ❑ Pit ❑ Cut
Type of Wastewater: age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /, il:T
❑ 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.)
.1956
Sapro
Class
.1944
Restr
Horiz
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G2 S 5
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): Pjr
Available Space(. 1945) Evaluated By:
System Te(s) 5' iGb 25% Others Present: Anefre.--Z,
Site LTAR U .