IPACHTE# 1 1 -5- q ltJ Harnett County Department of Public Health 29474
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: - Ua4Cc•�w n, s.P (ix, isCz' Ig0q�
ISSUED TO:'k)ef 0ocsA 60; ��SS LL -(.e SUBDIVISION (ZpnA aLGd�lur'no_ T�iNsr LOT # Z
NEW EiK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 36(2 Ss=oma (oS`K36')
Proposed Wastewater System Type:
Projected Daily Flow: 3 G, t) GPD
Number of bedrooms:Number of Occupants: G max
Basement []Yeso
Pump Required: []Yes ❑ No f a3ltiy be d based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ CommunityuLVP blit ❑ Well Distance from well feet
Permit valid for.
❑ No expiration
Authorized State Agent:: 'ham Date: Cs S— a S 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 m 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 pmyisiom of
the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .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 T0: Ue-r vxr,��,�,1kc-4, Lt -C, PROPERTY LOCATION: Oak r �u. Oyrilstaa � t'.Stti !Uj
SUBDIVISION Aeo,4 '7'uk'� LOT # Z
Facility Type: 3&L (. Y 1Sa) Ei4-ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement fixtures? ❑ Yes
Type of Wastewater System" 25iu tze-�Q�P-UA 5.)0 (Initial) Wastewater Flow: 3Gy GPD
(See note below, if applicable ❑)
Pb* r- .1co
Installation Requirements/Conditions
Septic Tank Size /cczr i gallons
Pump Tank Size gallons
Pump Requirements: h. TON vs.
Conditions:
7-5% ttr 1. (Repair)
Number of trenches S
Exact length of each trench 35 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 00 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing: 11 Feet on Center
Soil Cover: 18 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Co inches below pipe
Aggregate Depth: Z inches above pipe
7Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / ondeatand the system type spec/led is different from the type specillied on the application. / accept the specilcatfonr 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 Authomation 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: Date: C) -d56 - T +
Construction Authorization Exairation Date: c,s - 0 5 - 27-
NTE# I "5-CI1229 Permit#-zgq.:7q
Harnett County Department of Public Health
Site Sketch l
PROPERTY LOEATON: Oak.; l.�_ 4JACC4\ 2s\ Csr- tyc
ISSUED TO: (vlPl),aocx� V" LL4C SUBDIVISION/C� n✓— LOT # z
Authorized State Agent:Date: 05 — 05 —T-*-
I d S c t5A-C4
Pump Eo
Z 5 i� JCc.c� �x.Gr'csl
2 nu,if ilfCcr�
50'
Z j,l
v22 }G
0��+� lj�nCcM rz-c>- (SCL 1oo)
9
M
N
Pump Eo
Z 5 i� JCc.c� �x.Gr'csl
2 nu,if ilfCcr�
50'
Z j,l
v22 }G
0��+� lj�nCcM rz-c>- (SCL 1oo)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: r Applicant: (.de'7 "va &d-5
Address: 0Akr13W- OvA4t (L -L Date Evaluated:
Proposed Facility: Design Flow (.1949):. 5(vp &41
Location of Site: roperty Recorded: A'
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: a er Bonn Pit ❑ Cut
Type of Wastewater: 8 wage Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
`it
62 Ls
!4t SSS 5
F-5
e
eq o
'
0.
z
3,16
a -P
G2 Ls
t-49
q 4
F/ Psi
g
OS
;I
L 3!0
0..36
( I_5
Ski°
QS
1-4)
4e 5° L
p-1 S e%°
Lti '
0,16
5
(, &C,
0-30
30.38
L 3i0
b'3Z
fa4 SG
F7 S5�°1
P'5
Description Initial Repair System Other Factors (.1946): O
System Site Classification (.1948): ( j
Available Space (.1945) Evaluated By:
System Typo(s) is 2.5Others Present:
Site LTAR $ 0
-