IPACHTE#
F
Harnett County Department of Public Health
29476
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
5 (L 1 cxX,
ISSUED TO: nvn%r
E110
/
PROPERTY LOCATION: OrCer 1 I �c,r t o M'\aee 1 O
� � SUBDIVISION () _c
y
5-6a,R� J
r
NEW p/
Type of Structure:
REPAIR ❑
�8_ _ (L
�_(
_ X r g t C' Ck
EXPANSION ❑ LOT # S
Site Improvements required prior to Construction Authorization Issuance:
y � x 5 2 � „?'
Proposed Wastewater System Type:
U;.
Projected Daily Flow:
J60
GPD
Number of bedrooms:
Basement Dyes
3
0
Number of Occupants: 6 max
Pump Required: es
Type of Water Supply:
❑ No
❑ Community
11May bei ired based on final location and elevations of facilities
[t7��ubBc E)Well
Permit conditions:
Distance from well feet Permit valid for.
(
❑ No expiration
Authorized State Agent: Date 06 / i _ z
The issuance of this permit by the Health Departmem in no waCH
y guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodiSEE es inmeeting rAeCHED u 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 provisions of
the taws and Rules for Sewage fmatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permo
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 be mel Systems shall be installed in accordance
with the attached system layout
ISSUED T0: C: ocv,Cor-t l4oncea Trz52 iOc'6
PROPERTY LOCATION: Or fcr-J 1. QQa 's
� SUBDIVISION OxCr,rd WOOdS LOT # S
Facility Type: 362 5a= X S7.3 -y CYNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" e,).,, 4-,, LJ%o � a
(See note below, if applicable EI)�6r 5' �G"c (Initial)
elurni to ZSio RZA 5>' l&^ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size y oo o gallons E I
Wastewater Flow: 366 GPD
Pump Tank Size
xact ength of each trench _T5 feet Trench Spacing: _
gallons Trenches shall be installed on contour ataZ
Soil Cover: i
Maximum Trench Depth of: L Y inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TOM vs. _ GPM
Conditions:
y Feet on Center
inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: 2 inches above pipe
Z 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.
It applicable- / undeatand the ryrtem type rpeciled /t diNerent !mm the type rpeci#ed on the app/nation. / accept the rpechl1wionc of this permit
Owner/Legal Representative Signature:
V__
is construction Authorization is subject to 11: 111 if the site plan, plat or the intended use changes. The Conswction Authorization shall not be (nnshned when Date:
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
n e
Authorized State Agent: �h ���y —�Date: _ 05
solzoL�
Construction Authorization Expiration Date: o5 /1r, / z-6Zz
HTE# 11 -r, - g) I eY Permit # 2
Harnett County Department of Public Health
Site Sketch
J(` / Gla 5kuyc ftc+ ra.
PROPERTY LOCATON: QZLrd OoOAS b l 5a
ISSUED TO: (' a,4or-E k4c, S SUBDIVISIONc� Ic czc?s LOT # 5
Authorized State Agent—� ��r! Date: 05 /1 o / Zot-4
10G`
10 M .J 1
` ZS °w REO�U7o�+ Sys ,1
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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: COm rz i//"— 'Cne_
Address: L o f S LXticfs Date Evaluated: (7 S /0 3 �{
Proposed Facility: jty& 3',c_6 Design Flow(. 1949): "360 Ct'O
Location of Site: Property Recorded: f?5
�u
Water Supply: ®'blic❑ Individual ❑ Well
Evaluation Method:[JAS ger Boring ❑ Pit ❑ Cut
Type of Wastewater: 2 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0, 6 86
❑ 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/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
y%
(�tC
3�-�L
3K su
6
7.5. (
yZ
o S
3c Vti
3
0 - 3y
L 1/�0
G2 L6
svf
PS
34.4o50
Description Initial Repair System Other Factors (.1946):
Sy can Site Classification (.1948): Q,5
Available Sac1.1945) Evaluated By: )e
System T Others Present: AnU
re°>
Site LTAR