IPACHTE# ! -s -41 Zw Harnett County Department of Public Health 29480
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T� na-�yraoaC r LjS �(U 1 til
ISSUED TO:_56y b- "Lcee. 61,A SUBDIVISION LOT #I --Z
NEW 2, REPAIR ❑ /EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3(5(1 5 Fay / y t! sc T` )_
Proposed Wastewater System Type: ZSio c g
Projected Daily Flow: 34�6 GPD
Number of bedrooms: 3 Number of Occupants: mmax
Basement ❑Yes 2,10
Pump Required: ❑Yes ❑ NoL7�May bj�.
re'red based on final location and elevations of facilities
Type of Water Supply: 13late Community Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
w
-e 'years
❑ No expiration
Authorized State Agent: �— Date:8 I 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 specking will 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 provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Per
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 met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Q3iod G -(Allem 61 cLS PROPERTY LOCATION: or, l u5 -/o/
— J SUBDIVISION r� n' L cants Pl�S LOT # �_
Facility Type: 362 Sf p ( `1 t F 35t LTJ -few Expansion ❑ Repair
Basement? ❑ Yes pAf o Basement Fixtures? ❑ Yes
Type of Wastewater System** _ ZOo eZ (Initial) Wastewater Flow: 36o GPD
(See note below, if applicable ❑)
Z$ - lyle
i s u n 5^ A-- r- (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size boov gallons
Exact length of each trench O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2`f inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing Feet on (enter
Soil (over. 17— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: JQ51 l e- cons v/ E :r sd i' �A'
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
& inches below pipe
Z, inches above pipe
L inches total
**If applicable: / ##decra#d the ryrtvm type tpec/fled it &iferem from the type tpeofled an the app/iration. / accept the rperiltatianr of thin pemlit.
Owner/Legal Representative Signature: Date:
This Conshuction Audmdzation is subjen 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
Wnstmamn 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: Date: 061, v-/ 19
Construction Authorization Expiration Date: vs
HTE# I- S- q I Z 63 L 9 y2rp
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �) nnie6c(x5V- T2vn ( < 140 1
ISSUED TO: 06ed- Cc cA(cee 61& %Ir, SUBDIVISION LQftnt0xcr P nD,S LOT # _ �L
Authorized State Agent ������yts Date: o S I $ 1-4
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address Lam+ /S L)enn: 4,,x-.( r,j,�y Date Evaluated: 01'11r111—
Proposed
5%+1'1/1—
Proposed Facility: 3132 5rh Design Flow (.1949):.260 6eV
Location of Site: Property Recorded: YC
Water Supply, [3 ublic❑ Individual ❑ Well
Evaluation Method:❑ r Boring- ❑ pit ❑ Cut
Type of Wastewater: ❑ ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.6119 7C.
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): j
Available S ce (.1945 Evaluated By: n
Others Present:
Site LTAR
P
R
O
F
1 Land
L Landscape Horizon
E Position/ Depth
Slope % (tn.)
0/0 O'14
SOIL MORPHOLOGY OTHER
.1941 PROFILE FACTORS
.1942
.1941 .1941 Soil .1943 .1956 .1944
Structure/ Coasisteoce Wetness/ soil Sapru Resor
Texture Mineral Color IN. Class Horiz
Profile
Class
& LTAR
PS
14 -3$J/
W G fl
39+ Q,rrn/. _
Mq{
Z L by 0-10 G� 5 r r f,S�s '
P5
Z6- IC
a4 t
3 L G0 (3 Z.5 GQ 5C
v t:_ 515
SY2 I l P,44"
v b
o 5
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V1al
27-
5,[o L O-ZA G£ LJ OrIZ
Ly
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Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): j
Available S ce (.1945 Evaluated By: n
Others Present:
Site LTAR