IPAC RHTE# t s— v I I �a2 Harnett County Department of Public Health 29486
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: p sJC zt a " .
ISSUED, TO: Nson V�C.uo� SUBDIVISION -)vL Asur r" r 51 r� LOT -Y'S
NEW L: REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `443rZ. 5i%4b, C4 cl 4c. )
Proposed Wastewater System Type:
Projected Daily Flow: c+ 8c GPD
Number of bedrooms: N- Number of Occupants: max
Basement []Yes L27 —W
Pump Required: []Yes ❑ No 0111(ay be required based on Final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community ublic ❑ Well Distance from well feet
Permit valid for.
11-Firr"ears
❑ No expiration
Authorized State Agents Date: US/ L3 / I �F 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to condition of this permit.
Construction Authorization
(Required for Building Permit)
The conxnctio, and installation requirements of Rules .195D, .1952, .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: PROPERTY LOCATION: 2A . i Nx - C/ O e a
SUBDIVISION-Tc.hm sr.n n 5/ o LOT # -3 S
Facility Type: c- &L 5x:0 _c,'xad) 51—fle - ❑ Expansion ❑ Repair
Basement? ❑ Yes [D-- o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 25 i; , 11c 1,,, ;,, 5 � s !C .1 (Initial) Wastewater Flow: Y8C' GPD
(See note below, if applicable ❑)
7-5j0 tlCa�0-, o:. s ,s (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size ti50 gallons Exact length of each trench voo feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of: ) 8 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
G
Aggregate Depth: Z
17,
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speriled is different lom the type speriled on the app/kation. / arrept the sperilrationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to sweating 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
Constriction Authorization is subiect to compliance with the Provisions of the laws and Rules for Sewage Treatment and
and in the conditions of this
Authorized State Agent: Z �j- �--� Date: 05/ z3
Construction Authorization Expiration Date: 0 :51Z
SEE ATTACHED SITE SKETCH
al
HTE# - 5 -LI 11032
Harnett County
Permit #
ZcL+3a
Department of Public Health
Site Sketch
PROPERTY LOCATON: Q rocr_ Tc), nsc n QA, ( r-, c - z 10)
ISSUED TO: CK-�r� 206:n r% 4r3m -� SUBDIVISION SyhnScn Fc, ,Y% 5 /r�` LOT # .35
Authorized State Agent. Date: Date: 05 1 z3 /
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: &,N) a6 0'4Sc4 140 -e -a
Address: 4 vi 35 A �`% Ac, 4—A Date Evaluated: C' g/"9' /
Proposed Facility: N34 5r7 Design Flow (.1949): 9�G G P9
Location of Site: Property Recorded:
Water Supply: _ 0-1'rublic❑ Individual ❑ Well
Evaluation Method:D--)Cger Bori ❑Pit El Cut
Type of Wastewater: Lr Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: &. VO AiC,
❑ 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
3y +
^-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): PS
Available Space (.1945) Evaluated By: A.-,6(*w�
System Type(s) Others Present:
Site LTAR c