IPACHTE# t -T -S-Lill Harnett County Department of Public Health 29499
hDrovement Permit
A building permit cannot be issued with only an Improvement Perini[
PROPERTY LOCATION:_ L cti- s58 Z�
ISSUED TO: c i M SUBDIVISION LOT #
NEW gr REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 432 Ir t-.> Cc ? 8 0, )
Proposed Wastewater System Type: 25%
Projected Daily Flow: Vra GPD
Number of bedrooms: Vic/ Number of Occupants: �' max
Basement []Yes Ro
Pump Required: ❑Yes ❑ No 21ayIL�'F bbe quired based on final location and elevations of facilities �'
Type of Water Supply: ❑ Community Id' Public El Well Distance from well feet Permit valid for. ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: L SEE ITTACHED SITE SKETCH
The issuance of this permit by she Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with ap cep' governing bodies in meeting their requiremenn. This
site is subject an 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 Permit)
The constmction and installation requirements a1 Rules .1950, .1951, .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 TO: (dia +e , 1 L PROPERTY LOCATION: L �J-No n n o c,,� L5(L k6931 --
SUBDIVISION
S3z1--SUBDIVISION LOT #
Facility Type: Cfo\X`86`.) G3"ffe—w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2sf ICoZ C,ciC. 5, 5 tip++ (Initial) Wastewater Flow: ��� GPD
(See note below, if applicable ❑)
A-V- 6(--kd2 Z5% ncA;)cjlr-;�A- S4 .(Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size Y Z 5 o gallons Exact length of each trench �1 6 feet Trench Spacing: y Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. d Z inches
Maximum Trench Depth of: -?Iq inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM & inches below pipe
Aggregate Depth: 4 inches above pipe
Conditions: s 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: / undetstand the system type rpecfled it different from the type spec/led on the application. / accept the rperibiationr 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 Authorization is subject to compliance with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:.. ! ���� Date: 56, 1 If L
Construction Authorization Expiration Date: OCo,1 Z / w zz:—
HTE # I % ' S - I SS3 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: t cnacyn. tl occ� C Q7- t53�
ISSUED T0: m C3�', IdesS L (L SUBDIVISION LOT #
Authorized State Agent: Date: Z4't*
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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
M4{G� Garr
Owner: Han Applicant: 6%M 0w -derS 446
Address: bang% r; Lpaa Date Evaluated: 0(0`0 0*7-
Proposed Facility: Lt, Si— Design Flow (.1949): VilV 6eO
Location of Site: - Property Recorded: p -G
Water Supply:�blic❑ Individual [I Well
Evaluation Method:__ ger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: L, Z,6
❑ 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
Minendogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.)
Sapm
Class
.1944
Restr
Horiz
L in
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t JW A,,
p�
z8-48
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vA35
2
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Z8 46
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4,5
3i6
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76
o• s
Description Initial Repair System Other Factors (.1946):
System Site Classification(. 1948):
Available Space (.1945) Evaluated
System T
e(s) ° rt64.1—in fta.� Others Present: r �S
Site LTAR