IPACHTE#I--) -5-4`1 SSSS
Harnett County Department of Public Health 29545
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit -�
PROPERTY LOCATION: a'1 CQ%Cl1f- IQP0 L
ISSUED TO:�G'%5y 0 N C -.V W+ocn \-kQ .kj SUBDIVISION Sv m r-%ECLLiwi
LOT # a l
NEW REPAIR ❑ E SION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S O 04px3es
Proposed Wastewater System Type: QJe at��fCRltl,k,1 rfir
Projected Daily Flow. 1-1%0 GPD
Number of bedrooms: L- Number of Occupants: 9. max
Basement []Yes %LQ No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � Public E-1WellDistance from well feet Permit valid for.
Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: 9fr-'r15 Date: r0 ��— I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu a of other permit. The permit holder is respo ihle 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 Improve nt 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
Reouired for Buildine Permit
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Pti�U�� 0 N 2.v5a3n+ VoM45.5 PROPERTY LOCATION: a� I�?p t✓taE I rtS,t L
SUBDIVISION LOT #
Facility Type: S� (,4p "`3SD �X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ';Ek No Basement fixtures? ❑ Yes �NN
Type of Wastewater System** �°)o C -0,3c" or d 251 GM (Initial) Wastewater flow: "s$ GPD
(See note below, if applicable ❑) t��,
ci+-a Is qzzl, C ' � S IRonairA
Installation Requirements/Conditions
Septic Tank Size s oo gallons
Pump Tank Size gallons
Pump Requirements: N. TDM vs.
Conditions:
Number of trenches --
Exact length of each trench 50 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$---'� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 01 Feet on Center
Soil Cover. G-110 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified an the app/ication. / accept the specificationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization ¢ s revoation 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 compliadteyl Vons 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: 13 I )-I
Cons fiction Authorization Expiration Date:6 T3
HTE# L4 I SS`b Permit # a-5
Harnett County Department of IlUblic Health
Site Sketch
PROPERTY LOCATON: 2,5 NPP GNC- 1 2At t,
ISSUED TO: 15�ow C5SorN �Arjfr-- SUBDIVISIONS v\\rn En t �N LOT # 2k
Authorized State Aeent: OL1is�9tl�fia 't oLY-.5w3 ) Date: I13't l
153
taous6 / I� lQ0
I A
`'S a 33' -
d,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheer.
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility (t ORM Design Flow (.1949): ��� S ('� Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ElWell [ISpring
Evaluation Methouger Bong ❑ Pit ❑ Cut
Type of Wastewater: Q�§Iewage ❑ Industrial Process ❑ Mixed
❑ Other
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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
1
�
a _1Z1
.x5kmq
s �
`3
C' s
VFn NP
5 g
Description Initial Repair System Other Factors (.1946):
Sst Site Classification (.1948)
Available Space (.1945) Evaluated By: eT
System Type(s) r4,.Fv Others Present:
Site LTAR . 1Z