IPACHTE# ! 4 -s -y/gvL-, Harnett County Department of Public Health 29571
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Gh;LYCst jards V -/DUI/2 9irrar'-v;//p ev. �S2 L.��y6
ISSUED T0: �9� .���r) ups SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 141 41!_ 3S'x41j 5
Proposed Wastewater System Type: 25j_ i1¢ hGe 1
Projected Daily Flow: Yf3C:a GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No Blay be required ba�sed �al location and elevations of facilities
Type of Water Supply: El Community ❑ Public Ek Well Distance from well <> feet ( A4I-a Permit valid for.. ❑lve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: C-'7//0 r -zo 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 conditions of this permit..
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in attendance
with the attached system layout
ISSUED T0: 1 2c� �� \ rpt n� PROPERTY LOCATION: C-Wcl4n tw.n t.,\/Orae-6aecsV%11c az A.(q-L I-7Sc�)
SUBDIVISION LOT # 3.4
Facility Type: 4(12 �Srx y/t 5 T--7* � �w ❑ Expansion ❑ Repair
Basement? ❑ Yes 0-11—o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** '7-5i , r2� a „c_� p � 5 (Initial) Wastewater Flow: �� GPD
(See note below, if applicable ❑)
4-5% YLeA xxA un S -r (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t zAca gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. ZIL-- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: N. TDM vs. GPM
Conditions:
Trench Spacing: '? Feet on Center
Soil Cover. t z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
t L inches total
**If applicable: / ondeatand the ryrtem type rpeciled iJ dilerent from the type rpeciled on the application. / acrept the rpecilcationr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation if the site plan, plat. or the intended use changes. The (onstruaion Authoriadon shall not be transferred when there is a change in ownership of the site. This
tonstmmon 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: 0 7 l t o/ u L a
Construction Authorization Expiration Date: I eo / zc.�
HTE# I T - "0 - y I qQ0 Permit # 2eL S "q- l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ch;( -um P .4m aA . / 0.X A QG.CCS%iIle [A -�5rt 17Cto)
ISSUED TO: a4w' n,jot- \A0&"eZ SUBDIVISION LOT # 3A
Authorized State Agent,w 1�'/!� S�i� Date: 0 --r 0 z,C) t:�L
Tv GHICKEia F42w R.t�� 4vn�n1- GAZCS���LeE 2Q
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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
y��ic4
Owner: 3ie 'A/F-)Applicant: rLt-d t>cx.(- 14 p
Kr
Address: (.hicreA r,.✓e. /t -,l . Date Evaluated: 614/0&/14
Proposed Facility: a 32 S Design Flow (.1949): 1lbc-)GF D
Location of Site: Property Recorded: r"
Water Supply: -❑ Public[] Individual [g VO"eli
Evaluation Method: Auger Borin - El Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
PropertySize: I AC
❑ 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.)
.1956
Sapro
Class
.1944
Restr
Horiz
L Z%
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CIC 6L
Utz
P5
iQ 49
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (. 1945) Evaluated By: .4 AJrt..J Gvrr.�.�
System Tae(s) Others Present:
Site LTAR p, y a. 41