IPACHTE# (1-5-4164t>
Harnett County Department of Public Health 29566
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit52 Z0176PROPERTY LOCATION: L-46 Cc -,4310- Lc,u[- lir ��ic'cdC M t II CZ.cr�
ISSUED ^T0�:/ (�)Fy�S tiZcuV*ac,> SUBDIVISION C ��AIPr (te-Ay . F (c�Ee LOT # Z,,7
V NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4ai2 i (;lo V cid) 5 i -O
Proposed Wastewater System Type: 755. �k� s_
Projected Daily Flow: LIP] 6 GPD
Number of bedrooms: — Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No Ld'May b equired based on final location and elevations of facilities
Type of Water Supply: El Community wit ❑ Well Distance from well feet Permit valid for.
Permit conditions:
94 ve years
❑ No expiration
Authorized State Agent:: Date: - 41 } 3 ! ZC>\ -q 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 in conditions of this permit..
Construction Authorization
Required for Building Permit
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 he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 2u6 'Qr'yc
PROPERTY LOCATION:
`L -A -S
Go-ule. L,44- pr. ( t3c&L of, ll �J
SUBDIVISION Cc>-�1L��oin.
�a�F�_ LOT
Facility Type: L13R- (.6C 1{gCf�) SrT�
IA -New ❑ Expansion ❑
Repair
Basement.? ❑ Yes E No Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS:v
R¢�uc +� <a _ s> feta_
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Z5% (le
a.5c;ton Repair)
Installation Requirements/Conditions
Number of trenches i/
Septic Tank Size I Z 5 O gallons
Exact length of each trench SO
feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: IG"-+ lo' inches
Maximum Trench Depth of: 4Ze'
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. TON vs. GPM
Conditions:
& inches below pipe
Depth: Z inches above pipe
I Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the s}rtem type speciled is different from the type specified on the application. / accept the specilcations 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 laws and Mules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C' f/ f -S z t 4
Construction Authorization Expiration Date: 04112 12cZz
HTE# 11-6-41164b Permit # Z 9,56G
Harnett County Department of Public Health
Site Sketch
9T \
n PROPERTY LOCATON: 276 Code Lwin. Ot • 03,1,V, M 4 1 ft . )
ISSUED TO: l�Fie C+'s� iZe nYS�S — SUBDIVISION Lo+ACe 1: -CA r55%+i-L-- LOT #Z'3
Authorized State Agent:�� !� %a .rte✓" 1,�� '!6� 5 Date: (D 4- I t 3 I ZG t-4
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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
Owner: --- Applicant: Alex -,'s /o,Mf,
Address: L6L Z3 &-4eS V_ 9WDate Evaluated: OL/1�_
Proposed Facility: 5 �A Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual El Well
Evaluation Method: ❑ ger Bori - ❑Pit ElCut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:(>.SC
❑ 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
I
L Ila
1Z
(o,,Z
141
P5
�Z-48
L (lU
G-ki—
�,rj Sl
I A+
(z-qb
die sus
/�l 5-
Ps
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pnj��s��nn/�j i✓�'�^6�
Available Space (.1945) s Evaluated By: ^
System Ts) `' Others Present: 1-1-!\t�^.Y�..A
Site LTAR