IPACNTE# IT -5 - y l g 4 u Harnett County Department of Public Health 29578
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: (J cXre.�oA c, (Old 54cX 6tc1, "3 51 1,006,
ISSUED TO: COrnfork 440�:rYe SUBDIVISION Gx� iJnndS LOT#3/
NEW [R-' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 392 (Ce9Ss)( 48s) S;7Z>
Proposed Wastewater System Type: 25�,., &ekY4nA :5,A
Projected Daily Flow: 3C. 0 GPD
Number of bedrooms: 3 Number of Occupants: _(_max
Basement ❑Yes o
Pump Required: es ❑ No ❑ MMaybequired based an final location and elevations of facilities
Type of Water Supply: ❑ Community E?'Public ❑ Well Distance from well feet Permit valid for. Dears
Permit conditions: ❑ No expiration
Authorized State Agent::� 10— Date: U V /l Yl 1,'V- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 pent[.
Construction Authorization
(Required for Building Permit)
The construction and instillation requirements of Rules .1958, .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 attuned system layout.
ISSUED TO: l_nrACxY4,, 4o.Aay-a
enc. PROPERTY LOCATION:
(Ir�rt�cun
C� . au 5j;;,.1_� 03 -5!2=1 cic4G�
SUBDIVISION 6
LOT #
Facility Type: 33f1(f a x ii3J
S' [J'Ife_w� ❑ Expansion ❑
Repair
_24
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z�
CP,�-rV -%�)
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
,Zj%> llnrl
- S,,s kms- e. V +r>i (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size T o00 gallons
Exact length of each trench
feet
Trench Spacing: i Feet on Center
Pump Tank Size 1000 gallons
Trenches shall be installed on contour at a
Soil Cover. /7— inches
Maximum Trench Depth of: Zx-
inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs.
GPM
6 inches below pipe
Aggregate Depth: -7-
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches above pipe
IZ inches total
**If applicable: / understand the system type speisifed /r different from the type specited on the app/icatioa / accept the specipcationr 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
constmcton 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. ltt AIIALHtU lilt MILH
Authorized State Agent: -�Tr!/� i Date: cvl It el t -4
Construction Authorization Expiration Date: ()'4/tet ( z y
HTE#1 -5-41-44y Permit # 7-9538
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:(ZA '-*3 5:2
ISSUED TO: Cc"Acork- Ua rta-s ,s�. SUBDIVISION Gx forte LOT # 3�
l
Authorized State Agent:Date: a :F l 1 I -4-
h LC%u
.. rV
36n- SGy
G8' X J 8'
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C:L AAEN4c-,_-> G-r-
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 C,i CSA- lk0AIZ8 -T71C -
Address: 1.4
5/ c," 4),,,j,,Date Evaluated:
Proposed Facility: �9Design Flow (.1949): 340.te61X>
Location of SiteS Property Recorded:
Water Supply: EI-P—Micp Individual ❑ Well
Evaluation Method:E�_"ger Bo ' ❑ Pit ❑ Cw
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O. 19"R 1L
❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
System T e(s)
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ea
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Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (.1948):
eros)-51G"AO $w 1rikk
Available Space( 1945)
Evaluated By:
System T e(s)
7u Aon— Z -S
Others Present
r� �
A7I,)r Ll> Cn..rrr}sL, AAS
Site LTAR
p J , 1V '