IPACHTE# 11-5 -41?�(t' Harnett County Department of Public Health 29583
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 35 :5'a -1 Ln )kL !('i. 52K")
ISSUED T0: pQ��\ rltbUr SUBDIVISION Pao I-rLVe._ LOT
AE -9
NEW f REPAIR ❑ EXPAF ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3M ('91 K TJIf� 6M
Proposed Wastewater System Type: 25io "C'n 5:,5.
Projected Daily Flow: 36,6 GPD
Number of bedrooms: --3 Number of Occupants: _max
Basement []Yes W'tto
Pump Required: ❑Yes ❑ No May uired based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community ❑R Public ❑ Well Distance from well feet
Permit valid for.
19-hre �years
❑ No expiration
Authorized State Agent: Date: b. ) Z L 1 Z.c-�, L21 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..
(See note below, if applicable ❑)
Z457o
(1.¢.&)Lkio f\ SbyS - (Repair)
Construction Authorization
Number of trenches �4
Septic Tank Size \CV gallons
Exact length of each trench 00 feet
(Required for Building Permit)
Trenches shall be installed on contour at a
The construction and installation requirements of Rules
.1958, .1951, .1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references
into this permit and shall be met. Systems shall be installed in mcordoce
with the attached system layout
in all directions)
Pump Requirements: ft. TDM vs.
ISSUED TO: Vr-nr iJA 6&aA
xwC—
PROPERTY LOCATION: 35
5%,wr% Ln. n IsVt'— Rd, S2
SUBDIVISION Pc4r,
Lcnl[¢_ LOT # $2
FacilityType: '33(1L(W1'%ljj
5E=
9 -le ❑ Expansion ❑ Repair
Basement? ❑ Yes LJ --No
Basement Fixtures?
❑ Yes ❑ No
Type of Wastewater System*"
ZSio &'
A"' d'4 on 15 �„3 Ag:'"-
(Initial) Wastewater Flow: 3(06 GPD
(See note below, if applicable ❑)
Z457o
(1.¢.&)Lkio f\ SbyS - (Repair)
Installation Requirements/conditions
Number of trenches �4
Septic Tank Size \CV gallons
Exact length of each trench 00 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.. 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
c inches below pipe
inches above pipe
s 2 inches total
**If applicable: / understand the system type spec/led it different from the type specified on the application. / accept the specilinvionf of this permit
Owner/Legal Representative Signature: Date:
This Construction AudwilUtion 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 Rules for sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -'V5P/Date: 041 7-6 ) Z.6 G-4
Construction Authorization Expiration Date: 6-4 1 2T -Z'd z2
HTE# 1 -5 - yI W6a Permit # Zc6Ja
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 3 5 S ux n Ln . (ak t ki?- Ux ' SrL 64)
ISSUED TO: Vewy, V\ ijc s—ii>oc— SUBDIVISION Lc,kt y LOT # �t
Authorized State Agent�ciy ori �fiY. MJ Date: O 4 Z I f 20 t —4
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149
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: r— 6vr6v Applicant Y6 4 6"rA7&`3`;
Address: &4 64cl Pope 4012_� Date Evaluated: O: zo(
Proposed Facility: $42 Sr � Design Flow (.1949): (.6 (,�
Location of Site: Property Recorded: Cly
Water Supply: u Vic❑ Individual ❑ Well
Evaluation Method: ger Boring ❑ Pit ❑ Cut
Type of Wastewater: age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:, l�a V -V -
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L4�%0
o IZ
C�
p, W
ea3
sc�
PS
P,5
S.CfA
C�4
Lf12_-�,
d
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): QrpV,'Siv.u,t,;$- 4A"i ¢
AvailableS ace(.1945) Evaluated "
System T e(s) 2. Others Present: G�rnH� h?�iES
Site LTAR