IPACHTE# ril-s -411% Harnett County Department of Public Health 29584
(Improvement Permit
A building permit cannot be issued with only an Improvement Permit
nn PROPERTY LOCATION: I C 'e 2 5
P
ISSUED TO: x - n Wr lAc t , SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 462 C5c. t x44' ) 5 FTS
Proposed Wastewater System Type: 7�
Projected Daily flow: V9,0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o ,�
Pump Required: ❑Yes ❑ No aLl'N y be mwred based on final location and elevations of facilities
Type of Water Supply: ❑ Community fd�Fublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
nL9'F a years
❑ No expiration
Authorized State Agent: Date: n -'-Z / zq ! z -,c, s -7 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and AM are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: � VDvoc ', c&Ac¢--� PROPERTY LOCATION: 'kistll/_ "- (524533-,
SUBDIVISION LOT #
Facility Type: 452 (56fxyy95 t=om 9--I(e—w ❑ Expansion ❑ Repair
Basement? ❑ Yes �o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** � s C,1 r ri ^ 5-, Lc- (Initial) Wastewater Flow: 618p GPD
(See note below, if applicable ❑)
z5j„ MA. (-A-te,s 5,siar� (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size t Z50 gallons Exact length of each trench -7-0 feet Trench Spacing: _� Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. t; inches
Maximum Trench Depth of: /0 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: h. TON vs. GPM 6 inches below pipe
Aggregate Depth: z inches above pipe
Conditions: 's ovr(Ll) JOFC 17 aces nnco y, i I /i vl50& ce. Sf; GvG, s, 61. r 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: / andeatand the system type speafted it different from the type specified on the application, / accept the roeci5'cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revontion 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 ltt AI IALH[U lilt NsCIIH
Authorized State Agent: Date: vI/Zg Izos-3
Construction Authorization Expiration Date: 0 1z4 /zo-cz
HTE# IT - >--q( 7& q Permit # Z956q
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 13 IS C.14p,er�n 0 L k- A
ISSUED i0: (Z 2d C7o���ro� SUBDIVISION LOT #
Authorized State Agent: Date: o =7 I Z 5// zv t�
60?
hA(Ij 6—, 0 r�iZ
C.vc l 6LG
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: (P 440
pplicant: � bcxr
Address: CC '61d take _ Date Evaluated:O���S/�
Proposed Facility: 932 Design Flow (.1949):
Location of Site: ,T�>,�' Property Recorded:
Water Supply: �, �3-f ublic❑ Individual ❑ Well
Evaluation Method:L+YAugerfBon g ❑ Pit ❑ Cut
Type of Wastewater: a Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: p.f3 4C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(N.)
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
S tem T e(s)
�, 7%.A
Others Present:
Site LTAR
p r
h/ -Zs
3� `�
FI S P i�.r
744 See
i
a .�5
2
e_ 310
0-1
5L
�//� �'V A'
ly'3$
17�(, iU-�L
/elf
Y) f C lGJ(
/ Q �/
��l C✓ Ito
�'r
U•
3
L
6 -it
rA
I4-10
ko
V4,
L �
cl-ly
s�
(/I
IV&
gK wL
(1 34
Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (.1948):
e%purLDrsxl�
Available Space (.1945)
t
Evaluated By:
/�
� aofe"Z, G,r/i'7/ 4%
S tem T e(s)
�, 7%.A
Others Present:
Site LTAR
p r