IPACHTE# I-4-6-4933 Harnett County Department of Public Health 29598
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:Sli Cckci ) Ra_t-tc Ln . (S(t_ 1400)
ISSUED T0: i Z (i0 Qt J. L SUBDIVISION GI sb.)a 02s —V,:— LOT #
NEW R AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3im,2 at'�txSF'`' S s=Jj
Proposed Wastewater System Type: ZS%o iLc�aL�sv.1 Ss .
Projected Daily Flow: 36j 0 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes 3- co
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
❑ No 1�uired based on final location and elevations of facilities
ElIlVPu
Community bllc ❑ Well Distance from well feet
Permit valid for.
f
❑ No expiration
Authorized State Agent: Date: 0 F} I j s 12,0 S -=? 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 as conditions of this permit..
Construction Authorization
(Required for Building Pertnitt
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references man this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Ir;ury�le L�11ep. Qr LLL PROPERTY LOCATION: 61[4 Coye%.Lrt P� rat- Cn . (5>2 1403
El'-New
� SUBDIVISION CLc,t40Sr
bUA P �- LOT # a �
Facility Type: 532 v}x ' s =D El New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2- 5io 2A--X,)c i--, oft 5-;2 b 4— . (Initial) Wastewater Flow: 3(�7 cZ GPD
(See note below, if applicable ❑)
ZS°!o r2c d n Spy s . (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size IOpr} gallons Exact length of each trench 5C feet Trench Spacing: 0 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. _ inches
Maximum Trench Depth of: I (� 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. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
`o inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specibed is different from the type specified on the application. / accept the spec/frcirdonr o/ 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 Authmiaation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to camphorate with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this persue. JLC RI INIrICU JIIC JRCIIn
Authorized State Agent: �� ..��'��✓l-iY Date: t -q
Construction Authorization Expiration Date: 08/I1 f zodo
HTE# i - 5 - Yi 933 Permit # Z 9s 98
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: Gc�rK Lr. SSR d4o3�
ISSUED TO: Triu4h� i4pn�L_ Eros. G; L SUBDIVISION LOT # �
Authorized State Agent: V / ��� Date: 8/l1 /u't-7--
A 1J
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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: %// 4�_- rya''` /
Address: %V�
ft' 17krK Lof G Date Evaluated: C?1Pg0 /('j
Proposed Facility: J$f 1Fr> Design Flow (.1949):
Location of Site: Property Recorded: ,1�J
Water Supply: ublic❑ Indio' ual ❑ Well
Evaluation Method: :auger Boring ❑ Pit ❑Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O •'4,
❑ 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
Stmcftnw
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.I
Sapro
Class
.1944
Rent
Horiz
L Z%
0—ZZ
G2 L3
A 0
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2Z 32
6k S�
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7.6v4-111
L Z;6
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ac sa
y
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apt
v.s�
3
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e Z8"
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o tico
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): UAWI Ap 4e— /�/p..liic4a-% •iv�%s/o�
Available Space (.1945) Evaluated By: n ry�r /
System T e(s) Others Present: rG CJ rr
Site LTAR O•