IPACHTE# 17-541 Harnett County Department of Public Health 29203
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: fivei> s • Cl lnul Le,12 2a 52 1420
ISSUED TO: W 3 tlt\ C.ont. n 377 SUBDIVISION fa a:� Ccs � LOT # Z `t
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 432 Cokxtfaa 5 t=�
Proposed Wastewater System Type: t-sjo -'4et444ur` sus .
Projected Daily Flow: t/$O GPD
Number of bedrooms: _I Number of Occupants: 8 max
Basement []Yes 2-ro—
Pump Required: ❑Yes ❑ No If'
quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�ublic ❑ Well Distance from well feet Permit valid for. fears
Permit conditions: ❑ No expiration
Authorized State Agent:Date: O 8/ 15 / Z o a -. 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Penni[)
The construction and installation 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 attached system layout
ISSUED T0: ''=nr PROPERTY LOCATION: Ave, I Goed ac.�Clnn/,W/r'o k /f'xV
SUBDIVISION QP
'j C' Por -LOT LOT # 3°3 >
Facility Type: YOtt cc)'Y'bo' 6 za> [� ew ❑ Expansion ❑ Repair
Basement? ❑ Yes El,-Ifo� Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" zsyc. (t-e.auc E'on 54='& ,r_— (Initial) Wastewater Flow: -8o GPD
(See note below, if applicable ❑)
"r—y% 04—Z cr n 5, s (Repair)
Installation Requirements/conditions Number of trenches S
Septic Tank Size Igloo gallons Exact length of each trench (oo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z J4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on (enter
Soil (over. /a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�O inches below pipe
Aggregate Depth: a7 inches above pipe
/ d inches total
WATER LINES (IN[LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeittand the ryrtem type rpecilled it different from the type rpecibed on the app/intron. / accept the rpedhiartionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pian, 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 Authonzation 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: ?may ifs Date: ! f s / a o t -4
Construction Authorization Expiration Date: OSlts/zc4a
HTE# — 5... �l y6y Permit # Z 4863
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOR: Aven., ew,0 - k ->t tcw.13Gew(y /fib. 52/1IZ4)
ISSUED TO: LJ� n n She . SUBDIVISION Awn r� Pond LOT
Authorized State Agent: ��_�' ��/' � Date: 00/ t 5 lze> t
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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: Wp9 Czafl �os�SgG
Address: 49,39 4oe� r,4cj Date Evaluated: oeliVll 4'
Proposed Facility: ✓ Design Flow (.1949): q,W 6rt,
Location of Site: y Srb Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Bori ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: Ps
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
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#
.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
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:b!G-
System Type(s) Z S ` 2. ✓ aL L Others Present: a rt?"' �t "A
Site LTAR C, .