IPACHTE# IL-5-g1gC6 Harnett County Department of Public Health 29206
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A 61�>r . (Cb l cwt �- 54 f'1aV
ISSUED T0: SUBDIVISION A!! LOT # 57e
NEW REPAIR ❑ EXPANSION ❑ SiteImprovements required prior to Construction Authorization Issuance:
Type of Structure: 5y92. 60' X (,6' 5 FS]
Proposed Wastewater System Type: Z5% ALac4:6, Sys
Projected Daily Flow: 'i'tw GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes
Pump Required: ❑Yes ❑ No 9-M—ay—be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ET-�' rublic ❑ Well Distance from well feet Permit valid for.
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: o0// $-( Z-0 t =I- 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
Reauired for Buildine Permit
The construction and installation requirements of Rules .1958, .1952..1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in acordance
with the attached system layout
(See note below, if applicable ❑)
Z5 l' rj� d �G,'v n s2 5 - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 14 04n, gallons Exact length of each trench /00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 0a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 107 inches above pipe
9 Z inches total
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.
**If applicable: / understand the system type specified it different from the type specibed on the app/icadm. / accept the specifcationr 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 then is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Penni. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: / t 1- 1 z—G t.
Construction Authorization Expiration Date: 4, [an;; ;:I
ISSUED TO: �O,nn <<'n54rw4
'SM1c
PROPERTY LOCATION:
319 A,aP:e� la+i74tc./t �'Jj
SUBDIVISION As
1'4 Pond LOT #
Facility Type: 41'� 60'XGot
`'r> ET New
❑ Expansion ❑
Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes
❑ No
Type of Wastewater System`*
Z S% tC[.lec L,L a
s5
(Initial) Wastewater Flow: `1 GPD
(See note below, if applicable ❑)
Z5 l' rj� d �G,'v n s2 5 - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 14 04n, gallons Exact length of each trench /00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 0a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 107 inches above pipe
9 Z inches total
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.
**If applicable: / understand the system type specified it different from the type specibed on the app/icadm. / accept the specifcationr 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 then is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Penni. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: / t 1- 1 z—G t.
Construction Authorization Expiration Date: 4, [an;; ;:I
HTE# I ' S— q l qO�S Permit # Z q ai O G
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: AJef�, —1j_ 52 /W
ISSUED TO: r\ r\ �qa�(SUBDIVISION A,)e�j ean,+ s/7 LOT # 58
Authorized State Agent: _ h��il Date: 00I'q-
}6 /
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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: V. 9 A Coni F'..Cfri%�
Address: f.,A LJ. $`v Date Evaluated: OW IL-10
Proposed Facility: U3& SFrJ Design Flow (.1949): 4&> (,P9
Location of Site:,,���� Property Recorded: )'eo
L7
Water Supply: Puolic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size: d, AC
❑ 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
I1
L
SL
M
18-'3
13 It ""k
0 5 P 1�Gy4,
'Z.c7 ji�1� J.ct
�v `G�
V•�
�3
L Z%
o
T N,1.711 Q W1
Description Initialair Other Factors (.1946):
,J,Systcm Site Classification (.1948): PCU✓ i S ten+-�,O S,z,-(.,,y�
Available Space .1945) Evaluated By: (� nC7tc,> C 0 rr, A Q/
System Type(s) Others Present:
Site LTAR