IPACHTE# I-) -S-I-1)"5S -7 Harnett County Department of Public Health 29703
InlDrovement Permit
A building permit cannot be issued with only an Improvement Permit
—� PROPERTY LOCATION: S'Cec- YA-i J �Lo
ISSUEDDTO: �OSt�Q`Ks�1 IOwSO*s SUBDIVISION Szec.,"PrW R.ea• CST. Lot #4%
NEWX REPAIR ❑ EKPAN ION ED Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M ;-,,riA rs t.4, �Jce '3�-�
Proposed Wastewater System Type: 2.5 %0 V`sC. v30c\ovi yT Edi
Projected Daily Flow: Cn0czi GPD
Number of bedrooms: r Number of Occupants: 10 ax
Basement []Yes 7-IRt No
Pump Required: ❑Yes ❑ No -KM!be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: RISS Date: B 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e n e of other permits. The permit holder is resp!n 11 far checking with appropriate governing bodies in meeting their requiremmn. This
site is subject to revocation a the site pian, 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 Permjt)
The construction and installation requirements of Rules .1950, .1951, .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. �- C
ISSUED TO: 1�05NP,`cxN L 0-1A -I- PROPERTY LOCATION: S'SOGK�+c�O C2-,
SUBDIVISION S-s0'�*-4 W (�ca. WV' LOT #
Facility Type: T1 P" -A NIOT4NCQ-)c ) New ❑ Expansion ❑ Repair
Basement? ❑ Yes ;K No Base ent Fixtures? El Yes El No
Type of Wastewater System** a S"Yb SyS-s 6n� (Initial) Wastewater Flow: ro 0 0 GPD
(See note below, if applicable ❑) /
?un97o cc�S �! n R6p. S75 (Repair)
Installation Requirements/Conditions Nttmher of trenrbns I
Septic Tank Size 5'4-1y 0 gallons
Pump Tankize LaSo gallons
LF r.s GGn�t]
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench 3 "1 S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: c1l Feet on Center
Soil Cover. 11 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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 is diferent from the type speciled on the application. / accept the specih'cationr of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is su 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 tt to comp i rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: B a 7
Construction Authorization Expiration Date: 8 2�
HTE# S 1 5-` 1) 951 Permit # a`aOl
Harnett County Department of Public Health
Site Sketch
PROPERTY LOTATON: S -Tor -)Ci> t,o R o
ISSUED TO: 2ostia sd.r )I 6W SON SUBDIVISION LOT # �8
Authorized State A¢ent )5�t1 jot(ff� Date: l�
P2�Oa'�tl 1fr5's�.1.At�oc�{
i(,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: 11''7 �'y Applicant: IZrA569 ^ -rO-_3e`^
Address: Jty/ �� Q,c�, Date Evaluated: M111114 -
Proposed Facility: 5+52 Sr=j> Design Flow (.1949): (A50 6pp
Location of Site: Property Recorded: kV
Water Supply: [2'Public❑ Individual ❑ Well
Evaluation Method:Q-Aager Bop ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
.1940
Landscape
Position/
Slope%
Property
ID:
Lot #:
Profile
Class
& LTAR
File #:
.1941
Consistence
Mineralogy
Code:
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
i
ZS <E
Property Size: (S. oe��
❑ Spring ❑ Other
❑ Mixed
tai ( bwMl-1--
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
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR