IPACHTE# t-s-gAORf, Harnett County Department of Public Health 29213
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'Troei ..� — R-a;ia t a tt;ns � • Sr%- lyt3l
ISSUED TO: �V hcrlc c� Uonc� Snc • SUBDIVISION Tut. f�ic.ev� LOT #
NEW LL REPAIR ❑ EAPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ro' xG45' Si=n
Proposed Wastewater System Type: z i n� c6•� sus
Projected Daily Flow: Yp,c GPD
Number of bedrooms: Y— Number of Occupants: moo' max
Basement ❑Yes
Pump Required: Dyes ❑ No 9- ay beerre Fred based on final location and elevations of facilities
Type of Water Supply: ❑ Community L-�Publu ❑ Well Distance from well feet Permit valid for. F7-4ivtTears
Permit conditions: ❑ No expiration
Authorized State Agent: Date: cJVa=e�Z.407 4- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamnnes 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: C um y rkrL t4bs."7y o, PROPERTY LOCATION: '`r C t1� /t •d,� (tGote,ms ted. sa ayi��
SUBDIVISION tilt._ x -v<_ LOT # /9'
Facility Type: `/+f k&axe ` 5 7 LTJ' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** z5;w, 5,3/1,, (Initial) Wastewater Flow: Ye,o GPD
(See note below, if applicable ❑)
PQMpg zsi a,a s�sF (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s acs gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench ioo feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Lta inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on (enter
Soil Cover: /9/ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: q inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
I a inches total
**If applicable: / anderstand the system type specified it different from the type specified on the application. / accept the serecilcationc 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 shill not be transferred when there is a change in ownership of the site. This
Constmction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this pectin. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization ExDiration Date: 5/e3o, A
HTE# 1 - 5 - q do:RG Permit # 2 9;@L3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON:r�om�� Cawcn n �. sn t4
ISSUED TO: C MbcrSw A ]AJ� SUBDIVISION �� CLL, ve_ LOT # \�\
Authorized State Agent: �[ !� Date: Qe/ Z5/Z01j
10"
15' 3�r7 Ert
PJMP Tv
Ss",
""Me M41 6,
/I�rARl 2.
�n
AR:
%A
a
Xd on �:.ic�\
IvG4E,iG�i
0
cj.a Cw,uclf�n
c.4
♦
��
n (�
PatiT
N
N N
MPAn
lit
Po�ccx 64nn��
pnwoser, (
Oniv�
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: Cv7�crte+^d
Address: 7G6 /ckrvo Lo{ /7 Date Evaluated:
Proposed Facility:S �D Design Flow (.1949): WO GF 7
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Method: uger Bonn ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: v,QZ
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(inI
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Salim
Class
.1944
Restr
Horiz
I
L Z%
o -Zi
G2 1-5
VFZ Y114IC-
Site LTAR
0
PS
y�
sCL
1'4 5 il
y
a
L zw
z1.
isL I/s
✓
PS
u -ye
o� fLL
%'L 5
7.5Ya-1,6fr^
3,y
GZ (,/,
Va
PS
U . 4 -
Description
Initial
Other Factors (.1946):
S stemSite
Classification (.1948):
P�� f,(svAvailable
S ace(.1945)
aRepairSystem
Evaluated By:
S
stemT e(s)
2> ��!
Others Present:
Site LTAR
0