IPACHTE#�IC3 Harnett County Department of Public Health 2 9 2 1 4
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: u?71-4 Gbr'S 'gin L, a{ 21 . L''51a '! A
ISSUED TO: 1c Verlt-k T. &.,S Aar SUBDIVISION J LOT #
NEW ❑ REPAIR ❑ EXPANSION Es Ln,rCLcx-ATv,�.I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r_-- X T S t 4J
Proposed Wastewater System Type: Lca may- ja�s y6 rl VE,'.,
Projected Daily Flow: 36G GPD
Number of bedrooms: '5 Number of Occupants: b max
Basement ❑Yes EtMo
Pump Required: ❑Yes ❑May bemire uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community LYPublic ❑ Well Distance from well jfL� feet Permit valid for.
Permit conditions:
9FI ete—years
❑ No expiration
Authorized State Agent: Date: Uri/GS/ do 1Z 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 goveming 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, .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 TO: ever -t.{ -J-. ro w PROPERTY LOCATION: 211 - CL4r;Kt 4^ L;e t„E 2.1. (92tv/���
SUBDIVISION LOT #
Facility Type: 4_-[T 5 i- h ❑ New 2-fx—pansion ❑ Repair tra6wcMoo]
Basement? ❑ Yes lq-go� Basement Fixtures? ❑ Yes ❑ No . /rg=tt c.l r90
Type of Wastewater System** L U Ace- / Qs`k mz-lo , s ys. (IpitiaF( Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
PvMP -to C -0.4V ryCPk12 (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size C,., I:— gallons Exact length of each trench 50 feet Trench Spacing: `% Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, / a --v G inches
Maximum Trench Depth of: aY4 19 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. 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.
inches below pipe
Q inches above pipe
/ a inches total
**If applicable: / ondeaand the system type specibed is different from the type spetn*d on the application. / accept the specilcatiom 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 there is a change in ownership of the site. This
Construction Authorization 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: —� � zd� Date: C) r/ 06/V0L9
Construction Authorization Expiration Date: ory1a 1,)0a&
HTE# �i S"q'3636 Permit# ZQa14.1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (52 /V of
ISSUED TO: Cv ere�� T- G(,L(-ar` x- SUBDIVISION V LOT #
Authorized State Agent:�ri��>. ,yam Date: 09s.1 a o 1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: -� ApplicantnZ%d-^c-4f (_ �d..va_�-
Address: 24t4 Uu;fb%+It • rL,)i • Date Evaluated: aq��/i�
Proposed Facility: ,3g2 Design Flow (.1949): &w 6CSw
Location of Site: Property Recorded: f 4i
Water Supply: ublic❑ Individual ElWell
Evaluation Method: uger Bori n ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: /,. /-rC I C
❑ 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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3 %
o•-Zy
v[ 5�
✓M tflo
Q5
24 Ha
31' sw
y/
yd'
Description Initial Repair Syste Other Factors (.1946):
System Site Classification (.1948): QroS ata/� Sv, fy 6�
Available Space (.1945 Evaluated By:
System T e(s) f'iv ,te_ Others Present: R"v rvJ L`"t 1'r..� i n 6i
Site LTAR . N b .