IPAC RHTE# y19o3c Harnett County Department of Public Health 29216
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit 5ct 14crl
PROPERTY LOCATION: s 0 Atom, 9"'Cd et (Gh.14
ISSUED TO: nALOT #�
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3A2 60 a x (,is' S t,3-,
Proposed Wastewater System Type: 25 f-0 O.Jkyk'A'" 0n 5
Projected Daily Flow: 3 L o GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes Q-111-0
Pump Required: ❑Yes ❑ No I911ay ber Wired based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9- ublic ❑ Well Distance from well feet Permit valid (or.
Permit conditions:
f
❑ No expiration
Authorized State Agent::L����x���y�yT/��3 Date: nq J06/ aid 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
(Required for Building Permit)
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
5't- t al p"Yy
ISSUED T0: t.J6nn PROPERTY LOCATION: _ 21&3 4,,v,1 ironer ter �Gtntil lsaicfi�l�
SUBDIVISION Ae-c _ 274. n Lo�3P�
Facility Type: a-gew, ❑ Expansion e R Pait
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System's ZS%ec Ze 4 (Initial) Wastewater Flow: 3CC� GPD
(See note below, if applicable ❑) `-
At-- 6 e'Ax— ZSs`o (lam . ad,- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size tcrcy';a gallons Exact length of each trench 5�5 feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: i (A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: Q inches above pipe
9 a 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: / ondetrtand the ryrtelm type rpecifxed it different from the type rpeciffed on the application. / accept the rpeci inviionr of thir 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
constmctmn aumonzabon is subject to comphance with the provisions of the Caws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 69/oc�
At-3,Di Gva-cs-I Construction Authorization Expiration Date: C)9 d a
HTE# ` )cb3 2 Permit # a9 a 16
Harnett County Department of Public Health
Site Sketch
Sa— Iyae
PROPERTY LOCATON: 283 4ve, R ! 1 w}
ISSUED TO: LAM SUBDIVISION 6T # Sq
Authorized State Agent: Date: CI4 / oG J aot-1-
LT
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prweesta
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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: 1�704 Lens-(- C•
Address: Aua-q E64,1 Z,� S,9 Date Evaluated: 'Obli
Proposed Facility: y� 4 rb Design Flow (.1949): gr tj
Location of Site: Property Recorded: kIj
Water Supply: tic❑ Individual ❑ Well
Evaluation Method: uger Boring [I pit ElCut
Type of Wastewater: O—Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.56) 4_
❑ 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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I, a
LQ
A,
—Q
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Ism
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y f
p,SL
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L 3j,
a-Iz
51
FZ SS�e�
12-Zg
(A LS
Uig
st�a'11936"
394
v•
Law�✓-
10-26
0/6
7,41
Pu eras
--
7Z
0. 36
------------------
Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (.1948):
0nSog0(,1C /Proves Sr_"ASm
Available S ace (.1945)
-
Evaluated By:
'A, Ar¢s C .err- I ^/ ll�S
SstemT e(s)
ZS/va<.d 7h`
Others Present:
Site LTAR
C, , IG , V