IPACHTE# t 1- s-4'aldO Harnett County Department of Public Health 29228
Im�3rovement Permit
A building permit cannot be issued with only an Improvement Permit g L syTa
PROPERTY LOCATION: lar- Alyip L L61i OJ ",
ISSUED TO:Li C,rgw nC a5 ,v A� 41 J� SUBDIVISION 160 C re LOT #
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3&L syG lx y d t 5-- %Z,
Proposed Wastewater System Type: 2.12,2
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupant: max
Basement []Yes D -116 -
Pump Required: []Yes ❑ No Q-fla�ybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Inc ❑ Well Distance from well feet Permit valid for. f�rs
Permit conditions: ❑ No expiration
Authorized State Agent:: Tei- Date: 0 c? ao' les :�ir 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 requirement. 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, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be ina lied in acrordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: _t
rJ lSecr�rCv�es G�„ �tifd Ru;ee C,ree. Qom,
SUBDIVISION _ l.¢ G�� K LOT #
Facility Type: 36a 4131x4c L ❑ Expansion ElRepair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS% Gl�l r„� 5>� h (Initial) Wastewater Flow: '36U GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: 9 Feet on Center
Soil (over. f a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
inches above pipe
inches total
If applicable: / undeatand the ryJtem type rpeciled it d/Kerent from the type rpecifed en the application. / accept the rpecilcabonr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocadon if the site plan, plat m the intended use changes. the fonstrucdon Authorization shall not be mnsferted when there u a thanes in ownership o! the sip. Thi.
Lonstructiun Authorization is subject to compliance with the/provisions of the Laws and Rules for Sewage Treatment and Disposal and to the canditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: c�� _ ���_. add Date: e `f/ 2 S/
-4. O'Lr,—b Construction Authorization Expiration Date: vy/ 2g /aoa�
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size R c>cvO gallons
Exact length of each trench Rn feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ?4< inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: (L TDH vs.
_ GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil (over. f a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
inches above pipe
inches total
If applicable: / undeatand the ryJtem type rpeciled it d/Kerent from the type rpecifed en the application. / accept the rpecilcabonr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocadon if the site plan, plat m the intended use changes. the fonstrucdon Authorization shall not be mnsferted when there u a thanes in ownership o! the sip. Thi.
Lonstructiun Authorization is subject to compliance with the/provisions of the Laws and Rules for Sewage Treatment and Disposal and to the canditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: c�� _ ���_. add Date: e `f/ 2 S/
-4. O'Lr,—b Construction Authorization Expiration Date: vy/ 2g /aoa�
NTE# - 5 -4-A3610 Permit # Z G aT 2 Si
Harnett County Department of Public Health
Site Sketch
IS4,4
sn
PROPERTY LOCATON: 14 1Srzo4we L� (c,ta 3,5'r eua, I a,a&
ISSUED T0: La.rxo C >� (i1�1s. /SUBDIVISION _ -r a r ..o a IL LOT # 9
Authorized State Agent / ��A_j Date: C>`t I'a $ / 9,p 1
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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: Appglicant �� C_,.04 --49/e3 LCL
Address: �- Lre�jX k¢ 9 Date Evaluated: 09/x!//1
Proposed Facility:00Z P� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Bnri ❑ Pit ❑ Cut
Type of Wastewater: EYSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: C7. -7-:A,--
❑ 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
t'
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CW_ Ls
Yat
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3
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): PrOV'SiZ4^1''>
Available Space (.1945) ` EvaluatedBy:
y
System T e(s) `u �! Others Present:
Site LTAR U .