IPACHTE# � �- 5- y A 0 I Harnett County Department of Public Health 29227
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit ld
PROPERTY LOCATION: LS 6 rc<+ �yae.l Ct—, 630Co0Eb C-reejl e�]. Sm i.Sy'
ISSUED TO J ('.MCA Ctxh ytci JJij c a L.LG SUBDIVISION i ko_ l'_ r—a X LOT #
NEW Gds REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorizabon Issuance:
Type of Structure: _sa m G 11 X def e31 5 J7--�:,
Proposed Wastewater System Type: L52„ a.5 t;
Projected Daily flow: "3 6,C) GPD
Number of bedrooms: 3 Number of Occupants: _t�max
Basement []Yes EKO�
Pump Required: [a;7V ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Si a years
❑ No expiration
Authorized State Agent:: Date:% 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 mquimwnu. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improvement permit shall not be advised by a change in ownership of the site. This permit is subject to compliance with the pm onions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The constitution 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
52 754a
ISSUED T0: _Li nco CJStUM (:lids . LLL PROPERTY LOCATION: 48 (SrcY�iu v a LE . iUld 3 'r_ l remit Zd ,,
SUBDIVISION 1 se_ LraaceL LOT # 15'-
Facility
s<Facility Type: QiiL (ufl 0,31 5V`Z� L1lew ❑ Expansion ❑ Repair
Basement? ❑ Yes 9-W6- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 9,,mn to 26% etx-A. Ul'c .^ S�s/r� (Initial) Wastewater Flow: 3? -0 GPD
(See note below, if applicable ❑�
5as5(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I Ooo gallons Exact length of each trench 8rfeet Trench Spacing: 9 feet on Center
Pump Tank Size A OCD gallons Trenches shall be installed on contour at a Soil Cover. r 6J inches
Maximum Trench Depth of: 94- inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable, / understand the system type specified it different from the type specilred on the application. / accept the JpeciAmionr of dir permit.
Owner/Legal Representative Signature: Date:
This Commission Authoraation is subject to revoadon 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
Lonstmction Au@uazation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALHLU lilt IRtILH
Authorized State Agent: Date: 10/65/ aatq
sFc-0eL.."J Construction Authorization Expiration Date: so/03/ Roma
NTE# 1 — 5 — 4 9321 Permit # ZCi D, 2 —7 -
Harnett County Department of Public Health
Site Sketch
Sit. 1514A
PROPERTY LO(ATON: (Swt(y'e, t E COP- a 4t, creme c14
ISSUED T0: SUBDIVISION h¢ C',o x LOT # It
Authorized State Agent: Date: 1 G / 9,ff f 2 e t
�..
4"72�-��s
h
A
TO
("2 6
e, it v 44e3t
Sr=i_ I
6
LTs
i0 01 b
P,u, uzEXac
\
it,.. I S5 14
� �g9,)
Pn oP(a:.s<n
q2�v¢
X5\9,
i63
I
1S
N
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: I Applicant: CCrMCO Cv 4r--. 11A-6 L4ff—
Address: —IAo— Cres t cxj-6 �x Date Evaluated: V otf A4111
Proposed Facility: / 2 Design Flow (.1949): 3w 00 Property Size: 6. q(o fi C
Location of Site: Property Recorded:
Water Supply: []-`P-ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: AugerBorin El Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L
d Za
vC t 5
�k ff�i y&
is -°la
>l�_ q
g� sc�
F4 5 P yL
L{
b. Li
1,qb
of f P S%
Lf
0
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pr-n.nr 6a...,\L7 S.r�'G-�b✓1�
Available Space(. 1945) Evaluated By: Anirm—•
S stem T e(s) `u &A -41 > .wb Others Present:
Site LTAR O, ,./