IPACHTE# P- S Aa3& - Harnett County Department of Public Health 29231
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: G,nie fL� - 5 7 T$Si�
ISSUED TO: d }i f6,LA2ni e -/ 7--Q
SUBDIVISION S-4-� St�rid'.vs C nn LOT # �
NEW l' REPAIR EXPANSION ❑etc Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 413.2 h wM 6 L G6 e x 2-b
Proposed Wastewater System Type: Z690 AQ -1 w -V %L)./% t_Z�
Projected Daily Flow: yeb GPD
Number of bedrooms: 44- Number of Occupants: $ max
Basement []Yes o
Pump Required: s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Ea ,eff—Distance from well ibo feet an+ Permit valid for &Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 6Z� Date: /b %03 / rd n k --q- 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 in avocation 4 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
squired for Building Permit)
The construction and installation requirements of Rules .1 950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in accordance
with the attached system layout
ISSUED T0: Lc PROPERTY LOCATION: T,4 ns fr an C t 1 i1A . C 'in &S,)
SUBDIVISION 64-,Q, LOT #
Facility Type: 2064- t>w m 4 _ C4 s s [?'Ve�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System— 0111A0 41, '7,,s AAA xJ.1o, g; s Lam-. (Initial) Wastewater Flow: y��' GPD
(See note below, if applicable ❑)
Qww� k-0 Sys. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ACY_)C, gallons Exact length of each trench '-7-C> feet
Pump Tank Size LCXXS gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: id inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: /understand the r/rtem type speciled /r dherent from the type rpeciled on the application. / accept the rpecibcadonJ 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 Authorisation shall not he tnnslerted when there is a change in ownership of the site. This
conviction Annunciation is sublea to Comphance with the provisions of the Saws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: tq
x c Construction Authorization Expiration Date:
HTE# A4—!j'4
Permit # Q q013 /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: S�p57�in C�y�a, raj yL t,sSt
ISSUED T0: S�At6z— SUBDIVISIONS.FB 13QAA• ,i rin LOT # i
Authorized State Agent
Date: /0103 3:
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: ll,u.,{ Sa.ncl.<�' "', meq
Address: TO COv� 'LA - Date Evaluated: &'N(Il(-'/
Proposed Facility: ��2�w7Y`1 Design Flow (.1949): %i+ -b
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ell
Evaluation Method:E2,<—ger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ( 5 A 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
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) a Others Present: ''+vtPl �LcS G�1mk
Site LTAR S U. 4