IPACHTE# 1 7 r14ZZ&1
ISSUED TO: ',—u-11SX0r
NEW REPT
Type of Structure: SFC
Proposed Wastewater System
Projected Daily Flow: b
Number of bedrooms: L
Basement ❑Yes I
Harnett County Department of Public Health 29725
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l p � PROPERTY LOCATION_Cr_A2'c,'Q_n
oL3E 5 YWPbFC A SUBDIVISION C: unaan, LgtiTsctSe 9 LOT# 1'1
PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
X41
GPD
Number of Occupants: `d max
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet
Permit conditions: _
Permit valid for. ;< Five years
❑ No expiration
Authorized State Agent: pis Date: SOC SEE ATTACHED SITE SKETCH
The issuance of this permit by she Health Department in no way guarantees t ce of other permia The permit holder is res sihle for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The Imp ement 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 m conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and iinstallation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inCo this permit and shall be met Systems shall be instilled in accordance
with the attached system layout
ISSUED TO:GucLtit l S�096jyc 4 �C6EGGQs PROPERTY LOCATION: G'*ay Lo
SUBDIVISION �vur kl` rfast[sorJ LOT# 1]_
Facility Type: cJ�fl CS 9 xz 1-1d X New ❑ Expansion ❑ Repair
Basement? ❑ Yes� No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Cotvv6 r s t u rat p t (Initial) Wastewater Flow: 4g O GPD
(See note below, if applicable ❑)
GK+GrfilOtJP,I.. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 10Pj O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench L-1 GO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: )t 30 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing Feet on Center
Soil Cover, (z 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- I undeatand the ryJtem type specified it different from the type rpealed an the application. /accept the rpecilratianr of this permit.
Owner/Legal Representative Signature: Date:
Thu
Con Its
Authonea r to -!cation if the site plan, plat or the intended use changes. The Construction Amforiaation shall not be transferred when there is a change in ownership of the site. ThisConstruction Authorization is complia i the pro - of the Laws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: to l
[on kn Authorization Expiration Date: 10 d a—,)L—
HTE# 1-i?;3Wj Permit # a9na�5
Harnett County Depallnient of pcihlic Health
Site Sketch
nC� PROPERTY LOCATON: A¢�
C4Q�
ISSUED TO: c n4 afd�=$ `?fBEcc,.hQ SUBDIVISION CA
�mau +LN mrrjo�l LOT #
Authorized State Agent: T \flt lv(a- j oDate: l c) l %
F�Tva6
I
a.on'
190
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1
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: Applicant:
Address: Date Evaluated:
Proposed Facility: L-\ &O%' r, Design Flow(. 1949):1-J�Cj Se�
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method -a Auger Bonng ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
'1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILEFACTORS
L
E
#
landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
o-
';r2 SS%51
f5
, 3�
p�
Ss"V, CL
'F/L 55)>
P ut
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �C l
Available Space (.1945) Evaluated By:O'C
System T e(s) Wsoot+ I 0-- Others Present:
Site LTAR . 5 S
�x 466 '15 -30