IPACHTE# 1 t"S-4a iCZ Harnett County Department of Public Health 29768
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit /s
PROPERTY LOCATION: `034 �%Otui. b,,.,. .
ISSUED SUBDIVISION tt-�orin',btouj`C— 2v n LOT #
NEW REPAIR ❑ EAPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'ibex c4 -as X 351 51=`a>
Proposed Wastewater System Type: aS%n tlfX xL-'Lt� >>5.
Projected Daily Flow: 36b GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 21%o
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No 121avy bb �tl1' d based on final location and elevations of facilities
❑ CommunityPLS' 'Public ❑ Well Distance from well Na feet
Permit valid for. 9-iive-yeati
❑ No expiration
Authorized State Agent:: cv fDate: f 8 16Y/�50 'f' 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 revoatmn 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 carcinoma of this permit.
Construction Authorization
(Required for Building Permit)
The construction 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
ISSUED TO: (Lo ICA Lc-..kbAZreo_ Ax 166 '-te, PROPERTY LOCATION: 3391 dlot •�
SUBDIVISION Ocarlcj; 6c -c V- ,rL.k->n LOT # /9 -
Facility Type: 302 v R I x 35 a 13-1re—w ❑ Expansion ❑ Repair
Basement? ❑ Yes 2rCo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 95% 2e d,c,E Ton 5 315 . (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
S 5 s�(Repair)
Installation Requirements/fonditions Number of trenches
Septic Tank Size i000 gallons Exact length of each trench eo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: qC5 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover: 4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 101L 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
**Ifapplicable, / understand the rynern type spedled it different from the type spedfed on the app/ication. / accept the specifications 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 Concoction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: G�— J0� Date: t a I6`f ) ; iy t !4-
Qcr-�x v>n �-� Lv 2tLt —� Construction Authorization Expiration Date: I a 104 1 0 3 3
HTE#
—5-4;jIC6 -Permit # 3`74C�C6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: � 3e/ t�115nn; brc-,lG C -i-,- ( y5 '-JOI &-�-
ISSUED TO: fLdkie� C ( p reo Wss-. SUBDIVISION bo nn; bccx54 (Z-\3 e% LOT # /`/
Authorized State Agent: Date: Ia 64 dOtl-
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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
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: — Applicant: f)LcAr -4 -C3 �j1' �� �G
Address: tH);�!i
K .Aax (04 Iy Date Evaluated: 1) loy1 �T
Proposed Facility: 2 5� j Design Flow (.1949): 33666ez) Property Size: (. q
Location of Site:,—,Property Recorded: %" •S
G
t2
Water Supply: �-ruo! lic❑ Individual E] Well El Spring El Other
Evaluation Method: ,,��Auger Bo ' E3 Pit ❑ Cut
Type of Wastewater: ET Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minendogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
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a -ate
6L SL
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i i7
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Description Initial Repair System Other Factors (.1946):
System—, Site Classification (.1948): Prc j �,5,�, alt)
Available Space (.1945) Evaluated By: 11
System Type(s) ° fk _ Others Present: Arv� ro� ✓.� r r i ? f{--�
Site LTAR V. o,