IPAC R11
1rL Y P 29775
HTE# I�—'S- Harnett Count Department of Public Health
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit 51 1'Z(I .Cl
PROPERTY LOCATION: Oar;eA Qsv' urs Ln e 2e\ - 5 1—
ISSUED TO: icyy�ay/� N:c l t lc� 1 ,Ilius c� SUBDIVISION (1:C lC9 .t�,i LOT # I
NEW �� `JREPAIR 11 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3132 L4'-,(—k-a'SL,,M 44 i QZ
Proposed Wastewater System Type: %5% &z Ac aeh cecN `+a6
Projected Daily flow: 3 Go GPD
Number of bedrooms: 3 Number of Occupants: 12, max
Basement []Yes 9-1-0—
Pump Required: []Yes 0 ❑ 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:
�years
❑ No expiration
Authorized State Agent:: 4 Date: t jbi=Y � i "4-- SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Health Department in no way guarantees ;e issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. 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, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in xmrdance
with the attached system layout
S2 t�tw.�y
ISSUED TO: —xu , t13 if r- 6CD W 11'CX-d PROPERTY LOCATION: l-,A;el Us •
SUBDIVISION a C V -s %nua,al;- C'c c4 LOT # _ I
Facility Type: 332 t y'Y 40' S. �+sa G2-) L�lw [I Expansion El Repair
a
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** `a5`lc 2c� 6 r 5 �� "` (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
P. ray a L' �,s (Repair)
Installation Requirements/Conditions lT Number of trenches 3
Septic Tank Size t C4,,Cn gallons Exact length of each trench ti feet Trench Spacing: c� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. id inches
Maximum Trench Depth of: S `6 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. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 01) y -(`zaL'at Cue% Q ;fv-le"R s,'Z U1 ;yl;inches total
�? 5FTr ��ac5war ✓ r{ aFf an �_ �Y,�j c31• 'z.wwa
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.
**If applicable: / understand the system type spec/led it different from the type speciled on the application. / accept the rpedfIcationc of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
tom ucnbm automaton 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: Date: I a3f I ll �� 1
p> art ria c a Construction Authorization Expiration Date: t-,,2 1%1 12c'g 3
II -5-dao-fq_
HTE# I ' S ' 40" 2 Permit # e
Harnett County Department of Public Health
Site Sketch
sti tic �t
PROPERTY LOCATON: Coon r -A c -)ILA 5 ,� Z,1 S
ISSUED TO: :!5) � t l,Cl dcw L._l:ll:rc c SUBDIVISION t2;UESin orf ,-#'es LOT # I_�
Authorized State Agent: —�i+_f�� Date: I a ] t 1 ?Ott
JrFt. M,n �tc:M c„nJ
P''c�crx� ca-cr�5
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194t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: 7r"" Applicant: 50n'cc A Njfj alas Wr 1ty/tl
Address: t)cgnVA LA LoI Date Evaluated: 031,1g1/1 -
Proposed Facility: 332 St.zro 14 Design Flow (.1949): 3�0
Location of Site:� Property Recorded:
t1rrd1'a1
Water Supply: [1bllC❑ Individual ❑ Well
Evaluation Method: UA—ug er Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater:Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1 .&3
Alf—
El 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 J
.1956
Sapro
Class
.1944
Restr
Horiz
L 34
"'/Jo s
I X
P5
t61
ex
7500Z- if
32+
� �(
2
3f
Cl-�`�
Y2 5-
('S
I'i -3L
OL 54,
Fr S P 5q
7'S o/ Pr
374
D , 4
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P5
Available Space (.1945) V, EvaluatedBy:
System Type(s) ' z y' �tYJ2�^' G��/•nz�ip,/S
Others Present:
Site LTAR G, 'f 2 -:e -lo