IPACHTE# �'�-5-`taya� Harnett County Department of Public Health 29784
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I S4 Mc.br., mac? (_52 153
ISSUED T0: -Rc rnnj Atten CansEnz6b :L . SUBDIVISION f Abc2 Chet te< e 1� LOT # 3
NEW EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S6f- (.&'x -43' '5 F>
Proposed Wastewater System Type: QaJlo
Projected Daily Flow: 3 C. 6 GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yeso
Pump Required: ❑Yes G3'Ro El May b�i'red based on final location and elevations of facilities _ �-
Type of Water Supply: El Community PL3' ublic ❑ Well Distance from well feet Permit valid for. 19 -We years
Permit conditions: ❑ No expiration
Authorized State Alent: Date:1� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permim The permit holder is sponsible for king with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site Our, 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, .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:Tty PROPERTY LOCATIONtvgj uu LS rt. 1539
SUBDIVISION Lc lie C-ta¢s ktstrpja. LOT # 3
Facility Type: 362 T 1 Q-1 rew— ❑ Expansion ❑ Repair
Basement? ❑ Yes 0-6 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a 5 !o /Z�A'L'f o(. 5) 5 •Ee-,-+ti (Initial) Wastewater Flow: '� �� GPD
(See note below, if applicable ❑)
-los `aS%v 94--�. 51s�(Repair)
Installation Reguirements/Conditions Number of trenches zl-
Septic Tank Size saxes gallons Exact length of each trench Cao feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C- inches
Maximum Trench Depth of: t (3 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions) D_�x
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: ski inches above pipe
Conditions: e- .Z7f'6n 0 ooT BZ c, i'-p-keesrres ;rte
� inches total
WATER LINES (IN(LUDING 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 specified is different from the type speciled on the application. / accept the specifIc2600s of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pWn, plat. mr the intended use changes. The Conswction Authorization sha11 not be transferred when there b a change in ownership of the site. This
Construction Authorization a 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 ;4a a lit --:7-
A Npctse� c �x�rz�J Construction Authorization Expiration Date: I /a?ca9
HTE#
lq-6-4ay116 Permit# 91q-�34-
Harnett County Department of Public Health
Site Sketch
/ �� PROPERTY LOCATON: S 5q Nl�.brti a. . ( Sn 153s)
ISSUED TO: 7 o" Mkeo L CJ t` -t-(Y SUBDIVISION �L�tAe L d LOT # 'S
Authorized State Agent:Date:
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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: 'Cc�nnjj Oetx- C.u,s 1,,Ckio& �IG-
I
Address: 164 nK(_ ;ateEvaluated: 121 A 1 114-
Proposed Facility: 3K Skj Design Flow (.1949): 3C6�7
Location of Site: Property Recorded: )'6
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: [3-Alapr Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: S -q A -C,
❑ Spring ❑ Other
❑ 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
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
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ti %
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): ilrovit?oar-+ t f 5 �i FaJi k—
AvailableSpace(. 1945) ` Evaluated By:
System T s) cry Others Present:
Site LTAR p,