IPACHTE# 1-7-s-�lags� Harnett County Department of Public Health 29824
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit /n�
y^�, PROPERTY LOCATION: L - m &t_ ga.c�c K�
ISSUED TO: G ate) �1 N� N i 3o ry 6 5 SUBDIVISION :! AY6 N 6S! LOT # 36
NEW REPAIR ❑ EXPAN N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 57-(D (''tom " `-\
Proposed Wastewater System Type: Pv M 7t) e'%.Sw * S:)v �1so^j
Projected Daily Flow: &+.%a GPD
Number of bedrooms: I+ Number of Occupants: _max
Basement ❑Yes -tKNo
Pump Required.NYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '9� Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: :f �-A5 Date: s�lol 1¢ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t nce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremeam This
site is subject to revocation if 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 provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Reouired for Building Permit
The construction and installation requirements of Rules .1958, .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 T0: Gact:a a i{or�cl PROPERTY LOCATION: L G-Nvs&v Ds Ac c RD
SUBDIVISION LOT # 3b
Facility Type: 5Eb (y--) -A-) L- New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'E No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pu r -e (Initial) Wastewater Flow: 490 GPD
(See note below, if applicable ❑)
p u MP 1 0 0-70/d QCD. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t o c9 o gallons Exact length of each trench 315 feet Trench Spacing: Feet on (enter
Pump Tank Size 1 Goo gallons Trenches shall be installed on contour at a Soil Cover. C ruches
Maximum Trench Depth of: )l 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. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
.(�
Conditions: � M N 1c e b&:) Q 90-09 055 i- TO av PAPP L"c D C � Sv t inches total
WATER LINES (INCLUDING 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 tatem type specified it diherent Jrom the type rpecifed on the application. / accept the rpecilcaticar of permit
Owner/Legal Representa' a Signature: Date:
This Construction Authorization is subject to ion if the site plan, plat, or the intended use changes. The constructors Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is i6jrto complia nh t ''ons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATrACHED SITE SKETCH
Authorized State Agent: rG>,> Date: t to
-thruction Authorization Expiration Date: _ 10 a3
HTE# I I — S- H'a. SOj
Permit # a,' SiS �
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON: Lt:.t,�V61-
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ISSUED TO:
m 6/5 SUBDIVISION
� 6s5
LOT # 3�
Authorised State Agent:
v5 l4t w(�L"SayX no
Date:
" P2Q('EfZ�Y I�q �-`EN
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(�fM1N670y 0111, I)Q
2SJef`1L�`f CcK7.r.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: LA qQZ, Design Flow (.1949): 41 O JPc\
Location of Site: Property Recorded:
Water Supply: -u Public❑ Individual ❑ Well
Evaluation Meth;-dV. Auger Boring ElPit ❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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 (IN)
.1956
Sapro
Class
.1944
Restr
Horiz
1
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Description Initial 6RepairSystem Other Factors (.1946):
S st n Site Classification (.1948):QAvailable S ace (.1945) Evaluated By:�S stemT e(s) �r M Q Others PresentVSite LTAR •'�