IPACHTE# I q-5-''795 Harnett County Department of Public Health 29794
Improvement Permit
A building permit cannot he issued with only an Improvement Permit
{7� ` PROPERTY LOCATION: f3 sly rz* (5.z I a t 3-)
ISSUED TO: SUBDIVISION C- o r \ �b H�i s G- l
7{r"a3a3 LOT#
NEW 17'' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 309 Os.Jrn N 'dr. 'x 56 /
Proposed Wastewater System T pe: yk . &-L., c, n sem_
Projected Daily Flow:GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes l�
Pump Required: ❑Yes ❑ No 3-ffa�ybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 0el�Distance from well /fin feet C,, z --a) Permit valid for. bars
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: n) t 1 q / aOj' 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 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, .1957, .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: fR i Urc tic b: )I koS PROPERTY LOCATION: 3 � , c (Lc d. ( 52- 12t3)
SUBDIVISION
Facility Type: '36a, ' "5("
5L t 2-lre�w ❑ Expansion ❑ Repair
Basement? ❑ Yeso Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'Q 7—\.G ti5 ,s'f-r-.u. (Initial) Wastewater flow: 3w GPD
(See note below, if applicable ❑)
-e'--'Mn J"r' a 15x -,&,-A , 5 _(Repair)
Installation Requirements/Conditions E Number of trenches `f
Septic Tank Size a ovc> gallons Exact length of each trench qS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: f Cb inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. _ GPM
Trench Spacing: `/ Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
rvA inches below pipe
Aggregate Depth: VA inches above pipe
Conditions: 15 E MI/J ofr- ori+ 5IvA dr -,.> AC inches total
0-434K !
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 smem type rpeciledit diNerent from the type specified en the app/ication. / accept the specifications cifthis permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Comwction Authorization shall not be transferred when there is a change in ownership of the site. Thu
tonstmcuon Authorization is subjm to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Date: 61 It x 1� GI S
(ae.>aa a --:N C— 2rt. Construction Authorization Expiration Date: et I IR ) 2o23
HTE# I I - S ` U -ZI `>>Pb Permit # /:I c, q q q
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (J . e. 201 65.2 r ar3)
ISSUED TO: a- ,C ,& �.S1Ce s SUBDIVISION c -maks a•, r F-03213 LOT # Y–
Authorized State Agent _tea/ nn:� Date: e i I I `t [ aor `c
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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:
-To n7% : 11l(0.S
Owner: c!�' Applicant 2�t-1^'''�
Address: Q,6�c 2 � - Cyr- I i3) Date Evaluated: a) ay I I
Proposed Facility: 332 SFr' Design Flow(. 1949): 3G0 yp� Property Size: ck 3Gok
Location of Site: Property Recorded:
Water Supply: M Public[] Individual ell ❑ Spring ❑ Other
Evaluation Method:❑ uger Borin Pit ❑ Cut
Type of Wastewater:L4-Sewage ❑ Industrial Process ❑ Mixed
P
R
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F
1
L
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#
.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 (RJ.)
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:
S stem T e(s f �i. a 5 `v Others Present: A a �"" c'e-"`i �£��
Site LTAR