IPACHTE# I�,,- s— y3o5-q Harnett County Department of Public Health 29854
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit 5rz_ t tw 3C \
f PROPERTY LOCATION: Q'd nirt`c Lr xxzt G'hC �a; e-mk" a -n. )
ISSUED TO: L ecn Q- Mcain hoc SUBDIVISION fir--V,{7,e\6 S6-�, LOT# cj�+I'i
NEW REPAIR ❑ ErFANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 34Z2 4otx 0f55 5�.7
Proposed Wastewater System Type: % AkxJd N 4+6 .
Projected Daily Flow: '.� (. a GPD
Number of bedrooms: _'3 Number of Occupants: G max
Basement ❑Yes 2-1110—
Pump Required: []Yes ❑ No 01ay bL.Rouired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public 0 Well Distance from well feet Permit valid for.
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: C- I 1 a s l a c" 'L 8 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 pmvisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permjt)
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: LOCATION: as ri'CtLc. (2uSeQsL-. 3LncAr,
ah6
SUBDIVISION C20,r-ra IF, '5 LOT # 190`Ef`!
Facility Type: 42 SVO`X a`d` S Q�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a 5!a r\ 5> s . (Initial) Wastewater Flow: -3(—C> GPD
(See note below, if applicable ❑)
(ym(? It> a15%, r .d - 57 ,_(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size L 0OO gallons Exact length of each trench ;Ia5- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. t YJ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: % Feet on Center
Soil (over co inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10Fi. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
P.—,4 inches below pipe
rUP� inches above pipe
cJ inches total
**If applicable: / understand the syrtem type speciffed is different from the type specified oo the app/icatioa / accept the specif'ca6ons of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revootun if 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
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: _� Date: GI 6dolma
� c L4xz94tJ Construction Authorization Expiration Date: CAI I 05
HTE#
-`('3c>67 Permit# �qe>5`/
Harnett County Department of Public Health
Site Sketch
52 11 1-
PROPERTY LOCATON: a a (36fz,1N G; _ C2;v.�3 rcL.
ISSUED T0: -eon Q M�nr'y� SUBDIVISION Q,�r c-�.i 1r 1c� S (lam LOT # 14' [r{
Authorized State Agent: 4!5�- Date: o C QC11
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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'Jeb
Address: 0;(1414416l,, 1 rL '1'1 `7 Date Evaluated: 4'11931)0
Proposed Facility: 2.5rV Design Flow (.1949): '360 (4>
Location of Site:Property Recorded: i'W
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: AugerBon E] pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
PropertySize: t . at 4 A'%
❑ 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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L qG'
at
&Z SL
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PS
2�l-43
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Description Initial pair Syste Other Factors (.1946):
System Site Classification (.1948): �rOJjii0ew0.� Svr k.{i�
Available Space (.1945) Evaluated By:
System Type(s) _4W 0.4 `o tA-A Others Present: Ii A3 M'—�
Site LTAR p