IPACNTE# I'l-s-LIS %I Harnett County Department of Public Health 29800
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I R ila.S c -,R D - ttr)Ilin5 eLl . 52, 14l3
ISSUED TO: -CQ rAa Xl] CqIlk PC) co3 'TnL SUBDIVISION 1 -lice , 11�5es�
LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 30/7- 3�
Proposed Wastewater System Type: 95V- iCmd ch ,t 5,5-
Projected
„sProjected Daily Flow: 3 (. o GPD
Number of bedrooms: 3 Number of Occupants: b max
Basement ❑Yes 310
Pump Required: Dyes ❑ NoLJ--I'fay be��zsed on sinal location and elevations of facilities
Type of Water Supply: ❑ Community ublLliP is ❑ Well Distance from well feet Permit valid for:
Permit conditions:
L3-hw)wars
❑ No expiration
Authorized State Agent:: l%l e Date:y I I �1 511 atoz T -s 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 provisiom of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Builder Permit)
The construction and installation requirements of Rules .1958, .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:
PROPERTY LOCATION: is Sill.
3c Uc a /Ocl I:ns 2d Srk-twl,33
SUBDIVISION z t
n LOT #
Facility Type: 36Z --49'x V 9' 5 TN> CJ' IFJew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System” Q!5
ttfLt�Jx 16r` s, sle.at
(Initial) Wastewater Flow: 36y GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions
Number of trenches _.
Septic Tank Size r oov gallons
Exact length of each trench --4-0 feet
Trench Spacing: `7 feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. i P inches
Maximum Trench Depth of: d'9/ 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 TDM vs.
GPM
A'A inches below pipe
Aggregate Depth: vJ.a inches above pipe
Conditions: D- ,ac r✓Z..:~f
D'Sker-!,r,
c-s,A inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If apphable /understand the system type specifed it different from the type spec/bed on the application. / accept the rpetihkationr of thin permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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
Lonstmction 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: `' L aae� / aot rv!�
��$ C-JcL a4 --t Construction Authorization Expiration Date: o s I a5 111 8oa3
HTE# 11—S -4f754 Permit # a 11 16
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: 13$ (Lvierw— tj�. ((Loll, ns 2a 5ct,tt4l�
ISSUED TO: SUBDIVISION T 1+< Weser a LOT #
Authorized State Agent: Date: USI a s i Qblr"t,
A�:acc t�2f\-kms
�Iip-(3o,c C�txti1 41sEr',b=��
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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: r� Applicant: L"Krt' d" ac "e.5' -3:�
Address:114_ Ie.SenoG L.eAc '� Date Evaluated: 61
Proposed Facility: I Design Flow (.1949): ,!✓6 Ce i
Location of Site: S3254Property Recorded: W
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sizer 911;7+r—
❑ 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
31
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present: ik Z ert Wm',,,W,7 s
Site LTAR of