IPACHTE# - s L/a 53 Harnett County Department of Public Health 29852
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 21 T4boh,i R-tc L ( (z, -I I ns Qct, 50- gq 13�
ISSUEDTO \Ju�Cc-Mcei )-I pW G l c* SUBDIVISION —�'VtuZ 2P-6, rz LOT # L3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 932
Proposed Wastewater System Type: Qsbj rte �x oc 55i.
Projected Daily Flow: `/ W3 GPD
Number of bedrooms:----�Number of Occupants: g max
Basement Dyes LTC -
Pump Required: ❑Yes ❑ No 21ra�ybep-d based on final location and elevations of facilities
Type of Water Supply: ❑ Community LYPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
ICJ F v years
❑ No expiration
Authorized State Agents � +'� Date: cJ 2961 SEEATTACHED 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 On, 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, .1951, .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: ),NIes2eaa tL PROPERTY LOCATION: R a -Croft 5Li` q
SUBDIVISION t �.� Qo LOT # i3
Facility Type: N32 Gti`XGas 5E� � ❑ Expansion ❑ Repair
Basement? ❑ Yes Eg--16- Basement Fixtures? ❑ Yes ❑ No �/
Type of Wastewater System" R b% R'e-6 J Lam: a r' 5 s rr..cv1 (Initial) Wastewater Flow: z- dG GPD
(See note below, if applicable ❑)
'd5%
ri 5 ,s .
(Repair)
Installation Requirements/Conditions
Number of trenches . f
Septic Tank Size t 2527 gallons
Exact length of each trench 3 4t> feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover. inches
Maximum Trench Depth of:
1 43 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 N E' inches below pipe
Aggregate Depth: ^s f' inches above pipe
Conditions: 15 Sic-S`oaaP `=cJC-Cr- dczun �� 2cnrul— P` inches total
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 system type specified is dih'erent from the type specified on the app/icatiom / accept the rpecibcatiks of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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 u
Authorized State Agent:
0
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: -k 5 / -?of
Construction Authorization Expiration Date: 4,1 1,2e, I aoa?�
HTE# t 5 — 4d 553 Permit # 09 9 S R
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 49 T[]Wq Q. (2o1IiV15 Qd S2 cud
ISSUED TO: tJc • arK 140n" a7 -0r— SUBDIVISION LOT # 13
Authorized State Agent: Date: C>1 a5 h9c>klol
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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 WASTEWATL
rQ$�
E SYSTEM
Owner: l Applicant: 6
Address:" ft.o Cte�tiv,� 13Date Evaluated: cut 10&/`$
Proposed Facility: 5 Design Flow (.1949): tfij GPS
Location of Site: Property Recorded: i'50
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑
Type of Wastewater: 4fr—sewage ❑ Industrial Process
Cut
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: �, 3s 4--c—
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
q
.1940
Landscape
Position/
Slope%
Horizon
Depth
(111.)Structure/
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.
Sapm
Class
.1944
Restr
Horiz
I,U
t- 37,
v-29
cot <5
VC4ff/��y
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PS..rrCC
° 24
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vrw Slip
P5
yet
Pwrr�
w
e
4O
G.45
3
L 3/0
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4,5
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N -3a
V PS
Description Initial Repair SystemOther Factors (.1946):
system Site Classification(.1948): lJnSv:-t--b�e,�f>re..i5:rn� S..t4.,t..tt2
Available Space (.1945) Evaluated By:
System Type(s) Others Present: Nr f`_"'- C'"T r" /uA�
Site LTAR j o.