IPAC RHTE# 11 -6i -u M35(L Harnett County Department of Public Health 29856
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: QI y "�naa SOjln L� �,'-sws rz - 52 f qa9)
ISSUED T0: ft (,_ I iGt �c.n�e,� SUBDIVISION LOT #
NEW 1EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 432 tisrAikir 'go'tc alr'
Proposed Wastewater System Type: i5%n L:r rs 5;z .
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes
Pump Required: ❑Yes La Ao ❑ May be required based al location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ell Distance from well t OO Net `a`t a Permit valid for.
Permit conditions:
rvL' i a years
❑ No expiration
Authorized State Agent:: 6,-e%t55;�, � Date: O 11 aG la a t ip� 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 or revocation it 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
squired 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 TO:Tom_ G,. 4lec7nCAAc. �- PROPERTY LOCATION: alk i_Jn 'Tul,n a. (5"'5.t V 5n.
SUBDIVISION LOT #
Facility Type:d O a a+ 1; mer` x + �f� El Expansion ❑ Repair
Basement? ❑ Yes l� o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Ai-C��c- abJa - .,g�;6�_5��, s Eerv` (Initial) Wastewater Flow: 4/2;�U GPD
(See note below, if applicable ❑) ialn
�SY n_Ed +,,4cca n Sasjfl�cn+ (Repair) E„� 'Trtrwt�
Installation Requirements/Conditions Number of trenches 4L -
Septic Tank Size 1000 gallons Exact length of each trench rtib feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C inches CTrnPp r
Maximum Trench Depth ofi 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 ^j° inches below pipe
Aggregate Depth: rN Q inches above pipe
Conditions: �' m av-bei C.nti_� Qtg, 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 applicable: / understand the synem type spec/bed it different from the type rpeciped on the application. / accept the rpeafcationr o/this 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
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: '2J 1 .1 a c, / ;?Of a
N-.) nez,e_,ti, C� e4z.v Construction Authorization Expiration Date: os ) ;& /aoa3
HTE# l a- S- 4 2 `1352- Permit # Q -i a 5 b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 91'1 EAnc. Tin a i Sr,-,
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent Date: c,G/:acrs
I—
I
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GOV,�,i ReLu.T�
y 5,55& -nn �la� o,,,%Ae
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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: SUry- NC(_A"AG$
Address: act J�;_Afk� Sohn LE. Date Evaluated: GI po*
Proposed Facility: y32 SWM 4 Design Flow (.1949): 0'�&e >
Location of Site: Property Recorded: Y!J
Water Supply: ❑ Public[3 Individual ell
Evaluation Method:[]-Yuger Bonn E] pit F1 cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(InJ
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
�1a
t 3-4
o-9,
C -f 5/-
F= iff?
L) F5
PK G
-76Y/GIt "'
L 3-6F,
0-�;
C2 5t
't !o'e
V
P
5Y21t�avn
aG
G3
415
L 3.4
G -IU
G[ St,
q f#ee v
U P5
16-Z
ipK G
F/ SPY
7.5YOi G✓ 90
o� ci
o • 3
Description Initial Repair System Other Factors (.1946): L
System Site Classification (.1948): ONS.. bditc Nrcv75<oaahj 5.,�1.-y �,
Available Space (.1945) Evaluated By:
System T e(s) rf.:-L Others Present: ti rl�('c.a L.,rnn y ujfS
Site LTAR G6,3