IPACHTE# Harnett County Department of Public Health 29871
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
1 / PROPERTY LOCATION: L%yc-i5 � utl Lrb} jl; f �. CSGL
ISSUEDTO: V koo V,34-' NOAH/ LLL SUBDIVISION LOT # -g`-
NEW
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 46 5-1 tX(-(S"�Jre
Proposed Wastewater System Type: ZI S% n.cSIA,, .ion 5i-,S-
Projected
as_Projected Daily Flow: V f36 GPD
Number of bedrooms: V— Number of Occupants: max
Basement []Yes ®"No
Pump Required: ❑Yes 0 ❑ May be ired based on final location and elevations of facilities _�
Type of Water Supply: ❑ Community fa"ublic ❑ Well Distance from well feet Permit valid for. vL�Fve years
Permit conditions: ❑ No expiration
Authorized State Agent::—Zr/G / Date: c'a I I Ll l 00/ re 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 sin 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 mnmucdon and instillation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout. - nt1 \
ISSUED TO: rn )�n eJ u � I L flOt03, UC PROPERTY LOCATION: to k 1D
�1 I X� SUBDIVISION LOT #
Facility Type: % 5��,� lil- ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 64 -.xi 5_ (Initial) Wastewater Flour. `Mb GPD
El (See note below, if applicable
�ycwp
43U a6T5 fi�a gym _ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l a 56 gallons Exact length of each trench l feet Trench Spacing: q Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _ inches
Maximum Trench Depth of: 610 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. TON vs. GPM J— inches below pipe
Aggregate Depth: r" inches above pipe
Conditions: 0(\ Cr)cc�cw,r" �—QcwC i ,rid �: �c,�u d/1 N hc, inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE IOFF. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
r
If applicable: / understand the system type spedled is different lom the type spec/led on the application. / accept the spedfleviont o/ this permit.
wner/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
tonstmcuon Authorization IS subject to compliance with the provisions of the Laws and Rules for Sewage T atment and Disposal and to the conditions of this permit )tt AI IALHLU lilt )RtILM
Authorized State Agent: Date: CDQ l i4)aoYTa
Construction Authorization Expiration Date: 091 14)QOa3
HTE# V& 6 —431 Permit # a 9 5541
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: c�(-'skm U'}ti� L,S< "A';1)
ISSUED T0: SUBDIVISION y LOT #
Authorized State Agent: C-1 12;� 1141 aQ4 �3
AauhCt,t��v cv2��.-�
00w? %o I
QS 10 ^-Ct C -U OP3, h 6
120
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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: (19 tI&A 31 ou"0s, LGA
Address: dc>�.2
G.riiFwn G� �- , Date Evaluated: 0d11yll L
Proposed Facility:
yr 5 —T> Design Flow (.1949): V{ V rVPD
Location of Site:
Property Recorded: f'lf
Water Supply:
ublic❑ Individual ❑ Well
Evaluation Method: uger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: p. r{ Q kz--,
❑ 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
Ly
SL.
Volf A.5
r_f>
Ic 40
ori s«
r -i
fD
o, t�
�J
L_ 41-6�b
t'2 SL
lfc yf�//
QS
la 3�
3w 5U-
N SP y
3�
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Description Initial Repair System Other Factors (.1946):
System _ Site Classification (.1948): Qro vJ i 5 i nti.l`) 5 v: �wbt�
Available Space(. 1945) Evaluated By:
System Type(s) AtL d5` 2.Gd Others Present:
Site LTAR o•� (z.