IPACHTE# IS- s-y3a3,q Harnett County Department of Public Health 29878
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CS,xAPC15,-� Lr of Ac P" L S2 I io8)
ISSUED TO: Sivcig-ocr_ 4Ac,mv, (3 lillrs SUBDIVISION LOT#_�
NEW C,Y�� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorisation Issuance:
Type of Structure: '432 Qsp\AcGor 5F�
Proposed Wastewater System Type: c75% ae 6 c t vc cs !�s
Projected Daily Flow: S/5-3 GPD
Number of bedrooms: _V-- Number of Occupants: max
Basement []Yes P—No
Pump Required: Dyes ❑ No 9-fay—be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.If v
Permit conditions: ❑ No expiration
Authorized State Agent: fT� �l/� 5 Date: C,a aCs/ c9"C- 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 provisions of
the Laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
squired for Building Permitt
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 TO: '5%lr%-A-2
"cz>ne, t3Va5
PROPERTY LOCATION:
Q)or4ecnir.S
Gcre6L AdcQa�, (`a-lic taB)
Facility Type: q&L 5x)o'u
S
SUBDIVISION
Ifr—N�ew ❑ Expansion ❑
LOT # Q
Repair
Basement? ❑ Yes GYI
o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
: <
(Initial) Wastewater Flow: '�QU GPD
(See note below, if applicable ❑)
cc, n 5 zs _ (Repair)
Installation Requirements/Conditions
Number of trenchesy 3
Septic Tank Size sD Sc.)
gallons
Exact length of each trench Soa
feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil (over: G inches
Maximum Trench Depth of: 153
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:
N. TDM vs.
GPM
JA inches below pipe
Conditions: tan LcslLEcn�r
n �a,c
��u�� S� h E rn fZ..
vim_
Aggregate Depth: sus A inches above pipe
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, / underr and the system type specified it diNerent hof the type speciled on the app/ication. / accept the rpecih'cationr of 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
Onstruchon 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: rr Date:
4 Construction Authorization Expiration Date: va/2A�,Vaoa3
HTE# 143 - 5 - 4 30 34 Permit # a 9 P)-4$
Harnett County Department of Public Health
Site Sketch
PROPERTYLO(ATON: 8'�MPu52 Cfe-x-4AL r-\ccea5
ISSUED TO: 5 v ng kvr� No 3lc�s SUBDIVISION LOT # _o
Authorized State Agent: �'>� � � _��Date: c,9 I adyl 'wc.y
�'cvDcz.E—J Lv22.t �'v i
a.&ro C� �
539 96,
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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: -y __,, . Applicant: 5�1,1,4� *- 44� GX'Ls
Address: Lrk {�.,txSs Gree. A,,r�,.SDate Evaluated: OMM;y /-
Proposed Facility: Design Flow (.1949): 1Y60
Location of Site: 432" � j roperty Recorded:Yx�s
Water Supply: Public[) Individual ❑ Well
Evaluation Method: ager Bon ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: 41 l �
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Positioni
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Sttucmre/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN J
.1956
Sapro
Class
.1944
Restr
Horiz
3�
5K sw
1'� fff�
7.GY2-41i(;_ 3'i
3(a
_ 4-
3,q
L a32,
(.f- 6L
trc
Ps
-38
5w
Oft,1/y
�, s Yti4/1
3G,
C" 47L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �(�St6 {-o,lyl.�lQ�p,ti 5+w+1� Sv�it.lotG
Available Space (.1945 Evaluated By:
System Te(s) .1 Others Present: e
Site LTAR 6.q