IPACHTE# 19-2-5-4 3 Harnett County Department of Public Health 29894
hDrovement Permit
A building permit cannot be issued with only an II provement Permit 5�
R I C(o
PROPERTY LOCATION: ti f C -I Q( rkA3n ( . ( 6 Id S{Fyc fel tJ,
ISSUED TO: tOr� {�1xu41A��— G SUBDIVISION C>>ejl;� > t= r 6 LOT #
NEW W" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '31YL 95 Si n
Proposed Wastewater System Type:
Projected Daily Flow: 3CeC7 GPD
Number of bedrooms: —�.3 Number of Occupants: G max
Basement ❑Yes 210
Pump Required: ❑Yes ❑ No afay b Ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public El Well Distance from well feet Permit valid for.
Permit conditions:
I
❑ No expiration
Authorized State Agent: K — -- Date: GI racw8 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 m compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Condition Number of trenches 1
Septic Tank Size IOC)D gallons Exact length of each trench q26 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 9« inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: h. TUN vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
NA inches below pipe
Aggregate Depth: P -"A inches above pipe
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.
d l!� inches total
*I( applicable: l undeatand the system type specified is different from the type speu#ed on the application / accept the spenfications 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 dere u 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: v 3 f al
AcjConstruction Authorization Expiration Date: c�3low Iaaa3
Construction Authorization
X 61 55
C Vci`� cl-iL 4
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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.
S�/
ISSUED T0: C bMC-ir � YK7Ma$y�i
L PROPERTY LOCATION: 0
C)q�C'rvinn C
rfrn� ca. i,�
Facility Type: 2 1Ce tx 3'11 S r"b
SUBDIVISION (mac �>
p?'We—w ❑ Expansion ❑ Repair
s -d w occd'M�
LOT
Basement? ❑ Yes o Basement Fixtures?
❑ Yes ❑ No
Type of Wastewater System** �5%,_17
1 vG ann S z :5 4C -4 -rt.
(Initial) Wastewater Flow:
3LO GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Condition Number of trenches 1
Septic Tank Size IOC)D gallons Exact length of each trench q26 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 9« inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: h. TUN vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
NA inches below pipe
Aggregate Depth: P -"A inches above pipe
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.
d l!� inches total
*I( applicable: l undeatand the system type specified is different from the type speu#ed on the application / accept the spenfications 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 dere u 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: v 3 f al
AcjConstruction Authorization Expiration Date: c�3low Iaaa3
HTE# �- fJ - U 3333 Permit # aq 8q(4 -
Harnett County Department of Public Health
Site Sketch s-5
/� 1 5Ct T rU (,
_ PROPERTY LO(ATON:_g j dcxuenc�n U, lSW1e� 6(c44e= a.�
ISSUED TO: SUBDIVISION e5xRo A �cc.l LOT o
Authorized State Agent: Date: G �g 161 ;PO 12
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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: C.0 o,n 7.t \Aoman, -Zu G,
Address: oxC"v>oc Lok*aDate Evaluated: o�1aa&�l(b
Proposed Facility: 3�,� 5 Design Flow (.1949): 3�o 6?x>
Location of Site: Property Recorded: YYs
Water Supply: ,-., � ublic❑ Individual ❑ Well
Evaluation Method: L,YAuger Bor' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G, -7-1(, 4} C.
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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 J
.1956
Sapro
Class
.1944
Restr
Horiz
I
L 3Gio
6-tL
L5
✓roc A,2s,)P
P�
1!o -q4
6v- 5L,
rx- 501 Y�r
'7-SY2::11- °
y 0-
3
L 3 G/o
0 -IG
Gt L-5
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LG IEO
ljlC. $!L
sii�
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Description Initial Repair System Other Factors (.1946):
System �� Site Classification (.1948): nw\l� Sv:�wlcL�
Available Space 1.1945) Evaluated By:
System Te(s) 0/16" -u a 6Z, ftt Others Present:
Site LTAR C" 0.