IPACHTE# q33 4— Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement
PROPERTY LC
ISSUED TO: L tJ Gcw.j SUBDIVISION
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 362 AQ 0q')44F3t
Proposed Wastewater System Type: a b % 00—A.%c-Qc A 5,
Projected Daily Flow: 3Ln GPD
Number of bedrooms: +3` Number of Occupants: _max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
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Site Improvements required prior to Construction Authorization Issuance:
f`�May%b died based on final location and elevations of facilities
F P�' ubllc ❑ Well Distance from well NA feet
Permit valid for.
11351'VB yl2fS
❑ No expiration
Authorized State Agent:: �// % ��/� /�f� Date: 0 3 � O�1a01 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the nealth DepanTno way guarantees the issua'n of oder permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Sm 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 taws 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, .1951, .1954, .1955, .1956, .1951, .1956. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached syulem layout
ISSUED TO: fits Ve-r SlorTkwt-N Lyc,ctiS PROPERTY LOCATION: ee - 14;11 GE Qf--- , . (5a IV0-3�
act a)<46` SUBDIVISION LOT # 3
Facility Type: 386 `i> --x M ++ b�F� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** c:96 -%o n 5)S -Z- . (Initial) Wastewater Flow: i3%O GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I 0CQ gallons Exact length of each trench feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Q inches
Maximum Trench Depth of oe�`1Y 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 TDH vs. GPM aJA inches below pipe
Aggregate Depth: rJk inches above pipe
Conditions: (")n rjn\�Nc— �jo '[Z() tyPt 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: / aflo a4d the system type specified It diKerent from the type specified on the application. / accept the specifications 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
Lonstrucnon Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: /" ��'/�i��2 Date: v3 "�10/
A,,,, _ v3 Construction Authorization Expiration Date: o.
HTE# —16 - s --0 3:33+- Permit # ;�2 9 10 s
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (L 14 ill Gl,Jccln C . C.Sezt74a,-3�
ISSUED TO: 2 ' err 61 ctyan Lycc„S SUBDIVISION LOT # 3
Authorized State Agent: Date:y 3 awe
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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
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: �� Applicant: 2'.a¢t 5 W,, -or\ L"�' _--5
Qe
Address: ,+ Cerci' 2d -Date Evaluated: 031C)RP8
Proposed Facility: � AA Design Flow (.1949): 3(�,,_ <,49 Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: gerBio �g ❑ pit ❑ Cut
Type of Wastewater: rJ Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
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#
.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
1
L 3
0-�3
cdt
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P 5
3
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �ra�, ycorwv\l� b�s9 �utort�
Available Space (.1945) Evaluated By:
System Te(s) v Others Present:Ac�
Site LTAR b Com. b