IPAC 71HTE# I6 -s- g39J) Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A 25 if— P)ctce_ ( C 1-,4,e Q.,_X
ISSUED TO: Lc—m4,6 L.64ac n Q) Lk -5 SUBDIVISION Co cc -1 n Pit c. LOT #
NEW P-' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _'3 Ga 50xzC yrs' 5i:7>
Proposed Wastewater System Type: 2550c,
Projected Daily Flow: 3CP0 GPD
Number of bedrooms: —:3 Number of Occupants: mag
Basement ❑Yes 9_<0
Pump Required: []YesElNo [E'' ay be i. red based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2-' lublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
DI`i�veyears
❑ No expiration
Authorized State Agent: C2!72'� Date: G.-}� � a 1 0 o y$ 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 to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The commucdon and installation requirements of Rules .1950, .1957, .1954, .1955, .1 9S6, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met Systems shall be instilled in accordance
with the attached system layout
ISSUED T0: mfycc ( rr\ Cil PROPERTY LOCATION: 12L4 'S - m Q)
SUBDIVISION _Cucc:n CalLOT# 4—
Facility Type: 36(L S�aa x 4 �S+� P-Aew ❑ Expansion ❑ Repair
Basement? ❑ Yes or Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" 5) A. �!b of a II -A cnC\ S? is, (Initial) Wastewater Flow: 3(�-b GPD
(See note below, if applicable ❑)
Q6Zmoa c�Ec_o S (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I C2cCy gallons Exact length of each trench _4—�5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Qc7L— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TDM vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover. /67 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFf. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
NA inches below pipe
tJA inches above pipe
9_apl inches total
"If applicable: / understand the system type specified is different from the type specified an the application, / accept the specifications o/ thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authomadon 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: � � Date: C_�3w1 I .901 �3
a'C tJp�i-t�-a-w
C,-) Construction Authorization Expiration Date: 03h�i I acG�
HTE# o- S-- Q' qi Permit # a?q ec( :4
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 134 PLaGP_t _CA -CIS
ISSUED TO: C-cmf,(-o Q� S SUBDIVISION C-Qr-cnn Q�"Alke\ LOT # r
Authorized State Agent: ^- ' / S Date: c�3./c, 1 ) ;?C>
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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 L—c"Co 140.
Address: C.�«r` Q(w.%rS.`cc) Date Evaluated: 091ae110
Proposed Facility: t-046 5 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual El Well
Evaluation Method: ger Bonn ❑Pit ❑Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0-C G A
❑ Spring ❑ Other
❑ Mixed
P
R
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F
1
L
E
#
.1940
landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair SystemOther Factors (.1946):
S stem Site Classification (.1948): Qrpv;SiOr1�� Svi�,ytb�0
Available Space(. 1945)Evaluated By:
S stemT e(s) Others Present: AndrewZ x-r;nv/ cJr
Site LTAR I 0-y I