IPACHTE# I0-5-43341 Harnett County Department of Public Health 29907
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
��� '� PROPERTY LOCATION: Flucve�l QOctic� �S2 o702JE3)
ISSUED TO:f-v1(Gnei Laude. 'M44cik Oa— SUBDIVISION LOT #
NEW C7/ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 49;s0— C.n `YG0 s S
Proposed Wastewater System Type: Q65/0 tC¢cSx bn 5�5.
Projected Daily Flow: 4/230 GPD
Number of bedrooms: amu- Number of Occupants: max
Basement []Yes a,o �
Pump Required: ❑Yes El No f� ay be ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet 1"1 s 1J Permit valid for, I F1 1ve years
Permit conditions: ❑ No expiration
Authorized State Agent: Z G G Date: df -'31c<; 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 provinces of
the laws 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, ASS, .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: G',5k12c`s PROPERTY LOCATION: l-kar-Uell iZoc�1 50. aCU
SUBDIVISION LOT #
FacilityType: LIG%? 60' x bo� 5is &-We�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �S% !Lt_wr C,Y�lL X55/ ,A— (Initial) Wastewater Flow: VeC� GPD
(See note below, if applicable ❑)
a'>10 o &v Jf 7n 5),:5 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I 5 gallons Exact length of each trench CJ10 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /a inches
Maximum Trench Depth of: Q�L 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: h. TDM vs. GPM inches below pipe
Aggregate Depth: tjR inches above pipe
Conditions: 0A Con-1cr-Apr%- "k 5CA ; bv+' cx1 ►zey 'fes tJinches 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: / understand the system type speciled is different from the type specified on the app/iration. / acrept the sperilcationr 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
Lonstrucnon 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. )tt AI IAL11tU 3I11: MILE!
Authorized State Agent: i� 's Date: 0
6�tJ� zt�t�� i✓�eZCZtt� Construction Authorization Expiration Date: 03kxs ko—K�t25
HTE# I -L4554) Permit # 3C�C1 O -4
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: E i c+r NXA I ac-,C� (–SCL 90001 �
ISSUED TO: C_L)11¢nA La. of tC Ma SUBDIVISION LOT #
Authorized State Agent r .__F > Date: C'/c-,- /0 -t -+f6
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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:(,AP-t)-11 L.e�uirtt:
Address: Fk("Eq) r" Date Evaluated:
Proposed Facility: 45(L 5 Design Flow (.1949): dot 1✓
Location of Site: Property Recorded: PGy
Water Supply: Publi ❑ Individual ❑ Well
Evaluation Method: Auger B ng ❑Pit ❑ Cu[
Type of Wastewater: Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size: Qvt-o e-,-
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(inI
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth M.)
Sapro
Class
.1944
Rear
Horiz
1
L 3-qc
1 o— Iv
(j;2 1_5
s"
FI 5 r f�
a.35
3
b
CSC L5
VIS
8-yj
qq4
CI -10
Vr� S
G•S
Description Initial Repair System - Other Factors (.1946):
S stem Site Classification (.1948): Pra Vi�'i23YlwL'� Seib--„}yl�
AvailableS ce(.1945) Evaluated By:
S tem Type(s) Others Present: twj M�
Site LTAR m 3j • 35