IPACHTE# Ie—S-'f 5 q48 Harnett County Department of Public Health 29919
Imorovement Permit
A building permit cannot be issued with only -an Improvement Permit SZ- lcpc—
PROPERTY LOCATION:
ISSUED T0: rA�or� NUM¢t} —Lnc SUBDIVISION Uoe 5 ticac a� Y LOT #t
NEW f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3hri— 55 s aC $ a 5 r-7
Proposed Wastewater System Type: Z2 b 4vd c,tu;, S,s
Projected Daily flow: 3 G G GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes RIC
Pump Required: ❑Yes ❑ No alay be 'ted based an final location and elevations of facilities
Type of Water Supply: ❑ Community PLK ubllc ❑ Well Distance from well feet Permit valid for: Li- F a years
Permit conditions: ❑ No expiration
Authorized State Agent: 4�_ .,/ Date: C> _% 1 G o7Gd�i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees 4 e issuance of other permib. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremeirm 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 construction and installation requirements of Rules .1950, .1952, .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. -/Z-
ISSUED TO: (yr r, 00 �Snc_,. PROPERTY LOCATION: 1c, r1c cPAc- n
SUBDIVISION (S,C�-nr—ci LOT #
facility Type: '3C3r2 6:5 X 5�`� 0-11lew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2�No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a Syr, !1> a„e—�— �, r� S� 54 ., (Initial) Wastewater Flow: 3(,'3 GPD
(See note below, if applicable ❑ 1 / ` /'��
�C.—1—x:AAQ . r *22� t ("0 5,.4 (Repair)
Installation Requirements/Conditions Number of trenches —I—
Septic Tank Size IiCrX—) gallons Exact length of each trench , feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Pump Requirements: (t. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: l P? inches
(Trench bottoms shall be level to +/-1/4”
in all directions)
GPM
Soil Cover: C inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
tJA inches below pipe
Aggregate Depth: NQ inches above pipe
Q f inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**Ifapplicable, l understand the s rtem type rpeciled is different from the type rpedled on the applicadon. / accept the specification, of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
lonstrunion Authonzauon 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: o3h(,1ao1,e
A�w� y Construction Authorization Expiration Date: ar-2U
HTE# � � - `� - 4 3 q -c,8 Permit # g5 919
Harnett County Department of Public Health
Site Sketch
ISSUED T0: (-cxAh
Authorized State Agent:
52 tocG,
PROPERTY LO(ATON: a GlcASC&n (01A
SUBDIVISION �Y�u� t��- c �,� L071 # ap,_
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134.y,7r
Date: 63%1G/aa6
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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: C-c>� �0ti28
Address:Ldcd6l3ateEvaluated: 0,3I161'0
Proposed Facility: -;3p- Design Flow(. 1949): Property Size: 6 ;4
Location pp Site: Perry Recorded:
Water Supply: ublic❑ In ' dual ❑Well ❑Spring E] Other
Evaluation Method: Auger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: ff Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
2
L °/v
-ail
L j
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94-4 (j
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24
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Description InitialRepair Syste Other Factors (.1946):
System Site Classification(. 1948): (7ctZ,j is Ton r,1L.} Svi%bc�
Available Space (.1945) Evaluated By:
System T re(s f Others Present: /
Site LTAR p, G• 14