IPACHTE# 143-s-y3q3) Harnett County Department of Public Health 29926
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ce &,,r 26c.V—`TC1- ((.Oybtlo— z ill 51Z f 4C!3
ISSUED TO: �J f e'aaetl `Jha(11C r\ SUBDIVISION C,el_ 2c cJ,C_ SLOT # 1
NEW I;K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :3tD2 Sf, V64a 5F1-_-
Proposed Wastewater System Type: ?$vn
Projected Daily Flow: 3(270 GPD
Number of bedrooms: Number of Occupants: Co max
Basement ❑Yes 210
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No
❑ Community
rd May 6 1red based on final location and elevations of facilities
ublic ❑ Well Distance from well ry f! feet
Permit valid for:
ve years
❑ No expiration
Authorized State Agent: //G ol_./�f�� , lZY� Date: _3/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanco of other permits. The permit holder is responsible for ,hacking 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 (or 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, .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
S21t(ta3
ISSUED TO: PROPERTY LOCATION: 20cy.-'Tr1. CGvt!¢ i v, 2
SUBDIVISION C.Qsc;�f LOT #
Fadlity Type: ua_ 546RX51r 6' GJ—if-ew-- ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**—C_,rt o _ ;Qisx, (Initial) Wastewater Flow: 3CC> GPD
(See note below, if applicable ❑�)IIMAX 0.T
s-ti-�Cuc� �c:, de"A. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1CXa0 gallons Exact length of each trench I as feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. N inches
Maximum Trench Depth of: 1 Q 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 TDM vs. GPM
Conditions:
M
N A inches below pipe
Depth: Q IN inches above pipe
Tv.A inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 1DFT. 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 specibed is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorisation is subject to revocation if the site plan, pla[ or the intended use changes. The commission Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjem to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and or the conditions of this permit 8t RI INllltl/ 3111 Mtlln
Authorized State Agent: Date: C-73 Ja3l2oG
(acsvq 74�QEtayJ Construction Authorization Expiration Date: ca3/a31aoas
HTE# 8' S " 4) 3 y41 Permit # a+99 Z�(o
15-5- IfIftfaRett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Lelc ac,(-� C.c>Ireob /56��
ISSUED TO: 5 ShUr1' n SUBDIVISION G e�Awr Czs. AL1,- LOT # l
Authorized State Agent 6 Date: �'3I a3/�CY�
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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: �pplicant: 56aveA SVtM�i /aa�
Address:Ce4 s'(kL4 Loi I I Date Evaluated:
Proposed Facility: 36q 5—V_�> Design Flow (.1949):.i109D
Location of Site:_,Property Recorded: Yes
Water Supply: 04<11icEl Individual ❑ Well
Evaluation Method:E],OM—ger Boring El pit ❑ Cut
Type of Wastewater: ti,!sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: b. #Pi
❑ Spring ❑ Other
❑ Mixed
P
R
O
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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rear
Horiz
�lai�i
L 2'7�a
G `�
C,Q
►'� 531'
ear
07-P
3, S
G -sq
01.1cG
3.3
Description AaL
Other Factors (.1946):
te Classification (.1948):00jui-&'-tole-/Prc z;5iunal] 5va-nb�
Available Space (.1945) Evaluated By: 11 r
System T e(s) Others Present:
Site LTAR