IPACHTE# Harnett County Department of Public Health 29941
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
i52.`1,4013
PROPERTY LOCATION: lis ViS (. Cw
ISSUED SUBDIVISION '3ley�fer--V%4LX�; S /
LOT # 61 JJJ
NEW Rr REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 362 5glraq XW6 art
into this permit and shill be met Systems shall be installed in accordance
Proposed Wastewater System Type: 'Z,6% ffa"Zczr.S.s_
Projected Daily Flow: 3GCG GPD
Number of bedrooms: fs Number of Occupants: max
s2 t�ia9
Basement ❑Yes o
Facility Type: 3C32 153 c y
Pump Required: es ❑ No ❑ May be uired based on Anal location and elevations of facilities
Type Water Supply: ❑
�� 51 LOT # 5
of Community ublic ❑ Well Distance from well I. Az feet Permit valid for.yL.
ye years
Permit conditions:
n.__— I _ , e ,a — r I
El No expiration
Authorized State Agent: Z��-%� � Date: OV /,a 2 P, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranteesthe ituanthe d�t. 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 subjett to compliance with the provisions of
the lam and Rules for Sewage Treatment and Disposal and to conditions of this permit..
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 specfled it different from the type specified on the apphralon. / accept the spechfcatiom 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
Construction 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 SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
:k�D2�� c /ZcZ rJ Construction Authorization Expiration Date: c::;"/ I �W-a&R3
Construction Authorization
(Required for Building Permjt)
The construction and installation requirement of Rules .1950,
.1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references
into this permit and shill be met Systems shall be installed in accordance
with the attached system layout.
s2 t�ia9
_
ISSUED T0: af..J oc— �atNRSS s rw. PROPERTY LOCATION: Ido AV+5 �jcu1y� (�
Facility Type: 3C32 153 c y
SUBDIVISION �,�yc-F'
't S�—C� CXfrew ❑ Expansion ❑ Repair
�� 51 LOT # 5
Basement? ❑ Yes Q-- o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" wrrp
Arm 'R6Z f&A 1-(7 66 n
(Initial) Wastewater Flow: 3c'-6 GPD
(See note below, if applicable EI)
{�o
I—
`
Red . S (Repair)
Installation Requirements/Conditions
Number of trenche �—
Septic Tank Size t cxs0 gallons
Exact length of each trench 1 az> feet
Trench Spacing: C� Feet on Center
Pump Tank Size 1000 gallons
Trenches shall be installed on contour at a
Soil Cover. la --1 6 inches
Maximum Trench Depth of: -+ 19b inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: it. TDM vs.
GPM
r inches below pipe
L)Cbdl
S I
Aggregate Depth: inches above pipe
Conditions: •tTn' Lc,,'L—
k_ 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, / understand the system type specfled it different from the type specified on the apphralon. / accept the spechfcatiom 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
Construction 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 SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
:k�D2�� c /ZcZ rJ Construction Authorization Expiration Date: c::;"/ I �W-a&R3
HTE# 1S-s—qS44- Permit # Q,39 41
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATC
ISSUED TO: (Z, -A-1 r<)f Qx'AAe5n .T -(1L, SUBDIVISION
Authorized State Agent:
za . 5(L, 46
LOT # 51
Date:,�o7G'
XTaAv1:5 mu j he. re�kx"� b.>-(::;
100_- I-,& -5�A&,4Wr-
esti aa61)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
y11G.
Owner: � Applicant: (ZAttlb(' G(�b f
Address: C.r c 5 l Date Evaluated: C'j I M ay'le
Proposed Facility: .5 Design Flow (.1949): ,3�06PP
Location of Site: roperty Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Bonn ❑ Pit ❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O,57 kzf�
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1A,5
L G a
0-,;18,
Ce_ L5
V?;t `fj`/��/
R
ys
p�
rZ sSSP s
vG
o. y�
Description Initial ysteno Other Factors (.1946):
S yst e Site Classification (.1948): PrOv,'$t�dKlO S„{nj1�
Available Space(. 1945) Evaluated By:
Sys temTYPOS) Others Present: AOcS,e,> C�'rri•n'
Site LTAR