IPACHTE# I a-5 -43 a Harnett County Department of Public Health 29944
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�c�•n$saR PROPERTY LOCATION: aG.S &lr-r mac . (Lt r n Ct�1. 5(L 153�
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ISSUED T0: �ecnt e� A c� SUBDIVISION i� . c Glc �ti s /CJ LOT # 0�6
NEW Gam REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ) X a 5 t�
Proposed Wastewater System Type: 2 S"l-�-
Projected Daily Flow:, 6 6 GPD
Number of bedrooms: ----Number of Occupants: Amax
Basement Dyes
Pump Required: ❑Yes ❑ NoMaw y be red based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well IVrk feet Permit valid for. e years
Permit conditions: ❑ No expiration
5 MP02—T— 601L-2YkX12 7%�� rC:T-.� 6e�, 2gc� 2�r`I�err l�1
Authorized State Agent:: /' Date: 6'//;?6 / a 0/9\ SEE ATFACHED 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 revoation 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 m conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .19Sa. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 'Ta\,, r, &C> n PROPERTY LOCATION: 9c6 CS srcS � nom• Lan�un at - 6a, L<,"
a SUBDIVISION r s G r 3 (C�!s LOT # c?4
Facility Type: B2 Q1T X-I&a 5 i 2- ew E] Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pk� - c' o W47 /j r �t��l �� (Initial) Wastewater Flow: 3io d GPD
(See note below, if applicable ❑)
n 5' (Repair)
Installation Requirements/Conditions Number of trenches cy
Septic Tank Sire AC gallons Exact length of each trench feet Trench Spacing: I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _C� inches (Dµ
Maximum Trench Depth of: 1+ 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. TON vs. GPM
Conditions:
0�!E
tZ
t,Jk inches below pipe
Aggregate Depth: c -t A inches above pipe
N &- 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 imem type speoWed it different from the type specified on the application / accept the specifications 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 Authodntion 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: 1 aG/mral
l�a� �a t e�2G(�a� Construction Authorization Expiration Date: _c.)5 12r-1?r-t9476R3I(
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HTE# 43-7a-�? Permit #7"Y`
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON:_"b!S gs a� fir. LLrnQ-Jdyn(L\.52TS3,
ISSUED TO: �Un F ` Sc�lnr in SUBDIVISION &xc-<Ao A �S� I I LOT # aG
Authorized State Agent � �>=c ���� Date: C)q(gC.LQG16
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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: x�ctu•G ���
Address: (3c4m_IcJ, 31ay 14,1✓d(, Date Evaluated: '
Proposed Facility: Design Flow (.1949): 3 6Oro ,.
Location of Site: `��Eor
ertyndi Recorded: F1
Water Supply: ndividual F1 well
Evaluation Method: ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (� cv
❑ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3_G
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Description Initial Repair System Other Factors (.1946): "
System Site Classification (.1948): l )l15o� 1E � (�rav: 5i0tialJ 6L4. {r
Available Space .1945) Evaluated By: _`
Sys temT e(s) �$`" Others Present: [0�-`^' Ck> rr-'n/
Site LTAR 0-35