IPACHTE# Harnett County Department of Public Health 30048
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit //��
T PROPERTY LOCATION: YOn �Sl f I (LIC V eL%-4 b
ISSUED T9.
4 P.o i>2oWN SUBDIVISION yory�s am 'cLOT #
NEW REPAIR ❑ E6 SSION ❑ Site Improvements required prior to Construction Authorization Issuance:
SFSJ L
Type of Structure: 6-O SO
Proposed Wastewater System Type: &% /0 126o msec , 0, S a 5-fi.v.
Projected Daily Flow: GPD
Number of bedrooms: s 1 Number of Occupants: 1Z max
Basement ❑Yes ` y�ho
Pump Required: ❑Yes o ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. "W Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ezn5 Date: 5) ICI )5' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in messing their requirements. This
site is subject in 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 provisiom 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 acmrdum
with the attached system layout
ISSUED TO: 1 eo ; a>"w nl PROPERTY LOCATION: NLaT,x 0Q. w rs f2
SUBDIVISION ��eg�csN-sp..f LOT #
Facility Type: 5 VP LSC n -E 0 )K New ❑ Expansion ❑ Repair
Basement? ❑ Yes °54 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2.S;/e QCAV G,+ a ry S —�S7Ec�. (Initial) Wastewater Flow: fail 0 GPD
(See note below, if applicable ❑)
5vos3C2..FP,c.6 'Da.•f (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size sono gallons Exact length of each trench 400 feet Trench Spacing: 011 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ro inches
Maximum Trench Depth of: Y4 - >>. 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: It. TDM vs. GPM inches below pipe
(�
{� Aggregate Depth: inches above pipe
Conditions: PCLM\t Q)QOEf) Qv. '\>\92oe"""V Byrn \ LsGP-t;S L!�5 inches total
SEE S cc E S.cf al's Fcrt_.' C'.o:.n.: � o... s p'. f) F`_ : IX, s.S
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 screciffed is different from the type screaTied on the application. / accept the specifcations of this permit
Date:
This Construction Authoriulm us ect to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
construction Authorization is subject to comp with sJuVrovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: *i Date: T 1 Y
fLstruction Authorization Expiration Date: 5 )6
NTE# IE3-S LA3`663 Permit # 23(:! -'t
Harnett County Depailment of ll�iblic Health
Site Sketch
PROPERTY LOEATON: CpR C5N1rLE Qra ��
ISSUED TO: bQ-c-,,v// SUBDIVISION Yoq_�cs j a G LOT # �3
Authorized State Agent: �5 GpL 1 : 10Date: -d 1611 •$
Aft SYS -SEM �L?`G6G9
po ntCii Q�S'S�CLB �LA6S P2,02
;0 1c-c}Ta,L�P�:�or- c�2 QEF'l,a6Gla6
�y �4PL.Gq �K'� LSS w�LL BE
6LC� V � 260
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160' a Q.5 pG--Gp
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j O WSS iI LL P'S 10 r1 �
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:
Address: Date Evaluated:
Proposed Facility: L• 60ct..t,�% Design Flow (1949): L�ltQ
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Aug o 'ng [I pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
RLTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I
L Qct
\JV%
1&3j
59)c G
RL 5515
to -/a,-7
QS
C.-
G
vrh s�s(
5
�3
r', e) L
IN -k "J51\'0
R-�1
S3x C_
�t sf �
tcl��ill.el��
�i3
I G
G 5
t N�1lie
i6 d6
S3� G
Ft SSP
IGN)C2-7
Description Initial Repair System Other Factors (.1946):
Systep Site Classification (.1948): PJ
Available S Space Evaluated By:(%C
System Type(s) '7.440 D %e c •D Others Present:
Site LTAR )