IPACNTE# ►S -5-4+39a3 Harnett County Department of Public Health 30058
Imarovement Permit
A building permit cannot be issued with only an Im rovement Permit / 5'
p� PROPERTY LOCATION: 4 i � 5 VM'.C' I C' 1, �ca' IL ,5 idtc4���
ISSUED TO: �i� o U3 'Ccw'e- C-(` n SUBDIVISION QtX % \ Lt d\ \c". L. V QOT #—I
NEW 0' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: *SNCL_ LIVY, '3G) StGSj
Proposed Wastewater System Type: Q6
Projected Daily Flow: 72, Iles, C-> GPD
Number of bedrooms: Number of Occupants: CO max
Basement []Yes
Pump Required: ❑Yes ❑ No ay blred based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well SG feet `N I 1 S�> Permit valid for.
Permit Conditions:
❑ No expiration
Authorized State Agent:: Date:Ke of S SEE ATTACHED 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 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 inscallation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shell be met Systems shall be installed in accordance
with the attached system layout 52 IW)
ISSUED TO: A PROPERTY LOCATION: L444 ln.�&�Ileg1 XeAb Q
SUBDIVISION #
Facility Type: 3 I qq IX -56S �w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" /?Q (Initial) Wastewater Flow: '3CZ� GPD
(See note below, if applicable ❑)
RX5P -k—,'Q520 S-4.3. (Repair)
Installation Requirements/Conditions Number of trenches Visit_ q
Septic Tank Size \CSC`: O gallons Exact length of each trench Cob feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. inches
Maximum Trench Depth of t47 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: h. TDH vs. GPM t JA, inches below pipe
Aggregate Depth: ^a a inches above pipe
Conditions: OeJ rt._ l -:i -&-A( az�.v/tL sDxSTtZc<50T ry NA inches total
TV\(ZZi (3 00 'F='% Lt '-3€� eE1eMlis Sv6t-
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speriled it different /rom the type specified ou the app/iinzdam / accept the speciycations 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
UmmuCton Aumomadon 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: 2 Date: 0611(9 f aUl8
k" N2EC Construction Authorization Expiration Date: C611(a Jaoa3
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Harnett County Department of Public Health
Site Sketch
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-e` PROPERTY LOCATON: u4 necknn¢
ISSUED T0: 1V o �l)� CSR R I rJ SURDIYISI f #
Authorized State Agent: �� Date:y 6 % 6X -l8
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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: lrz> •
Address4w.j(( /4Wb,> [tai- l Date Evaluated:
Proposed Facility: 3� 5,�� esign Flow (.1949): `3C�
Location of Site: �ropndi Recorded:
Water Supply: ubl' Individual El well
Evaluation Method: uger ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: & ,'5te (rfi
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
x.3,6
o-ia
C -e x
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"s
L 3;E,
Q46
3*C 5ct�
SSS j
7, YIZ � I
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Te(s) Others Present:
Site LTAR