IPACHTE# 12S-5-413 Harnett County Department of Public Health 30061
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ��1VtS C,t . C ckalyjr><� ((�y, 66-14;;6
ISSUED TO• aE1S: p_a- 1 �(3"— (,a l� S SUBDIVISION ?'c{gcF' � —1 spy # �+
NEW REPAIR ❑ EXPAISION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c -ill, 3 Sc�CL
Proposed Wastewater SystemTypppe:a- �o D -C.& a.. 'C' S.a
Projected Daily flow: yE30 GPD l
Number of bedrooms: Number of Occupants: 1�3 max
Basement ❑Yes o
Pump Required: es ❑ No ❑ Mayulred based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well�vA— feet Permit valid for.Ive years
Permit conditions: ❑ No expiration
Authorized State Agent: C/ C- t'r� Date: Co - I¢\ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other minors. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire 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 installation requirements of Rules .1950, .1957, .1954, .1955..1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout
ISSUED TO: '3taSS&re M0,16Ae, EA& PROPERTY LOCATION: 50 A(u�za(E�j I� &Ae ((�, 5(C 1k4'-7gf
SUBDIVISION �v+c%crE`esA- 51 �
LOT # yg_
Facility Type:( ��' t X 63 T 5V- n � ElExpansion I-]Repair
Basement? ❑ Yes or Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** v o S (Initial) Wastewater Flow: y�� GPD
(See note below, if applicable 0111
%h)mD (Repair)
Installation Requirements/Conditions Number of trenches _9
Septic Tank Size \ OOO gallons Exact length of each trench 160 feet Trench Spacin : _ Feet on (enter
Pump Tank Size 1(� gallons Trenches shall be installed on contour at a Soil Cover: ( inches
Maximum Trench Depth oL• D l 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. TDH vs. GPM
Conditions:
'-i- Xt - inches below pipe
Aggregate Depth: ,— inches above pipe
P . Nle inches total
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 rpeciled iJ di//erent hom the type rperiled on the app/iradon. / accept the spetih'aations of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plaq or the intended use changes. The Construction Auckori:ation shall not be transferred when there is a change in ownership of the site. This
tonstri Authomauon 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: AR5aol8
55 C�lL6L1� Construction Authorization Expiration Date:
NTE# 1� "l7 — y 3ggF> Permit # SC30G
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: � `5 r4 , Sti
ISSUED T0: S ( �q�.zr L 1~ o t �j IVISION V dex LOT # —J
Authorized State Agent: i Date: O.6
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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. �i � Applicant- ted: 0
Address: ate Evaluated: �fJ/ciylrWAY
Proposed Facility: jtq-.5r Design Flow(.] 949):
Location of Site: roperty Recorded: ref
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
&LIAR
1
L_ J%
o-
�e
vr2
C5
Description InitialRepair System Other Factors (.1946):
System Site Classification (.1948):r�l.ii$�OAL+.�j
Available Space (.1945) Evaluated By:
System T e(s)-- \
Site Ll Others Present: i'�^-' G, �" a�