IPAC RHTE#l r"�-s-�+3gaI(�
ISSUED-T0/JC�(tQ7: L�
NEW (�d REPAIR ❑
Type of Structure: 1-1432. (l
Proposed Wastewater System Type: s
Projected Daily Flow:
Number of bedrooms:
Basement ❑Yes o
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions: 06nnp 5-,
sX
10911
Harnett County Department of Public Health 30064
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Wr, Rl ,( tzco0,N Q rS t
ONE* C-- SUBDIVISION LOT #
Site Improvements required prior to Construction Authorization Issuance:
Number of Oc pants: max
gj(a�yyata M y equired based on final location and elevations of facilities
Public ❑ Well Distance from well N t%,- feet
Permit valid for. &Wlve years
2A ❑ No expiration
Authorized State Agent: CT <G- o L -/_e c _ t Date: 061 31 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 Permjt)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordance
with the attached system layout.
ISSUED TO:-Sc"4kz'-2!, at = 1 ',M t see c- PROPERTY LOCATION:
\.11 , 31C4�LyM'A , Lo (t.-. kAR j\
Facility Type: LJ&L (,9 X d
SUBDIVISION
5V�> 9-lie-w� ❑ Expansion ❑ Repair
LOT # J
Basement? ❑ Yes 1 i1 o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
Q6% 5 5
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) I
pVtvx]
��-C---,,:6- `
9
CJ a h?u pair)
Installation Requirements/Conditions
Number of trenches 5 -
Septic Tank Size k 'AS gallons
Exact length of each trench -4y feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over. L, _ inches
Maximum Trench Depth of: I ;� inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: (t. TON vs.
GPM
NA inches below pipe
Conditions: -
�m oc Ccs e� ;
Aggregate Depth: f- \ inches above pipe
z-aAc, inches total
csc' cin
�- b-C3o,� 1r car \ b', �r ti
j-
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 applicallic / ondeMand the system type speafed is diKerem from the type speafled on the application. / accept the Jpecifcationr 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
LonSnucbon Authinuation 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: c� 3�
1 I
Ce,v�, g
2J 6
Construction Authorization Expiration Date: 4/al) ava3
1�3 S - 4 39,;11 a- 3 006q -
HTE# 1`b'5-`13143'2 Permit # 30cJr� J
Harnett County Department of Public Health
Site Sketch
i PROPERTY LOCATON: 1 (?3 �CIC✓_cnc t-� GLJI. LOT
#
T #
ISSUED TO: �� S` SUBDIVISION JJJJ
Authorized State Agent Date: c6I31 Iaoiq�
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SJTE WASTEWATER SYSTEM
Owner: Applicant:
Address: lA. ik. - Date Evaluated: 061r+11P-
Proposed Facility: 31?(l oper Flow 1. 1949): L�
Location of Site: Property Recorded:
Water Supply: Publi, Individual ❑ Well
Evaluation Method: Auger B g ❑Pit ❑Cut
Type of Wastewater: fj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOILMORPHOLOGY
.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
L dab
o -F,
`Q Ls
✓rk*W
IPS
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7.5Y27/ ea4``
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sw
-7,54!jt-54"
C, -`F
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space 1.1945) Evaluated By:
System T e(s) Others Present: n i
Site LTAR