IPAC RHTE #►� s- L+a Q Harnett County Department of Public Health 30107
hDrovement Permit
A building permit cannot be issued with only an `W �I'mprovement Permit
PROPERTY LOCATION: 6LL LV GPS CD
q�
ISSUED TO: 1'x'5 t -9%W5 )6 Coro51a VGtsnss 1+ C- SUBDIVISION ZS , E wyYEa- LOT # 3C_
NEW -N/ REPAIR ❑ EKPqSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SIFE) �r�px5'dJ
Proposed Wastewater System Type: ouc-Csby 9-.",r6 4,%
Projected Daily Flow: +A4koO GPD
Number of bedrooms: LA Number of Occupants: _ max
Basement ❑Yes )i�No
Pump Required: Dyes ❑ No 'KMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -A Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions ❑ No expiration
Authorized State Agent:: ��,\� �Ctb11S Date: 13 01 1�3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees them ncehe of l other perni The permit holder isis res�e 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..
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 specified it different from the type spenffed on the application. / accept the Jpedgwionr of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subjectLoon if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction Authorization is su to compli iTh t 'oro of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Fi5 Date: s 3 0
Cof taction Authorization Expiration Date: -3011-3
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 accordance
with the attached system IayouL
ISSUED TO: IN -1 LA N l t C� CO 41s-wC1(to N i N c PROPERTY LOCATION: \4 a Lam- L -U GFaa3 Q.D
SUBDIVISION -43
LOT # 3 q
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2SVa
RGpvol%o az S>»srf^
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
c/
a`SL o
R6pu�toN 5 /�_ (Repair)
Installation Requirements/Conditions
Number of trenches t
Septic Tank Size too d gallons
Exact length of each trench 2"1 feet
Trench Spacing: c Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. &" inches
Maximum Trench Depth of: 3C, inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: (t. TUN vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
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 specified it different from the type spenffed on the application. / accept the Jpedgwionr of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subjectLoon if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction Authorization is su to compli iTh t 'oro of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Fi5 Date: s 3 0
Cof taction Authorization Expiration Date: -3011-3
HTE# ' 5-- H a i Permit #
Harnett County Department of Pablic Health
Site ,'ketch pp
PROPERTY LOCATON: Y tL-1- LyGA5 p.D
ISSUED TO: C'C5tajU' U« iHc- SUBDIVISION c. -6G -i W P?fr2- LOT # 3°
Authorized State Agent:
Date: 5130
y` G,S\11 w y -\ fXN1/ Q N)C-s l 1 01+5
f CL �CJ(2_'v a Sv3C-Lkl �°A)
3S
NPCL-46,"l C-:�
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: _ ,,I
Proposed Facility: Design Flow (A949)ATKi
Location of Site: Property Recorded:
Water Supply:.Public❑ Individual ElWell
Evaluation Method: Q�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Lysewage ❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
\0 36
Swti_ GL
F(L S6144
N -A
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948)1!3
Available S ace (.1945) Evaluated By:Q�
S stem T e(s) Others Present: --
SiteLTAR •Y z