IPACHTE# A) -5-4-%I Harnett County Department of Public Health 30062
Improvement Permit
A building permit cannot be issued with only an I{nprovement ermit
PROPERTY LOCATION: t'I D cl V Slew C6(L 1 y-1 dg)
ISSUED T0: SUBDIVISION fA y51 11 X Mn car— LOT # 1
NEW EY' REPAIR ❑ EXPANSION ❑ Site ImproveWrits required prior to Construction Authorization Issuance:
Type of Structure: 9s f32 C-0 \41-0 S ��
Proposed Wastewater System Type: 26 lLa 64\ S S
Projected Daily Flow: 3 6 C9 GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑yeso
Pump Required: es ❑ No ❑May b quired based on final location and elevations of facilities \
Type of Water Supply: ❑ Community Public ❑ Well Distance from well /UCD feet LM IrJPermit valid for.we years
Permit conditions: ❑ No expiration
Authorized State Agent: �Y' %r/ Date: — e5/��1!�CY4j/ SEE AilACHED SITE SKETCH
The issuance of this permit by the !Department in no way guarantees the issuance o other permit. The permit holder is r sponsih/ for checking with appropriate governing bodies in meeting their requirements. This
sire 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 installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Ir—;L k PROPERTY LOCATION: e�B`f A >s1 --s (L.\ (S 2 1 a.) 2,i�
— SUBDIVISION — LOT #
Facility Type: $ R fL CSO T x� 5C�—� 2INkew ❑ Expansion ❑ Re' r
Basement? ❑ Yes Co Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* PVrvap to a`J%y 5-s (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑
ivrnp �C pis O S•a (Repair)
Installation Requirements/Condifions Number of trenches
Septic Tank Size \ 6 (X> gallons Exact length of each trenchQjs� feet Trench Spacing: Feet on Center
Pump Tank Size k L)00 gallons Trenches shall be installed on contour gat a Soil Cover. �j inches
Maximum Trench Depth of: 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. TDM vs. GPM i inches below pipe
Aggregate Depth: � inches above pipe
Conditions: PbW ACL �'�—S �T S i{ALL b c— :>sS('t A Y� i� 4Tsi —�}L[� s 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 is different from the type specified on the application. / accept the speciffcadons 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
Construction Authorization 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: a01
C,1225 -'L> C,V2tiY Construction Authorization Expiration Date:
HTE# 4q 0-1-) 1 Permit # P
Harnett County Department of Public Health
Site Sketch n
PROPERTY LOCATON: ti 001 A os1 e, R� • (52 I u a ��
ISSUED T0: �� (���k�C1< � �S err, . SUBDIVISIO _ _ Le jjj a . pa ' r c r LOT #
Authorized State
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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
Odwdner: �G App scant:, �klv1 50110tw- 5 C •—
`t 0 eiJ� D E I ed. `3�
Sheet:
Property ID:
Lot #:
File #:
Code:
ress. ate va uat .
Proposed Facility: (ff,(/J LLCM esign Flow(. 1949): YJ' Property Size: �% , l! q
Location of Site: w'z V' ✓'_ Property Recorded: -7
Water Supply: Pu ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
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
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Restr
Horiz
Evaluated By:
Others Present:
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')rnr '/ /'j/0
Sys tern Types)
Site LTAR
V,-3 ?
OP6 Sri._
hL 5 P
394
nit
M4.
__
L 34
&q
C4_
ftp
4o-+
4i0
L3
PL
ah 4�U
3� 5(L
F2 f
'/04
FArm
q0
G.
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Phi
S>r/
Available Space(. 1945)
Evaluated By:
Others Present:
- _^
' l�
')rnr '/ /'j/0
Sys tern Types)
Site LTAR