IPACHTE# 1a) - 5 -L1qGtQ Harnett County Department of Public Health 30063
Improvement Permit
A building permit cannot be issued with only an l!mprovemePermit
'/ PROPERTY LOCATION: N'S I Aot:le i1 a i sn- Ty�a0
ISSUED TO: ILP: I"Iy;cri �)r�Sy�IIG. SUBDIVISIONa-JI,IG,. (L,�• iAo LOT# r�
NEW REPAIR ❑ EXPANSION ❑ Site ImproverYnts required prior to Construction Authorization Issuance:
Type of Structure: art- (,` -Arnot
Proposed Wastewater System Type:G�fi
Projected Daily Flow: 1(,C> GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yeso
Pump Required: es ❑ No ❑ May equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L OC, feet `` y
l Permit valid for. El ears
Permit conditions: ❑ No expiration
Authorized State Agent: /%l—��% 4Z!r Date: UJ�31 f WC)I YJ SEE ATTACHED SITE SKETCH
The issuance of this permit by iM1e Health Department in no way guarantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 Permjtl
The consnction and installation requirements of Rules .1950, .1951, .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 layout.
ISSUED TO: Ve -,JJ, bids. PROPERTY LOCATION: N31 11S1e4 (ZA • Cbn— ISPas
SUBDIVISION —Q,25) 2, Q L - + A ' n r. LOT #
Facility Type: ' s I;11'1ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" kC., 13.5% c. (Initial) Wastewater Flow: 3C, O GPD
(See note below, if applicable ❑)
P� �n 16 6 rfe: (Repair)
- Svr - air)
-�
Installation
Requirements/Conditions
Number of trenches
Septic
Tank
Size I �U gallons
LX
Exact length of each trench feet
Trench Spacing: Feet on (enter
Pump
Tank
Size 1 OCX,) gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
N,+_ inches total
"If applicable: /understand the syrtem type spetihed is different hum the type sperihed on the application. / accept the specifirationr o/ 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 Concoction Authorization shall not be transferred when there is a change in ownership of the site. This
concernment Authorintion is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and two the conditions of this permit at RI IRM[U )II [ ]Rule
Authorized State Agent: Date:
Drs. C� QIU 6 Construction Authorization Expiration Date: 0,J131 13003
HTE# " tJ `4-kn� Permit # 3oc 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: !-i 31 AOS1621 ", ( S 2 I �+31
ISSUED TO: SUBDIVISION kf ie. 2��.
- t^!1 rr. LOT #
G
Authorized State Agent: f��� , _ Uate: ��.�1 �C4
-�o w C2 Li.
P,jMP TJ
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Y
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362
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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. — A lica^nt: �1�`•e• ��' 6,1101* -5 —% 't -C
Address: e13 ALSIV +� - Date Evaluated: 0- I,
Proposed Facility: ye, c Design Flow (.1949): 6 ,J
Location of Site: J .7r �� roperty Recorded: l`
Water Supply: ublic❑ Individual Well
Evaluation Method: gerB ❑ Pi[ F-1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: d • 66
kz—
E] Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.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 3-6`
-3a
b'e_
L
3aa�
PaSv.�
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3�
U �-
v-Ia
(L
(a Flo
r3rL $LL
j 2 5 ('
7.5Y�1 �1r�3`
P5
3
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): fQo V,5r,r-4'`%
Available Space (.1945) Evaluated By:
System Type(s) Others Present: "T' ��"`� �`••���j
Site LTAR