IPACHTE# 1 �— S- y` N6 Harnett County Department of Public Health 30066
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Olt -A 6C -CS[' 4u • N -
ISSUED TO: Ltlsw` 1 SUBDIVISION LOT #
NEW REPAIR ❑ EJANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —QetL ioC/I y 5i:::,>
Proposed Wastewater SystemTrp : QS`f'c� rid a -,runt j,A
Projected Daily Flow: ab GPD iJ—
Number of bedrooms: — Number of Occupants: max
Basement ❑YesL� N�o
Pump Required: []YesZIo ❑ May be required b�as �Inal location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Nr Well Distance from well % 1 feet CYN Permit valid for.
Permit conditions:
f�rs
❑ No expiration
Authorized State Agent: L% l ����/�� Date:�(: 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 i for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revamtion 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 proyisiom of
the taws 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 .195D, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: �c�tXe �rc,f� ��� PROPERTY LOCATION: I
- / SUBDIVISION LOT #
Facility Type: a 42 �G�k �y 51+7 Caw ❑ Expansion ❑ Repair
Basement? ❑ Yes C -I o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 24' a/�y��y��n � (Initial) Wastewater Flow: �1�� GPD
(See note below, if applicable EI)�T C.0,�VFT• rrtc,-" ,, ii' A.Y 231= �Vsir�-,
a6y 0z4&i tioA 51 (Repair) w` t2P>=-r a_9r-(,r" 7xa ,, �
Installation Requirements/Conditions Number of trent s L%
Septic Tank Size 1 ) 0C ) gallons Exact length of each trench feet Trench Spacing: ! Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: ' Z 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: fl TDH vs. GPM inches below pipe
t Aggregate Depth: nrA inches above pipe
Conditions: 1 v Lt� SFTC3AKlr �) StiGcC'nt ^JA inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / understand the ryrtem type rpetded it different ham the type rpec ied on the application. / accept the rpet&ationr of div 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
LOMMUCtlon Authontabon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and disposal and to the conditions of this permit ltt AI IALHtU lilt 111111.11
Authorized State Agent: °' - Date: v6/01' aip
UZjCL��aa Com} Construction Authorization Expiration Date: 4 (./bl %a>,?3
HTE# t—S_ yqoy6 Permit # 3c)o(:�6
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Ij
State Agent:
PROPERTY LOCATON: CD���ti+7� R�, N. (-5eL tC
SUBDIVISION LOT #
kt-1 c,.>ru-r.1 „>
C0t:1vtaT0N0.L- (r2Avrc4- jv$o—q w
MAY 6E .7S Er- o) / 1 �2 FT
TOTAL OnA�.�>.-1>=•LES LFs><_F"
Date: off UI' oac,> e
da
I
I
I 1 P4(71 v
aa� sT�
.r
I I� I
w
o f!
-ro �rok(-E
2;t�> r-.,
09
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:1•�1 Applicant: Jo!vw6L"A �",I 05 3� Iv
Address:01G �. Q,�.. tJ � Date Evaluated: /n n
Proposed Facility/ , Design Flow (.1949��)//''
Location of Site: ?� " Property Recorded:!L
Water Supply: ,/[] Public[:]Jndividual ell
Evaluation Methot]2AugerBorin [-]Pit El cut
Type of Wastewater: ewage ❑ 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
& L(T�AR
.1941
Structure/
Texture
.1941
Consistence
Minaalogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
G/- Z5
✓Mni�r�
PS
3g
�✓� s
r-q�-
ZZI�2
Description Initial air System Other Factors (.1946):
System Site Classification (.1948): frov�3iG4°+j 5"'�o'y
AvailableS ace (.1945) Evaluated By: C
Sys tem T e(s) Others Present: t1`&3 M_.,1—rr'.41 y #J
Site LTAR