IPACHTE# 9.5^L119%\ Harnett County Department of Public Health 30109
Improvement Permit
A building permit cannot be issued with only an Ins rovement Permit
PROPERTY LOCATION:- RIU -a O CL
ISSUED
-
ISSUED TO: l GO CU ti 11 m J�i, u s Lo S SUBDIVISION 'I I C, E .a -e6 s r.r`S' 6 LOT # IQ R
NEWX REPAIR ❑ E.JANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `SFO (3'\ A'S Li
Proposed Wastewater System Tyype: Q'Z In, QEouCf, o Ger
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes X No
Pump Required: []Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '�< Public ❑ Well Distance from well feet Permit valid for,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _
The issuance of this permit by the Health Department in no way guano
site is subject to revocation if the site plan, plat, or the intended use changes. 1
the laws and Rules for Sewage Treatment and Disposal and to conditions of this
Date: ',�1'i 11% SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
nement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and imtallation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958, and .1959 an incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 1--Nv-60 CVS - om isU%406rlb PROPERTY LOCATION: _SyNa Cho ,
SUBDIVISIONTWN4E>.a PearoTE LOT# S63pa
5F�
facility Type: i y" New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a5— or Re9Uui T 0(Initial) Wastewater flour. 3+C(3 GPD
(See note below, if applicable ❑)
Pevv C,a 9�wc--4— (INN OQ`,20NJQ Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size sDd gallons Exact length of each trench 3.'1S feet Trench Spacing: cl Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C, inches
Maximum Trench Depth of: 1Ll 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: s a rte u yn o F a c Gov6rL— NccC b6o (3°2&z-- ooa5v Pi E Lfl 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 spedbed 4 different from the type specifled on the application. / accept the fpecipcanons of this permit
Owner/Legal Representative Signature: Date:
This Construction Authoriza' n 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
Consvuction Authorization is subject m am
with tha,g_rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: P -6F15 Date: C
struction Authorization Expiration Date:
HTE# k'?"5-1-53'1V) Permit# 2-0109
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: L°�c^ Sz a. gvt�oLZ,S SUBDIVISION TNcEKt 'POLOT# T63�
Authorized State Agent: 1+ GL..v52 Date: ��N� s
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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: Applicant:
Address: Date Evaluated:
Proposed Facility:3'Vi9Rn�4 Design Flow (.1949):4
Location of Site: Property Recorded:
Water Supply:❑ PublicIndividual E]Well
Evaluation Method:Quger Boring ❑Pit ❑cut
Type of Wastewater: Sewage ❑ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Resn
Horiz
'RL -56
N Q-)
q i
x
53u sC1
ss)�
10�iac 3�
ell
tL
Description Initial Repair System Other Factors (.1946):
S st in Site Classification (.1948): �-
Available Space(.] 945) Evaluated By:ec
System Type(s) Others Present:
Site LTAR -�