IPACNTE# L40q- Harnett County Department of Public Health 30069
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:�'2 1 rcq—rA O)r, l� yVI
ISSUED T0: �K�] � QS (1 5) �—Cl� SUBDIVISION (y ctTriCLrf' C(YN LOT # 11-
NEW
1
NEW f� REPAIR ❑ s EjC,PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �4�iO� � �� f
Proposed Wastewater System Type:
Projected Daily Flow: �/C� GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes
Pump Required: ❑Yes ❑ No Q,NSy egoired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well k OC feet Permit valid for:IvLJ�F a years
Permit conditions: ❑ No expiration
Authorized State Agent:: L� G— Date: c IUq I a0i� SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, that, 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 Permitt
The mostroction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in Kcordane
with the attached system layout
ISSUED T0: S LQPt nY:'n PROPERTY LOCATION: 22Q ft) z, f c ants Qr rUv VUt v�
s � SUBDIVISION Y VI
Facility Type: INCL ls(oOS �jA 2' ew ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**IWn (Le- .!1 mon .S s e -i -A (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
k=tJ '3 67,, 17zckSws (Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size 1 DSO gallons Exact length of each trench 1yO 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: OG 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: h. TON vs. GPM f" Al inches below pipe
r^- Aggre to Depth: —sL\ inches above pipe
Conditions: c1 CcnIt:c�-A— Z>— ec,-Z , d a i 10 S�L ' k,'+rCA rico - I r tNJ A- 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: / andemand the ryrtem Ve ipecAed it different from the type speeded on the app/ication. / accept the fpecilcationr o(dir 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: W Date:
R�btt r�rs G,,-�axz,It-�) Construction Authorization Expiration Date:
HTE# 146-'6 4g0cl-' Permit # ax--- ,7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: r O�-. uS yU —"j—)
ISSUED TO: S ke—q "en'>no GIAs -'n C. SUBDIVISION + LOT # 17
Authorized State Agent: Date:y �D � aO
U
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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: 5c-ee"C.IA %31�_
Address: Lck; 13 thlGrj,v1.�a.`)ate Evaluated:
Proposed Facility: Oft- rj>';D ign Flow (1949): ery
Location of Site: Property Recorded: f
Water Supply: __�ublicp Individual ❑ Well
Evaluation Method: ❑ ger Bori ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6. FI>
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.I
.1956
Sapro
Class
.1944
Restr
Horiz
3
L410
0-19
v2
a -1A/
►�-3
3� srr,
�' S��
QS
gid I
Pa szr�
Description Initial Repair Syst Other Factors (.1946):
System Site Classification (.1948): Prca,isi�A'J> Svt&tLiL'C_
Available Space (.1945) Evaluated By: n
System Ts) >iL(' a r Others Present:
Site LTAR