IPACHTE# �9 Harnett County Department of Public Health 30071
Improvement Permit
A building permit cannot be issued with only an Iovemgg�t Permit
// _ PROPERTY LOCATION: !3z' � �S kp t _nen / r.✓� Z), . ( JS Wi �/�
ISSUED TO: '�UAQ,5 G Ian • � ( eGt`(it}{-� l SUBDIVISION 5 T OS[Vh (� Cis ILOS LOT #
NEW ❑ w REPAIR ❑ EXPANSION Lf Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S f3cL 5T --t, 8(Z 56'X k- f E),P
Proposed Wastewater System Type:
Projected Daily Flow: Co CSG GPD
Number of bedrooms: tuber of Occupants: ((] max
Basement ❑Yes
Pump Required: []Yes ❑ No ay b e based on final location and elevations of facilities
Type of Water Supply:
El ub Well Distance from well :vi- feet Permit valid for.years
Permit conditions: 'S iAe- ee �,� 1 i AG- 5)7wk ( lY CA Pc A4 rin g1 as csy - Tc -0r,5 No expiration
Authorized State Agent:/%�9��/i�/�' Date: U <o /U r nTb/ a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ne— a o�. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit
The Conswction and installation requirements of Rules .1950, .1953, .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: SG11A SS—Tui, P1eF �t—' PROPERTY LOCATION: 360 6�tP_C)vY,l1 L6tIPISai R+.l 05 501 ti.)
SUBDI !� larmc. \ 1 Atce.s LOT # JT
Facility Type: x,(32 xe 11 New xpanaon ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Sr%n /lp v[Aci` ti 6d? run (Initial) Wastewater Flow: GPD
(See note below, if applicable 11)
d5'Lo (Ieri:st sOCl 5."1 (Repair)
Installation Requirements/Conditions Number of tre es _—
Septic Tank Size 1 D50 gallons Exact length of each trench F C1CD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _94— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: �% Feet on Center
Soil Cover. _1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
NR inches below pipe
Depth: r -J A inches above pipe
A/6i inches total
WATER LINES (INiLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF`SEPTI( SYSTEM OR REPAIR AREA. V Sir ,c
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the #}stem type specified it different from the type spedfed on the application. / accept the specih'cations of this pem3it
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: 6>6 OS I
C.a.l2(Uli,� Construction Authorization Expiration Date: G% 1 Z95
HTE# ��i'rJ ��' 1 Permit # 3OU4
Harnett County Department of Public Health
Site Sketch
ee PROPERTY LOCATON:.360 S HeSnunn L.c— �t.[,t:> c. L->5 zoo)
ISSUED T0: S�nt2S b Tpn �� SUBDIVISION S j wr rrr'. L G LOT #
/7
Authorized State Agent: Date: 0610�''o����
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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
�1— P,u
Owner: "�//Applicant V CV� � )04` dG /is
Address:J� SI �M 14Ag� � ate Evaluated: 6�
Proposed Facility:5`k- S5� Design Flow (.1949): (� >
Location of Site: Property Recorded:
Water Supply: ll��^dd''///Bering—
/// '``blic❑ Individual ❑ Well
Evaluation Method: Auger ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3 a7 f7'
❑ 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
Rear
Horiz
L_ 3-s�
0-aq
&Q Lb
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Ps
L 3 6%,
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o�—
Description
Initial it SOther Factors (.1946):
System Site Classification (.1948):
Avalab(.1945) Evaluated By:
System
Others Present: PAt'O�v� :gPC./1/nC
Site LTAR