IPACHTE# I -'S -qql 10 Harnett County Department of Public Health 30073
Improvement Permit
tA building permit cannot be issued with only an Imerovement , Permit
i1(\st2r s • Z PROPERTY LOCATION: Ill N fin 2� ( 5(t— ijxd J
ISSUED T0:
�OreSaerl SUBDIVISION LOT # I
NEW REPAIR ❑ EXPANSION Ir'I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ J;3 (- t X ei4 t I t'1
Proposed Wastewater System Type: 26% L IZA�l /lriW
Projected Daily Flow: 3(eC) GPD
Number of bedrooms: 3 / Number of Occupants: C,max
Basement ❑Yeshy}ioi
Pump Required: ❑Yes No ❑ Ma required based on final location and elevations of facilities I
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 oa%' feet Permit valid for. we years
Permit conditions: ❑ No expiration
Authorized State Agent: 7`' Date: Urn 10.6 1 r)U14Z SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuu ce of other permits. The permit holder is responsihle for checking with appropriate governing bodies in meeting their requirements. 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 co compliance with the provisions of
the laws and Pules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(wired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951..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:SennRGo� s5o T�l6r�Se' f1 PROPERTY LOCATION: NA&6oA fZ a .152. 1-41o1�
t s SUBDIVISION LOT # I
Facility Type: ICl i3 x4A S A _ C2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (Le. V1JZ-1 ��� n (Initial) Wastewater Flow L�G GPD
(See note below, if applicable ❑
��7- r+c� oZS`cl add `.ifs_ (Repair)
Installation Requirements/Conditions , Number of of tr
Septic Tank Size II000 gallons Exact length of each trench C60 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: 9_ 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
Conditions:
inches below pipe
Depth: 014 inches above pipe
fea As inches total
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.
**If applicable: / undersand the mtem type specified is different hum the type specified on the app/nation. / accept the specifications of 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 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 ltt AI IACHLU lilt NSLICH
Authorized State Agent: 5 Date: C4, 0 11 e
6
Construction Aut orization Expiration Date: (v013
NTE# I`-6-6-44110 Permit # 300 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 1143 4ob5on 2j: 6-52 r4AD)
ISSUED TO:
J�nY� 5ry �T�%OR-Sc•� SUBDIVISION LOT # I_
Authorized State Agent:Date: G C- I Cb / 6?0i6
n-3cac.
-1�V {Lt e97
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: ,�r pplicant:lerl(�KS_ 1 n0 ' /�
Address: Q Noyxson /LEx.�c� Date Evaluated:
Proposed Facility: 4a,. 6�j ign Flow (.1949): Y� 0 600
Location of Site: c�iP� Property Recorded: M5
Water Supply: rublicDIndividual ❑Well
Evaluation Method: ager Bo ' ❑Pit ❑Cut
Type of Wastewater: 2F Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:', I kc -
El 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
a,
L �a
�
is
VOL ,-burle_�
Qs
g
.
I8
0.4-
(,2 LS
vrLA%�°
PS
Description Initial Repair Syste Other Factors (.1946): .
System Site Classification (.1948): enzill
Available Space (.1945 Evaluated By: nn
S stem T e(s) A Others Present: n�(p z,
Site LTAR