IPACHTE# 1S'>15AWI?3G Harnett County Department of Public Health 30074
Improvement Permit
A building permit cannot be issued with only an Ira r vement Permit "E>n--- p'1fk'.P
PROPERTY LOCATION, SIP Nc.,I_e rI L-0 � 1�4ckrL&A a
ISSUED TO tuC�. 6f-CALA- SUBDIVISION LOT #
NEW &?"" REPAIR 1-1v E)(,PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3b/L Xa�f S
Proposed Wastewater System T pe: '�.,rt.G.nC�.S.,c
Projected Daily Flow: cao GPD
Number of bedrooms: 3 umber of Occupants: max
Basement []Yes 0
Pump Required: ❑Yes ❑ No L7 �Ma�y quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community PubL lic ❑ Well Distance from well f✓% het
Permit conditions:
Permit valid for.
❑ Five years
❑ No expiration
Authorized State Agent.:y L_ -moo r 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 is respon bit 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 to compliance with the provisions of
the laws and Rules bar Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .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 T0: (� : a S2 .
hkt�RCCAC oI (Z PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 36(- 5(wl t mew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" olS /LeAut 5 r rl 5 (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
-o t 't Ledv S (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size L gallons Exact length of each trench -In feet
Pump Tank Size gallons Trenches shall be installed on con07'urtat a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: / Feet on (enter
Soil Cover. 19 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: n , A inches above pipe
!,' / A 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: / andeatand the ryttem type rpecihed it dderent from the type so Ifed on the application l 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 Conswction Authorintion 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: ��i ��� Date:yG'tQSI -;lb6
Construction Authorization Expiration Date:
HTE# IC6—i! •-c/4N Permit # 3a0qq-
Harnett County Department of Public Health
Site Sketch _il � \
f1 p PROPERTY LOCATON: CIS 1eb L-0 y1 elk
ISSUED TO: CSct.A, L QP SUBDIVISION LOT
Authorized State Agent:
asgJ �JG��OtJ
a" P. -i '2— /1,QA
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Date: I x)f a
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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: `�v`� & 6fK_1 � Gln
AddressfaW'1'8 tkLl ecA Ln Date Evaluated: Cy% jbI6?01S
Proposed Facility: �, 5CN
Design Flow (.1949p y
61 Lf
Location of Site: Property Recorded: -1
Water Supply: Publ' ❑Individual ❑Well
Evaluation Method: uger ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: I dVB.fCr_
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
oar
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Cs
Tu
3
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ao
yL L,5
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5
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ops
Description Initial R air System Other Factors (.1946): 11
System Site Classification (.1948): Pi—GJ��jiGn41� .S V iLT+.�ol�
Available Space (.1945) _ Evaluated BY -
System
S stem Type(s) Others Present: R �� Vr: A
Site LTAR