IPACHTE# Harnett County Department of Public Health 30081
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit
PROPERTY LOCATION:_ _ Shc �.�rt c�k (P • ClsF 7c�IP Il�1. eS& t443i
ISSUED TO: Gi '210. .arc, SUBDIVISION LOT #
NEW SK EPAIR ❑ EXPANSIO)P ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 434L_ CNCO X 661 S
Proposed Wastewater System Tyype: 26 !le' a l cn SSS
Projected Daily Flow: 416D GPD
Number of bedrooms:Lit— —111
umber of Occ0 Is: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No L7May be required based allocation and elevations of facilities \
Type of Water Supply: ❑ Community ❑ Public ell Distance from well IC S> feet CtA, sal
Permit conditions: l
Permit valid for.
ve years
❑ No expiration
Authorized State Agent: � �'-- - Date: 0-4[0219C>)P SEE ATTACHED SITE SKETCH
The issuance of this fermis 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 On, 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 for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Required for Buildine 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 Sl s4 43
ISSUED TO: Ur,(NA,, i-1ro,isAS`\ CA 43 m PROPERTY LOCATION: SF+ C' 1 it `'-'4—.,qtr_
SUBDIVISION Ll T # �_
Facility Type: q t �tsx(r ° � ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a5%s <L (Initial) Wastewater Flow: i'��— _ GPD
(See note below, if applicable ❑)
K;,,o-lr S` (i xa'd 5 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size \ O gallons Exact length of each trench 1 C`5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. (19 inches
Maximum Trench Depth of: I E�j5' 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: it TDH vs. GPM 1V inches below pipe
Aggregate Depth: inches above pipe
Conditions: eZ>—era: it rAlJh 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: / onderr and the smem type rpecifed it different Imm the type specified on the app/icatiom / accept the rpecilcationr o/ thin 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 he transferred when there is a change in ownership of the sim. This
construction Authorization is subject m compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt AIIALHEU Slit SREILM
Authorized State Agent: Date: c:q 1p2)dC4fz'
Construction Authorization Expiration Date: cS+W`--z.
HTE#
Wo -6-L13
Permit # 81
Harnett County Department of Public Health
Site Sketch
/
PROPERTY LOCATON: Shin, Q�Mj-,✓ Lo
ISSUED TO: �a nd A 2o.nnotxa �3 SUBDIVISION LOT #
Authorized State Agent /` Date: C)10o?�Zcps
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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: YL '�>.
Address: �(i�i8.- l..f\ate Evalusa{ed:
Proposed Facilt�q. cyy�'� p�DDeesign Flow (.1949),:,/
Location of y:[e: _ n rro Inds Recorded: Y
Water Supply: L^M'Alis:¢ublic❑ Individual ell
Evaluation Method: uger on ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property I D:
Lot #:
File #:
Code:
Property Size: 1(3 . q I SV,
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
Renr
Horiz
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v- -V?
W
Le
IA�G
14-24
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Description Initial air System Other Factors (.1946):
System Site Classification (.1948): Qrav;S�evls��� i�„yole
Available Space (.1945) Evaluated By:
System T s) a Others Present: lf�
Site LTAR