IPACHTE# I9;> -5 -4435b Harnett County Department of Public Health 30084
Imarovement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: y,r� C, S'.� Ts n, �
ISSUED T0: C"S i Iyf� =r? C" SUBDIVISION _ply, p � 1 c ' _ 1nT #
NEW lK REPAIR ❑EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L4 -An t– '. % XL'j S 1 5 t= om
Proposed Wastewater System Ty e: Z;6 iiX� vl c n S eS,
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes o ❑May�be aced on final location and elevations of facilities
Type of Water Supply: ❑ Community 2""Fublic 0 Well Distance from well NA— feet Permit valid for.
Permit conditions:
Ly'FI9e years
❑ No expiration
Authorized State Agent: �„����f!!/� Date: C,-4—1cvy .190/8 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Realth Department in no way guarantees the issuance of other permits. The permit holder is responsible (or 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 m 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 Permit)
The construction and installation requirements of Rules .1958, .1957, .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
SR— t 13�
ISSUED T0:
VC -42— int e, �� PROPERTY LOCATION: 1 dlafv_GLv�n C&
SUBDIVISION A`k Lro 1_ 911 o LOT # IC7
Facility Type: L)42 1-45 x t 6 2 -New ❑ Expansion ❑ Repair
Basement? ❑ Yes C3, o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �;? 5 % (L (�.t0,-L`5 ya (Initial) Wastewater Flow: 86 GPD
(See note below, if applicable ❑) V
a5�,:z Stns (Repair)
Installation Requirements/Conditions Number of trenches (1 3
Septic Tank Size I 0('f:) gallons Exact length of each trench � 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: R4- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover: / 8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
ev /L, inches below pipe
NA inches above pipe
f"a (— inches total
**If applicable: / cmdeatand the system type sizeafted it different from the type specified on the app/kation. / accept the speci&ationr 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 oft ws and Rules for Sewage Treatment and Disposal and on the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C�41 C(, J;2n18
RrJ�n%� Construction Authorization Expiration Date: 64-16C, 120a-3
HTE# $ _s -443S6 Permit # 3C)og4--
Harnett County Department of Public Health
Site Sketch
. 5e'L ��3n
PROPERTY LO(ATQ
ISSUED TO: pr'�d vAomQS -[`L, SUBDIVISION
Authorized State Agent:
J�
S Date:
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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: 'yA-t- 71p plicant
Address: W ,00 k a\R�ca- t"- I - 'Date Evaluated: 0
Proposed Facility: H PfL-- 'f Design Flow (.1949):
Location of Site: roperty Recorded: 1�
Water Supply: ublic❑ Individual El Well
Evaluation Method: uger Bor ❑ Pit ❑ Cut
Type of Wastewater: Er Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (7.�Oft>vi
❑ 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
.1943.1956
Soil
Depth IN.
Sapro
Class
.1944
Restr
Horiz
,3
L 3 ,
c -,v
�2 sL
VX��
Y�
Description Initial Repair Syste Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:
Sy stem Type(s) o Others Present:
Site LTAR