IPACNTE# IZ-5 —44332 Harnett County Department of Public Health 30083
Imarovement Permit
A building permit cannot be issued with only an Its rovement Permit �L 11-3
�y 1 PROPERTY LOCATION:��,e C�6 ` \ � ,gnl
ISSUED T0: iT c -%J0 : QLRt2 Shy SUBDIVISION Maws—LCe i pt # g
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 4196. 15& x SOj 5 s;:—�
Proposed Wastewater System Type: i55/o A4P_b.3t bun S.s
Projected Daily Flow: Yom' Ca GPD
Number of bedrooms:—� Number of Occupants: a max
Basement ❑Yes R' o
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
0� o ❑Ma�y 9� red based on final location and elevations of facilities
El Community f Pte]' ublic ❑ Well Distance from well N& feet
Permit valid for.
1Lr'iF v yedlS
❑ No expiration
Authorized State Agent: L.� Date: Si 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 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The ronstmction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1951, .195&. 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: Pr':Ay. Oome_45 Svc, PROPERTY LOCATION: -M 0,zle_ CanSn Gly. C--incen f2)..
SUBDIVISION or� PiI ori _ LOT #
Facility Type:lrR 5�RX5 - '—a Nf�eW ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** °oZJr% IZQA.x ktnr,� 5 Is . (Initial) Wastewater Flow: �7 gG GPD
(See note below, if applicable ❑)
—a� n (Repair)
Installation Requirements/Conditions Number of trenches 'j
Septic Tank Size fL^L7C> gallons Exact length of each trench Cv 0 feet
Pump Tank Size gallons Trenches shall be installed on coptour at a
Maximum Trench Depth of. ciY� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover. Ia -4 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
N-& inches below pipe
Aggregate Depth: iJ?- inches above pipe
r -J k 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, / undersand the system type spec/led is different Jrom the type specified on the application. l accept the specilcat/ons 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 SEE ATTACHED SITE SKETCH
Authorized State Agent: ram Date: Q -k / oac7j P)
P vJp L�2 T,� Construction Authorization Expiration Date: O-11o(,/202i
HTE# 1 S —5 —44992 Permit # J00&3
Harnett County Department of Public Health
Site Sketch
&z 113 f
PROPERTY LO(ATON: iU Ive, T ncscc-, (")
ISSUED T0: ^ ap_ ! 1 c,,ti� Sic SUBDIVISION LOT
Authorized State Agent: i 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
-�rra, "Ojgj
Owner: y.ac Applicant: QC -NLA -
Address: QlVTkL, Q�,ey Lcl k 9+Date Evaluated: b _4jC61 R01$
Proposed Facility: Design Flow (.1949): '
Location of Site: roperty Recorded: ,tom
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Bori ❑ Pit ❑ Cut
Type of Wastewater: JrSewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size: QoiIGAv
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
e th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
i*, a
L
o x
�� L5
�ti N�l5
�s
3
L L
o
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T e(s) Others Present
Site LTAR /