IPACHTE# /5=-5=3-71 -7 Harnett County Department of Public Health 28658
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�t� PROPERTY LOCATION: S/ZIci/S /1,",5 c-f/UK0 2A
ISSUED TO: _CvO n {o ar !nom �� � SUBDIVISIONL�:a4,fid t,__ P f a,o_ LOT # i_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5r -b
Proposed Wastewater System Type: V S—% (7.&4>VZ4—w --
Projected Daily Flow: 3',—o GPD
Number of bedrooms: - Number of Occupants: �max
Basement ❑Yes 2'No J/
Pump Required: []Yes❑ No ZMa a required based an final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. 13Five years
Permit conditions: ❑ No expiration
Authorized State env. r Date: /Z—Y — /s SEE ATTACHED SITE SKETCH
The issuance of this perm" b lealth Department in no way rantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocauan a site pian, 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 Uws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Reauired for Building Permit
The con"mction 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 n
ISSUED TO: A" Zo�.ec. PROPERTY LOCATION: ZtJ9'/r'5- /2*w/s
SUBDIVISION �/w--e- LOT #
Facility Type: f=� f3 New ❑ Expansion Repair
Basement? ❑ Yes K No Basement Fixtures.? ❑ Yes O'lio
Type of Wastewater System" Z591& ;&%os A-aj& _ (Initial) Wastewater Flow: 3t.o GPD
(See note below, if applicable ❑) e
D,/, S T/I-%y✓tcz ✓L (Repair)
Installation Requirements/Conditions Number of trenches 02
Septic Tank Size1000 gallons Exact length of each trench/ ncs D feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 0/ ")4 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions: zhre-
Trench Spacing: / Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
( inches below pipe
Aggregate Depth: Z- inches above pipe
S1'4.11 /2 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: / andemand the s/atem type spedded is different bom the type specified on the app/ication. / accept the spedf'iationr of this pemlit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sire plan, plat or the intended use changes. The Construction Authorization shall not be tnns@rred when there is a change in ownership of the site. This
construction Authorization is
Authorized State
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: / Z--� -/ 5^
Construction -Authorization Expiration Date: 12-- 8 - Zy
HTE# b -3-73-7-7 Permit # W-kdsf
Harnett County Department of Public Health
Site 'ketch
// PROPERTY LOCATON:� Pl/S/%4-,u1s Ci4uri P giN
ISSUED TO: 116 e �d / � .T -t, SUBDIVISION lJ >/4eZ LOT # �
Authorized State Ag / Date: / Z —
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:( -L, I- 1- ,t ✓
Address: 'Dat,
Proposed Facility: � Design Flow (.1949):34_;0
Location of Site: Property Recorded:.
Water Supply: [3lu-blic❑ Individu ❑ Well
:�e
Evaluation Methodr Boring Pit ❑ Cut
Type of Wastewater: —1; -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot k:
File N:
Code:
Property Size: lZeZ
' �",r
❑ Spring ❑ Other 5
0Fg,
❑ Mixed So"-�
P
R
O
F
1
L
E
# y�S
.1940
Landscape
Positiorl
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure!
Texture
.1941
Consistence
Mmentlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (A'.
.1956
Sapm
Class
.1944
Restr
Horiz
Z
4�
L'
0Np
S 3 L
I
r•
A..-IJw 5.P
r
l$ sd
ZD'
3
3
L
D L
C N
ueul�
2"gib
5
L_Lri
p .Liiann-
zia-tie
c-ct
r
J T
•fr7
icN srP
s rd
A0143
Vs V?
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Soace (.1945 Evaluated By
System Type(s) Others Present:
Site LTAR 7
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