IPACHTE# Ido —5 — No3GU Harnett County Department of Public Health 29287
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 4; pi n e 0nu rc to (1% C 5 2 15 -ib,
ISSUED TO: T0` Cun54rvc.4;W Snc. SUBDIVISION LOT # JAre
NEW 00" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1(3 (L 5 r D
Proposed Wastewater System Type: 25Yw tZz i,,r }'on f sFcm
Projected Daily Flow: 24b GPD
Number of bedrooms: — Z— Number of Occupants: of max
Basement ❑Yes EX0 /
Pump Required: ❑Yes 111 No 19May b4 required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Dean
Permit conditions: -Z F3r'sevv n �2ye a�) 5f 4e t4 ;A -„L Utl ❑ No expiration
Authorized State Ageniv i S �` _��� _��y Date: t 2 - 7-C.)- /6 SEE ATTACHED SITE SKETCH
The issuance of this permit by thpllealth Department in noway 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 i1 t(e* 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 PermitJ
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be instilled in accordance
with the attached system layout.
ISSUED TO: -TOPROPERTY LOCATION: K-pl,e) Ckvrcl, RA. (52 tS',zGl
SUBDIVISION T LOT # 4/2
Facility Type: 1-60- S D LYNew ❑ Expansion ❑ Repair
Basement? ❑ Yes VNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Z5 a/o rat A ,ca. 4 5> /-e n (Initial) Wastewater Flow: 2`/o GPD
(See note below, if applicable ❑)
Z5 i6 (&Aoc
"a5 _ slt. (Repair)
Installation Requirements/Conditions
Number of trenches 2
Septic Tank Size wC.t1N) gallons
Exact length of each trench --76 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z4 -Z�17 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: t2 - /6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: 2 Ge -6 foo -N (- 9o,t1.ZJ 54k M 'n .a rot
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
"If applicable: / ondecdand the system type spe6fed is different from the type speciled on the application. / accept the rpecilrations of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization u subject to revocation if the site plan, plat or the intended me changes. The Comnuction Authorization shall not be transferred when there is a change in ownership of the site. Thu
lnmlmctlos 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
�.�W�
Authorized State Agent: � Date: 6>�-'Lo--Gco
onstruction Authorization Expiration Date: 2-
HTE# 1(0 -S- 4 o30µ Permit # 2 g 2 8
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: K'i plrna CkQrr-L. (Ld-� S2 15-6j
ISSUED TO: Cc,nslruJ, on Tn& SUBDIVISION LOT #
Authorized State Agent"-L---'� Date: /
II1,.4Z"
I6�' SE-ci3Rc�S
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Cp,I1'[
Owner: '�"hm Applicant: TO r Cf / ' I enc.
Address: 1. qiZl'./�1, Ce tea. a-ADate Evaluated: 17- /1
Proposed Facility: 55 - 51 o Design Flow (.1949): Zvv 7 lal.
Location of Site:ej/;�, Zy„W r / - Property Recorded:XL -f
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: R'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: U. �-3 /jC -
❑ 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
Structurev
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wemess/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Horuz
l -L
L 1 `ry
LZ
G, - SL
i�r SiSP jL�1
S
0- ZO
Gr. 5 L
rf 55Se 5
1 S
off
L+5
�-
0
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) V, Evaluated By:
System Te(s) Z5Others Present: �.c .nc5 nt rte
Site LTAR O