IPACHTE# 16-5 -yo`I lif Harnett County Department of Public Health 29296
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
sI1 1' PROPERTY LOCATION: '36+-TS(a 4
ISSUED T0: Y��len II(�S{t?� SUBDIVISION LOT # T_
NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "'�R� f na>FaLkJrYd liorvtD
Proposed Wastewater System Type: _25 "P -C S 0* -,"Projected Daily Flow: 36, O GPD —
Number of bedrooms:Number of Occupants: ---!6_max
Basement Dyes MAO
Pump Required: ❑Yes ❑ No 11 ay be required " on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public JZ Well Distance from well feet Permit valid for: &-ars
Permit conditions: Five ye❑ No expiration
Authorized State Age Date: (—(a � 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the th Department in no ay gu msees the issuance I other permits. The pennit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if ne 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 Lam and Rules for Sewage Treatment and Disposal and to conditions of this permic.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .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
ISSUED TO: Allen 11 as PROPERTY LOCATION: -q5y -;-,rjk� C SR- 160 4 L
/� � SUBDIVISION LOT #
Facility Type: 3 6 fd) UG'C"Ne l 14ory �s� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'LS% e2 C1 cn S�k�, (Initial) Wastewater Flow: 3�o GPD
(See note below, if applicable EJ)
'LS% i7 d:07 S rGt.w (Repair)
Installation Requirement/Conditions Number of trenches Z
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: fL TON vs.
Conditions:
Exact length of each trench lrc, a feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: I t inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing: 9— Feet on Center
Soil Cover: ro inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
lQ inches below pipe
Aggregate Depth: 2 inches above pipe
I z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the fyrtem type specified /r different !rota the type rpecided on the application./ accept the rpecificanvar of Chir pem7/t
Owner/Legal Representative Signature: Date:
This construction Autho statson is subject to revocation if the site plan, plat or the intended use changes. The Cansncfion Authomation shall not be transferred when there is a change in ownership of the ,it. Thn
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
tr
Authorized State Age S Date: /— (, — / 7
oma= Construction Authorization Expiration Date: i - / - Z Z
HTE# A& -5 --/C q1'1 Permit # 192 961
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON: $y % �0,G-1 aj (51L 156
ISSUED TO: R ki P n 14 este - SUBDIVISION LOT #
Authorized State Ag e/® Date: -1-6-47
PQoP05 9 1
CARPORT
5
prza Po � N
0:84
t+� 5£
I
2fPAj2 aa�"
(vim N L
� I �
rt
I Q
tJ l!1
N
N 7�
N o
? I
r1`
rn
12a�
y J
� J
N
-T tep F -T ROAo>
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Allen
OW e_54el
wner: laPji� Applicant: fal�Pn
Address: / e -} - Date Evaluated: b
Proposed Facility-._wIrygnl . Design Flow(. 1949): 36o
Location of Site: -f' • fe4 QA Property Recorded:
Water Supply: ,, ��t�/ Public[] Individual 11
Evaluation Metbod:2 AugerB g ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Properly Size: I. S 9C,.
❑ Spring ❑ Other
❑ Mixed
Description --_-- Initial Repair System Other Factors (.1946):
S em Site Classification (.1948): Qro✓� 5�'�^'+ll 5'�.'IGIe
System T s
Available Sane (.1945 y' P'
Evaluated B %
Others Present: �
Site LTAR J q,µp-s
P
R
O
F
1
L
E
#
.1940
Landscape
Positiod
Slope Yo
Horizon
Ikplh
(in)
SOH. MORPHOLOGY
.1941
OTEM
PROFILE FACTORS
ProEle
Class
$ LIAR
.1941 .1941
SWcnad Consistence
Texture Mmenl
.1942
Soil
Wetness/
ColorN.
.1943
Sol
.1956
Sapro
Class
.1944
Resu
Horiz
3% 0-1L &(L 5(_
Ps
Zr,-,g 64 SLt S Psy
7SY�%C 3'll
`38�
0.Y5
2 6 sss� s�
Ps
RLi ; 5 e -
7.5Y2% Cay"
34+
0 L
3 L 3jo-zz 3Z ss� S 7
PS
ZZ -3q 4K SCL ,^, 5 P
7.6Yk%7&0453y"
344
Description --_-- Initial Repair System Other Factors (.1946):
S em Site Classification (.1948): Qro✓� 5�'�^'+ll 5'�.'IGIe
System T s
Available Sane (.1945 y' P'
Evaluated B %
Others Present: �
Site LTAR J q,µp-s