IPACHTE# s
—4 - 5-1'40(,09 Harnett County Department of Public Health 29309
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
11 � PROPERTY LOCATION: �C' C ncbkp n (Z.2 (:5 (-L it -Z 9 I
ISSUED TO- ,t�rG, CCnMes-o is SUBDIVISION OT #
NEW 4� REPAIR ❑ EXPANSION ❑
Type of Structure: '3 d fz--- 5 r S7
Proposed Wastewater System Type: 'Z -6A, S> �
Projected Daily Flow: 3G6 GPD
Number of bedrooms: 3 Number of Occupants: C` ax
Basement []Yes Coo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No 7 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well 100 feet Permit valid for. 1ve years
Permit conditions: I , cGy GK'ti 6.2 ❑ No expiration
Authorized State Agent:: _ ��� ��-� Date: -1-� a 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the � ce 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 Iment 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
Reauired for Buildine Permit
The construction and installation requirements of Rules .1958, .1952, .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: \AC -C`00 C. CArA e,(7-Ot--, PROPERTY LOCATION: lours nti �o� SCZ \7✓911
SUBDIVISION LOT #
Facility Type: 'J 2 b i;: > VINew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZSA- �' pn ,5;2C. /r_M. (Initial) Wastewater Flow: loG GPD
(See note below, if applicable ❑)
_-L$
v -g/Repair)
Installation Requirements/Conditions
Number of trench es Z
Septic Tank Size /cx�o gallons
Exact length of each trench /00 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth ofi Zd-i- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs.
GPM
Conditions:
Trench Spacing: c/ Feet on Center
Soil Cover: G + inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
to inches below pipe
Z inches above pipe
17— inches total
**If applicable: / understand the s}rtem type rpeciled is different from the type speciled on the application. / accept the specAwionr of permit
Date:
This Construction Authorization i tt to re anon if the site pian, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the sin. This
Construction Authorization ik.Luka to wi 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: Date: B Tl
;��nstruction Authorization Expiration Date:
HTE#
-7- 6 -y06v7
Harnett County
Permit # 1Z -q30?
Department of Public Health
Site Sketch
PROPERTYLO(ATON: 14rncc;03-kon �. (5(Z lZ9/
ISSUED TO: 1'�«ca�� Ci.m� Gn SUBDIVISION a LOT#
Authorized State Agent: Date:
V- O A'p C S R Z� ")
Q
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: CCu"=A Applicant: �ic�.rs✓cl GGM�r�M
Address: 1-{svrd�/Cn (L�. , Date Evaluated:
Proposed Facility: 36(z- 5ffj> Design Flow (.1949):
Location of Site:W,,,, RSI Property Recorded:
Water Supply: ❑Public❑ Individual Well
Evaluation Method: Auger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: f-ZVA-e-
❑ 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
Soil
Depth @l.
.1956
Sapro
Class
.1944
Restr
Horiz
&�L
S-Z(o
J4 5 L
2 3Jf iF
t
BK 5(,/-
,4z
64 6
(5
yZ
o03
42+
QWVYN
PM
�
L Z-3%
U-IZ
GSC
f2 S,YjP _
S9
(3,3
3L2
-
ILL
Ifs -ZZ
L4
vrfl
zz
6� L
Rsc5
LI6
03
I
P�.
fm
Description Initial Repair System Other Factors (.1946): A ovAx .
System Site Classification (.1948): P!'o v iSfi3 r�l� Sv�'Lr bl�
Available Space (.1945) Evaluated By:
System Type(s) Z � Others Present: �v�"`� �vrr 1 P, /t65d/S Z .
Site LTAR 02.21