IPACHTE# IA- S - X"60 Harnett County Department of Public Health 29322
Improvement Permit
A building permit cannot be issued with only an Improvement Permit r Gs,,,s tx se S,jVJ 4-11PROPERTY LOCATION: yW Qbr s L,A Dn I � ry41
ISSUED,TO:/LofnCrarL VlomaaT1Yr. SUBDIVISION Crzrs Gvak Plwc� V LOT# 6
NEW LK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: --tom' 60- 91' r �,� a )e
Proposed Wastewater System Type: Z5`,aAPIA �„SlGrk
Projected Daily Flow: !3 C. 0 GPD
Number of bedrooms: Number of Occupants: Co max
Basement ❑Yes No
Pump Required: es ❑ No ❑ May� uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well Net Permit valid for: �rs
Permit conditions: ❑ No expiration
Authorized State Agent:��_�T �/� « [5 3� ��i // 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 requirements. 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 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. /\J
ISSUED TO: CCXAQ—t /4&" :rno1. PROPERTY LOCATION: WJq Crrcy,5 L„nk Q-. 5-/L /jay/
SUBDIVISION Crb53 e e✓ r O/4 LOT # 6
Facility Type: 3is[Z SFC 181 x 3G a� INew ❑ Expansion ❑ Repair
Basement? ❑ Yes oT Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System" %/y,'+o -/o ZS% � (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
PVMa 41x Z$%v W (Repair)
Installation Requirements/Conditions INumber of trenches 1
Septic Tank Size laoy gallons Exact length of each trench 2-4d feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. R 7_ inches
Maximum Trench Depth of: 'LLI— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
17— inches total
**If applicable: / understand the system type spedked is different /ram the type specified on the application. / accept the rpecificatioar olthis 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 A Date: G3/or //-4
Construction Authorization Expiration Date: 03/61 / z z_
HTE# 1- - S-y0&rAb
Permit # � 93 Z Z
Harnett County Department of Public Health
Site Sketch
PROPERTYLOtATON: Noq Crrxs L; I Std j4LI1
ISSUED T0: CoMivC{ 4o w-,& +r1C . SUBDIVISION CmSs L: ni[ cgg— LOT # C,
Authorized State Agent
Date: 0 3
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOMITE EVALUATION File #:
Code:
for ONSITE WASTEWATER SYSTEM
�cili4-
Owner: �c/fig(f Applicant.
Address: LAC�OV6&01,,4k Date Evaluated: u;.�•L.4 I
Proposed Facility: SG� Design Flow (.1949): I. � property Sim: G _ C -q6kC —
LocationofShe:(rjj j. propenyRocorded: lus
Water Supply: ublicQ Individual ❑Wall
Evaluation Method: Aug'er Bo Q Spring Other
Type of Wastewater. Se
8ewn Q Put ❑Cut -
❑Industrial Process ❑Mixed
P
R
O
P SOIL MORPHOLOGY
.1940
OTHER
L LJadscape Hor zoa .1941 PRO FACTORS
E Position/ Depth .19411941 .1942
N Slope Yo (10.)StructureConsist®ce W� soil .1943 .1936 .1944 hofle
Texture MmSoil Sap- Rest Class
Color Clan Horiz <AR
L 5% V) Z S t.�'i��
IZ-9-9 g
Z_ i 5/ 0-IZ
'Z-40 C404
Ps
Description Initial Repair System Other Factors (.1946):
S em Site Classification (.1948):
Av bbleS e(.1943 Evaluated By: Orc>✓i3>+-„w/sJ s.,�� 6%
'�/Y�2...J C—✓�
Site LTAR LS Jc nat >c�, ni: Others Present: