IPACHTE# I1— oG,59 Harnett County Department of Public Health 29323
Improvement Permit \
A building permit cannot be issued with only an Improvement Permit 'cw 6e",ie �'�f J
PROPERTY LOCATION: 39Z Cans l,nlC 0,--l S� «yC J
ISSUED T0: M OS;kx SUBDIVISION Ct-t7SS L,u;N ?hate-_ LOT # S
NEW QK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S NL Sr i G a`� SS s)
Proposed Wastewater System Type: ZS`iv Qo,�--. 5-,5dan'r5
Projected Daily Flow:Cr GP> D
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: []Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
['May be re If based on final location and elevations of facilities
is ❑ Well Distance from well feet
Permit valid for.
v� years
❑ No expiration
Authorized State AgeltF225���� Date: &3 /,j r / ♦ -;- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 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 requirement of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references men this permit and shall be met Systems shall be installed in accordance
with the attached system layout. 1 t� l
ISSUED TO: L�AGA L6m4pig =t-r—PROPERTY LOCATION: 3RZ Cfo.Z 4'AK Q _ Gi„Sy ON L'
SUBDIVISION Cr -C63 4k,)K LOT # 5
Facility Type: 3CQ� bt-% &s S s 2 -'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 0-16— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
'Chia, %/e�uc.`c>n Si6�r.a� (Repair)
Installation Requirements/(onditions Number of trenches t
Septic Tank Size 1,oCAr% gallons Exact length of each trench 2 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: T- '4 inches
Pump Requirements: (t. TDM vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: / z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
t Z inches total
**If applicable: / understand the system type speciled is different from the type spedfed on the application. / accept the rpedlcationr o/ this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to reeoation 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 Date: 65/o / /-
Const2ruction Authorization ExOiration Date: 03/o//ZZ
NTE# g065G Permit # Z93Z3
Harnett County Department of Public Health
Site Sketch
rGhwf dtaJP- Spa-%aJf R�
PROPERTY LOEATON: 39'2 CC=fa L; n4C Dr l_ `T2
ISSUED TO: Comgc, k \aor�[� ti1tC, SUBDIVISION Coc)5S L.ntt 0"oz, LOT # S
Authorized State Agent i2�/�..i�s Date: D O/
11 3,
p D
N'7 d4a ryry
�0
A�,.T I aye° aPC
Pond N
IS'
-- n
C rZass
C)2 `
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
��
Owner:��j Applicant: Co• Ci'J_-!�i'KS/ nc
Address: L&V 6(391 (,«;h ("� DaWEvahtated: oz�yN�I�
Proposed Facility: gp Design Flow (.1949): 1 Property Size:
Location of Site: k � G . 9GZ
C(US51"n al Recorded: �dj
P� .
Water Su PP1Y Indivi2u E) well ❑ Spring
inw--
Evaluation Method:❑ Auger Boriryt/ [�.f'pit ❑ Cut
pit
-wage
❑Other
Type of Wastewater, a ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1
OTH M
.1940 .1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth .1941.1942
# Slope % (Ia.) Structure/ .1941 &mac wetness/
.1943 .1956 .1944
Pmlile
Texture Mm Color
Soa Sa1no Restr
Class Honz
Class
& LTAR
y-qD 6K G Ff
40-1 � r� .
tip} Ps
�35
2 L F2 5Sy5r_
P6
'"0 BK L 0 S es
H04
0,d5
0-y
YD lir �- Ti
40
Description Initial Repair System Other Factors (.1946):
Asystem Site Classification
vailable Se .1945
5 Evaluated By:
� b
ao T s
Site LTAR..1- Others Present:
���"� Gvm„ _ 2��
7.5