IPACHTE# ) 4 -5 - VO q Harnett County Department of Public Health 29455
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: gC%C4 q s 20 l cS (Z_ 1 I o y
ISSUED TO: _(Jrw Oome' e I'LE SUBDIVISION LOT #
NEW a' REPAIR ❑ EXPANSION O Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 (2 5 r 4 ( 57 a X 5 8 s)
Proposed Wastewater System Type: ZSio fL. s,e
Projected Daily Flow: 3 6 C. GPD
Number of bedrooms: 3 Number of Occupants: 4 max
Basement OYes
Pump Required: Oyes ❑ No 214—ay be i aired based on final location and elevations of facilities
Type of Water Supply: ❑ Community u lit ❑ Well Distance from well feet Permit valid for.
Permit conditions:
aTive —years
❑ No expiration
Authorized State Agent: Date: Ctt/'It Z z rrn -=T 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 ro 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 subjea 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, .1951, .1954, .1955, .1956, .1951, .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: i16b�n5can >•bML,,,y (' C PROPERTY LOCATION: QC% 45. If lly
T SUBDIVISION� 55 'yTrn '-LA. LOTS# IL
Facility Type: 3 5 r � Sz X 58 f� El Expansion El —Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25 5,0 fL" 0CA, nr, 5.;'5e2:-rn (Initial) Wastewater Flow: 360 GPD
(See nate below, if applicable ❑)
'L5 io zZe—1 Qck} g n S y54ell (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I ODD gallons Exact length of each trench is O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. inches
Maximum Trench Depth of. I ZB inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 6 inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: z inches total
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.
**If applicable, / understand the system type specified it different from the type specified on the app/ication. / accept the specifications of this 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 Authorisation 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 Agent: Date: UtZ 4 zyt
construction Authorization Expiration Date: Oy JJZ1Zo2Z—
HTE#
f�-5-40$
8� Permit # 2 q yss
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: L o k I r,'y !�,
ISSUED T0: ���� Rob nS blow t_LG SUBDIVISION 6.;x,5 Fps 22�. LOT #
Authorized State Agent -� 'L�%i%���— ���! sx/S" Date: DM % I Z I Zo 14
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Cul II +�x��jf 2�- Date Evaluated: 03/3(�114
Proposed Facility: 3,�2 ��, ;� Design Flow (.1949): 6('/)
Location of Site:„���� Property Recorded:
IRy 7
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:9-IGger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1 , Z c? la C .
❑ 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(IN J
.1956
Sapro
Class
.1944
Rear
Horiz
I
L 3�0,
0- If
(k 5L
ft SSP 5%
P
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q g
C).5
0- 1�
102 5c
�t SS's`
PS
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6K xLL
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G-18
SL
Y!Z
,g-48
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151+2�j1 @yea
y8
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Description InitialRepair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) i Evaluated By: AnclIre-� C.�Cr(n
S stem T e(s) r' o Others Present:
Site LTAR