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IPAC
NTE# 11-5-` -41 (0 Harnett County Department of Public Health 29461 Improvement Permit A building permit cannot be issued with only an �provement Permit PROPERTY LOCATION: t-? 5 Eu6 PIM C 52 iS 6(s ) ISSUED T0/: �!' (-V- c\ C- strxl�5 SUBDIVISION LOT # NEW f?" REPAIR ❑ EXPANSION ❑ Type of Structure: Z l S0,MN ( 6t X 14 Proposed Wastewater System Type: 'Z- S 3 o Ag--\. clan Says Projected Daily Flow: 1-`4 O GPD Number of bedrooms: —�Z-- ` Number of Occupants: - max Basement []Yes 9<0 Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ❑ NoLlnay a required based on final location and elevations of facilities Type of Water Supply: ❑ Community lblic ❑ Well Distance from well feet Permit conditions: Permit valid for. W1 Five years ❑ No expiration Authorized State Agent-�//_/ s� Date: OVI f / Z u/ -7 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 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 thange 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 Permjt) 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: C=- 5kcac-L45 Facility Type: Z42 % +xx 149 & New Basement? ❑ Yes EKNo Basement Fixtures? ❑ Yes PROPERTY LOCATION: IS66) SUBDIVISION . LOT # ❑ Expansion ❑ No ❑ Repair Type of Wastewater System** -4,3io 14 c -A,Z w .f>rfr>. (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) ZS r74'4%X v 'n S� s . (Repair) Installation Requirements/Conditions Number of trenches `- Septic Tank Size s 000 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench LIo feet Trenches shall be installed on contour at a Maximum Trench Depth of. IP inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: % 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. 6 inches below pipe - inches above pipe 17, inches total **If applicable: / ondeutand the system type specified it dllerent from the type speciled on the application. / accept the specilcadonr 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 Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions o1 this permit. btt AI IACHtV Slit MtICH Eu orjzed State Agent. ��'�.,_,�--ids Date: �y ILS / n 7 Construction Authorization Expiration Date: 04/ice/ / 6'r 7- 2 HTE# 1-q- - 5 - 4 t o -4'3 Permit # Z9 y6l Harnett County Department of Public Health Site Sketch _ PROPERTY LO(ATON: i e,,ays ac, -.A SC2_ 16/,0) ISSUED TO: C -,C -V0. G. S-Ec1y-,51 SUBDIVISION LOT # Authorized State Agent: e_ z - Date: L'i 1 '9 /Z 01'4 qo cy-) G, \\� izr_Pd1(L Ar IUB S 1-T-6AC4 �1 � o0o C I Z10 IN -0 PArz-r fZEPAIrZ R rL .4- 7 T"o L=XT Se )m N C6aY LN--,, %:- all iO r65ros 2GAs� CSR Igao) 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: EriCkq V cyckS Address: 67b6 y Lcog_ Date Evaluated: b'// t 3Mr Proposed Facility: 262 3w914 Design Flow (.1949): Zq 6P-0 Location of Site: ,�,�' Property Recorded: Water Supply: ii �T Public❑ Individual ❑ Well Evaluation Method:a/Auger�Bo '❑Pit ❑ Cut Type of Wastewater: ff Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: /• ii'q r Property Size:.Q6_%6—Ay,- ❑ Spring ❑ Other ❑ Mixed P R O F I 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 .1943.1956 Soil Depth (IN.) Sapm Class .1944 Restr Horiz f L 14-1 0+ 69 SL -34 BK sc r� s e 54p Ul 34f nen F _ rJ 34rM ©. 42 sc re wS� I ler G, y 3 L Zff �-$ 611 5L rQ` e&' SCL rl Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): frcViSivgn/J Su,'1nEIe Available Space (.1945) Evaluated By: System Type(s) 25% �� iw 12th . Others Present: Iryn�fO' `� Site LTAR 0.14 p.