IPACHTE# 96 —5 - Mg Z Harnett County Department of Public Health 29464
Improvement Permit
A building permit cannot be issued with only an Improvement PermitRi
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PROPERTY LOCATION: vlec 4¢ zc1r
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ISSUED T0�/ �e5 C31\ 1-1112
�J �J� iOS SUBDIVISION C um u A m u n.P
LOT #
NEW Q' REPAIA ❑
EAPANSION ❑ Site Improvements requ� or to Construction Authorization Issuance:
Type of Structure: °�I ftZ &4A�cc�k
OVC,cn
Proposed Wastewater System Type:
'LS",, ftz A,1Ck,0n Ss.
Projected Daily Flow: 'Z 00
GPD
Number of bedrooms:
Number of Occupants: — max
Basement []Yes woo
Pump Required: ❑Yes ❑ No
ay be required If on final location and elevations of facilities
Type of Water Supply: ❑ Community
❑ Public 1 Well Distance from well tvd feet
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Permit valid for: i�'Fwe years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: zt V-4— 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 respomible far checking with appropriate goveming 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 anditions of this permit.
Construction Authorization
Required for Buildin¢ Permit
The construction and installation requirements o1 Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached sysre layout
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ISSUED TO: _� n L - ,U- 5{,x2; o5 PROPERTY LOCATION: u ler �e oar Ln . 5M1 t 4 18
SUBDIVISION (—Ir AA('w11P _ LOT #
Facility Type: `1111CO I &Ak tf aS 044e, I2' New ❑ Expansion ❑ Repair
Basement? ❑ Yes GKNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** n S 4s&M (Initial) Wastewater Flow: ZGD GPD
(See note below, if applicable ❑)
�Siv /Lrdx on Z2s/ern (Repair)
Installation Requirements/Conditions Number of trenches IT
Septic Tank Size 1 v 00 gallons Exact length of each trench '40 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Zinches above pipe
t Z inches total
**If applicable• / understand the ryttem type rpecifed it different from the type tperifed on the application. / accept the rpecifcationr 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 m compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of thit permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: — Date: b N/Z ! / 20 t =7
Construction Authorization Expiration Date: 0 Ll I Lf / Zai z z
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Harnett County Department of Public Health
Site Sketch
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ISSUED T0: De6,i (N Li ne ,� SUBDIVISION Cc m� R4a nr LOT #
Authorized State Agent �� T �� Date: 0� Z+ / Z61—+
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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
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Owner: P Applicant: 'Dc,c,vti sf�d•p
Address: �j- tk.,,�„�—I„v Date Evaluated: v 100/All-
Proposed
00/�
Proposed Facility: ntedYHl c,.e, t, esign Flow (.1949): 7-", &P6
Location of Site: C ze-- Property Recorded: % :;f
Water Supply: �] Publico Individual ell
Evaluation Method-9-guger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
ZO_40
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'al */, LV 34"
u 6
G 3
rD
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7 of 41( 4
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zz
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-7,4 yy pit 4"
'fv
0 3
Description Initial Repair System Other Factors (.1946):
S stem Site Classification(. 1948): P(v✓"6ia�"�
Available S ace (.1945) - Evaluated By: ,t _'„� _' (�rf+h,
S stemT e(s) •7cd Z Others Present: We—
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