IPACHTE# Harnett County Department of Public Health 29470
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ L"� vtfif'_ 12 "J L 62 14`:3
ISSUED TO: T> A4att 3 SUBDIVISION LOT # r
NEW gK REPAIR ❑ EXPANSION ❑
Type of Structure: Iti aY'X'?V SFA
Proposed Wastewater System Type: Zsi" it<A et%oma 571,
Projected Daily Flow: 3(o a GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes f�o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May �b quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community IYPublic ❑ Well Distance from well feet Permit valid for. C
Permit conditions: i%F!m , { L G�Ici; �ib nem an rx i51sv n w a// a betite•n..v,�F Ancv /o 1 nFm,/i ElNo expiration
i
Authorized State Agent: ��� � Date: 05 / o = /2"•% --f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deparunent 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 in 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 concoction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: CVnt6eHeama doAms ✓'nc- PROPERTY LOCATION: Ltf.-Ale-
SUBDIVISION IoT # /
Facility Type: 5 f9 [Gf� CkY-�x3e) 2- New ❑ Expansion
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
❑ Repair
Type of Wastewater System"'Orn
o to
25io
(Initial) Wastewater Flow: :?46 GPD
(See note below, if applicable ❑)
Ptalp Ev
9s% /Ld- Sys (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1600
gallons
Exact length of each trench 4-5 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. /Z inches
Maximum Trench Depth of: 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: 2 inches above pipe
Conditions: _ PermlE Cunat;LrLred
CA
(1x;51,'+5 12C"4'Je'4
tz 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 ryrtem type speafed is different from the type spetifed on the appliraison. / accept the speafleationr o/ div 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 ltt AI IAIMtU lilt lRtILM
Authorized State Agent: Date: c�"3'/6 y/ Ze'z-4
Construction Authorization Expiration Date: 0s/ozl2ozz
HTE# 14 ' S "'/11 :7-'--� Permit # 2 9 �f-Ac>
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: 1443)
ISSUED TO: G J M bC 1. A ya w—s -Zi . SUBDIVISION LOT # /
Authorized State AgeDate: OSS 0 z /y01 }
\i
M
A2
45"o ae--W 4 4 o^
�S C 3)
PAn� 1Para
I
I '
i
I
I hG
LrkrAV---rr5 2oA t' (S( -L igg3)
Gyst-kj Well sWj
)OL e^ja inA.Aej fcr
we't.&L elelotrt�*lkanf
r!�[kf oti pnw
7to i�Sdr,/I
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: Curr)b[r(wd llorZS�S�G
Address: L of / Gi&A , Date Evaluated:
Proposed Facility:W i'4 Design Flow (.1949): 3G0 CPQ
Location of Site: Property Recorded: A10
Water Supply: Uj'ifublic❑ Individual ❑ Well
Evaluation Method:❑niuger Bori ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
File #:
Code:
Property Size: D. *V # 6
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
4
.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
.1956
Sapro
Class
.1944
Restr
Horiz
SL
14-4b
/�( scc
r'• S
Ps
`10
tsu+k
wpb
`
4G
0,4
2
L 3;
ZG
6f
WW6
3
r- 3'
u-3�
G K St
Fri Y
3o -4Z
kt.
F/
1z+
eft"
&hA
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P„ 5
Available 5 ace(.At945) Evaluated By: q �•„� �JY�nJ 1pyj�
System Type(s) 2 ZS` Others Present:
Site LTAR