IPACHTE# I Harnett County Department of Public Health 29490
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
I- PROPERTY LOCATION: 32z1 Glc -NL 0� C 52 11 Z<4�
ISSUED T0: Cln C S�. nct Tocc: no SUBDIVISION LOT # _
NEW f� REPAIR ❑ EXPANSION ❑Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3bt2- SFn ( 34 St X qI'lL
Proposed Wastewater System Type: Zai A.� SyS ,
Projected Daily Flow: 3 coo GPD
Number of bedrooms: 31, Number of Occupants: (a max
Basement ❑Yes U410
Pump Required: ❑Yes ❑ No l a�quired ba� final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well a e�O feet (F m N) Permit valid for. w
Permit conditions: ❑ No expiration
Authorized State Agent: SDate: oc- /0 y/ zG I --*- 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 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 in 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 ronstroction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, AST, .1956. and .1959 are incorporated by references inro this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: ckribt; Nk A P PROPERTY LOCATION: 3Zc/ C-Ictrsc' '(CcY . 5 2 11 Z9 )
SUBDIVISION LOT #
Facility Type: 36tL Sib ( 34.6an(ae) Ei'%e—w ❑ Expansion ❑ Repair
Basement? ❑ Yes la-%�o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ZSi &,C -As ,r 'A ftp (Initial) Wastewater Flow: 3G0 GPD
(See note below, if applicable ❑)
ZOO 46,ewit an S 5 :srZ�en (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size socsC) gallons Exact length of each trench 9n feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. "z8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: % Feet on Center
Soil Cover. I C. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
to inches below pipe
z- inches above pipe
I'Z inches total
"II applicable / undetstai rd the system type specified Is diferent from the type specified on the app/kation. / accept the specibrationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authoriu6on is subject to revocation if the site plan, post or the intended use changes. The Construction Authorization shall not be transferred when there is a cha ere 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 Agent: Date: 06/0'L/Za-4
Construction Authorization Expiration Date:y Co /()c-/ zAZz--
HTE# Iy1438 Permit # 'Zk490
Harnett County Department of public Health
Site Sketch
PROPERTY LO(ATON: 3 z4 C I c.r k C 5 2 I S it
ISSUED T0: C �nKS nc� c ra SUBDIVISION
�---- LOT #
Authorized State Agent: l ���Date: oG /6L/ ZGt
YL�<P
382
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Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
On-Site Wastewater Section
Property ID:
Lot #:
SOIL/SITE EVALUATION
File #:
for ON-SITE WASTEWATER SYSTEM
Code:
Owner: — Applicant: CA1r:6/%*1 JwA:nL
Address: 3Ey Cj,,- S 2 a Date Evaluated: U �w `
Proposed Facility: '(j Z s'-' Design Flow (.1949): 540 Pro
Property Size: Id-Lo �C
Location of Site:
Property Recorded: �G>
Water Supply: ❑ Public❑ Individual ell El Spring
Evaluation Method: �1�Au'ger Boris ❑pit El cut
El Other
Type of Wastewater: O'$ewage ❑ Industrial Process ❑ Mixed
P
R
O
SOIL MORPHOLOGY
I
OTHER
.1940 "1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth .1941 1942
.1941
# Slope% (in.) Structure/ Consistence Sod
Wetness
.1943 .1956 .1944
Profile
Texture Mineralo y Color
Restr
De tth Soil IN.) Class Horiz
Class
<AR
I Lo O--g CnQ SL r ssiv jL
P�
�2 54
2 L 3/v D -Ia
PS
-y8 CIL 54 Fn 55fr°�
yF
G as
Ps
3o�la G/t to
54 (A fin �n
Description Initial Repair System
Other Factors (.1946):
S stem
Site Classification (.1948):
Evaluated By:
Others Present:
uV Si`iati1� Su�y
A-CO --> C: jl-ri^ ���
AvailableS ace (.1945) _
S stem T e(s) a a d
Site LTAR
35 - zf
r