IPACHTE# I -s' `�fLA /%a Harnett County Department of Public Health 29492
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t xXl Nc;f16 Gcae-V- 2c1- CScrt-- t5f3)
ISSUED T0: Qce.6f rhq-1,4i9e-.a5 SUBDIVISION /,3entCn VAc(Lc,e- s/h LOT# I
NEW 6�� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 34 2 5 P% ( be' x v c s J
Proposed Wastewater System Type: Z5 %� Rc duc E• on Sos �.
Projected Daily flow: 36c GPD
Number of bedrooms: T3 Number of Oc pants: max
Basement ❑Yes 2 No
Pump Required: ❑Yes ❑ No ��a�y -required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�' Public ❑ Well Distance from well feet Permit valid for. ars
Permit conditions: ❑ No expiration
Authorized State Agent: Date:y6 /G5Z7-0t-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 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 to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Reouired for Building Permit
The cunstmction and installation requirement of Rules .1950, .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 T0: Q,(,e6 M-J-6ke.a5
PROPERTY LOCATION:
000 zyc./4 Gree (ZA
(I&I is 1,3
SUBDIVISION &-i
n 9 /`k6'L , s/ `o
LOT # I
Facility Type: 366- s2r`iievv
❑ Expansion ❑
Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes
❑ No
Type of Wastewater System'* z 5 %w ik a E • c
3 :1 a, e---,
(Initial) Wastewater flow:
c) GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size t L = - gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Number of trenches 3
Exact length of each trench yo feet
Trenches shall be installed on contour at a
Maximum Trench Depth oh inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: q Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: 6i�y lioAs Shw// C-J":y1 t for C.'n./ ss�utf: e
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI[ SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
t -Z— inches total
**If applicable: / ondetwnd the ryrtem type rpeahred it different from the type rperiped on the app/ication. / accept the spedintrrionr ofthis 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
wnstmcnon Authonzanon is subject to Compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tit AI IACHtU lilt MICH
Authorized State Agent: Date: o6/66 / zo 1--7-
Construction Authorization Expiration Date: I --/os / u)zZ
NTE# 1'q V/Z// P Permit # Z9yJZ
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 1000 �://S Great 2d . CSrZ 1610
ISSUED TO: gce%E Mhi��7y�S SUBDIVISION 4,.n 61".1 LOT# I
i
Authorized State Agent Date: 06 Our- 1 Z-aI
C
xP, -u" 1lanj 51w\I tsc
1 TO ~+SILLS C(LC EX
n%.)- CS4 151 j)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
G ; d1W j<
Owner: Applicant: ly"i% IR 1114-- S
Address: i� � •//S C"' K 21. Date Evaluated: O S�r6I
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded: i�
Water Supply:blic❑ Individual El Well
Evaluation Method: uger Bon_ - ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property.Size: ID.Z AC
❑ 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3ro
Is
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5Y23(IC� $11 [8
Description InitialRepair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) t5 14 b zS Au /Icrl Others Present:
Site LTAR 0.31 0 75