IPACHTE# Harnett County Department of Public Health 29494
Improvement Permit
A building permit cannot be issued with only an^ ovement Permit A 52 t m(a
_ PROPERTY LOCATION S¢ Ca S LV I -C," 'Dc (•OIG► sz-x- Q�A S.1
ISSUEDTO: �30`IOns iica.1L� _L n( SUBDIVISION r�ztcc-d 3��„ls LOT# l4
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3&Z 5PV> (cO`x4T”)
Proposed Wastewater System Type: 1-55r, (l.te.jck-; • n Sa s.
Projected Daily Flow: 3 GPD
Number of bedrooms: ,3 Number of Occupants: G max
Basement ❑Yes
Pump Required: E9ies/ON o ❑May "quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community E lublic ❑ Well Distance from well feet Permit valid for: f s -
Permit conditions: ❑ No expiration
Authorized State Agent: Date: C6//a- / Z 0 1 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 construction and instillation requirements 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
S 2 S ppb,
/"`c
ISSUED T0: W(3-11005
� i .-1 r)PROPERTY LOCATION:
GS
ti�t� bre (_bld SE 2l�..
S
SUBDIVISION 0XF6r
-
L.Jcc>c LOT # Icf
Facility Type: 3132
GYNew ❑ Expansion ❑
Repair
Basement? ❑ Yes o
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
f 4e \Oct' C,/ 5-'5. CJMfa
-#a)
(Initial) Wastewater Flow: 3G GPD
(See note below, if applicable ❑)
0.sri �o 'Z.g% (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size kCCC� gallons Exact length of each trench ?n feet
Pump Tank Sizeg = gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 30 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover. Y I? inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
C- inches below pipe
Z inches above pipe
I 'z inches total
**If applicable: / undeatand the tyrtem type rpeciled it different ham the type rpeci#ed on the app/icanoa / accept the specilcationr 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
Lonstruttlon Authonzamon is subject to Compliance with the provtsmns I the Laws ansl3ileLjor. Sewage Treatment and Disposal and to the conditions of this permit )t[ AI IALntU NIC )RtlS.n
Authorized State Agent: Date: C*/o--r-f7l' Zo 1-7
Construction Authorization Expiration Date: 0.(f/c,:4 JAZZ
NTE# I}— 6-L111466
P.#
ermit
Harnett County Department of Public Health
Site Sketch
ISSUED T0: W e1\Ong
I
PROPERTY LOCATON: & S
r --0110r; Or,
A nh;ac— v0L 2;f5L? I
SUBDIVISION 6x
C -,,,c1 c+�ond5
LOT # 1'9
Authorized State Agent:
&/o4"
Date: 5&/04-
c o0-,Iz'
I
40 I
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QJ`^� '�0nalw P I
apo F.
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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
Owner*;4� App icant:
Address: t -I ZO Date Evaluated: O Vg1lo
Proposed Facility: jgC 6P!> Design Flow (.1949): 360 GPD
Location of Site: Property Recorded:
Water Supply: ,,--,, � Publi ❑ Individual ❑ Well
Evaluation Method:Q1K,ger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: oSK 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 (1N.)
.1956
Sapro
Class
.1944
Restr
Horiz
L q%
o'zq
6a t�5
RI qf�
24-v3
Ort sc.
G( S to ,
y�
v
L y�
O -U
(A 4
Fit
zg �a
su,
ri 5 P
48
Y
Description Initial Repair Syste Other Factors (.1946):
System Site Classification (.1948): �r�, v,'s:<n �� S•"6Li
Available Space(, F94-5) Evaluated By:
System T e(s) ?h Others Present:
Qnr/rr�*s
Site LTAR