IPACHTE# 14 `5 -LI15Harnett County Department of Public Health 29498
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
I B PROPERTY LOCATION: 110 Clik",x t pctrtc Gn i 52 I L1�
ISSUED T0:/ rt' MR L P. [-"8 kik �� SUBDIVISION _ _ C o lC¢RVooc z Q LOT#
NEW f� REPAIR"est EXPANSION ❑ Site Improvements requ d prior to Construction Authorization Issuance:
Type of Structure: 362 5;7,N t ct7' Y9.
Proposed Wastewater System Typ e: is i„ I;
Projected Daily Flow: e: L6
GPD
Number of bedrooms: �3 Number of Occupants: G max
Basement ❑Yes 2-io
Pump Required: []Yes ❑ No I�r ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community LY ubhc ❑ Well Distance from well feet Permit valid for.
Permit conditions: ❑ No expiration
Authorized State Agent: C/ �/� Date: OG /1z / Zo t "i- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no guaranties 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 pmvisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permjt)
The construction and installation 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 attacked system layout.
ISSUED TO: Tt':c..n le ll rzb G_1L PROPERTY LOCATION: 'a t0 co�aab .y
v rs,ce P -O Sb��., Pc,r1L Ln t, s2 /Vc 3,
SUBDIVISION Go sloe b., ;t �' %✓� LOT # —4 Y
Facility Type: 34 2 9 r t> 4 3 ` Y Y 7 O'Rew ❑ Expansion ❑ Repair
Basement? ❑ Yes Erlo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* 2-5 %o rk-k-A.ujl�; c s .7s /� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2Sjo Z,., F«.. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I < o u gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 50 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z. 4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: `/ Feet on Center
Soil Cover: v Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
z Z inches total
**If applicable: / anderstand the system type spec/led is different hom the type specified on the application. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject on 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 ILL AI IACHLD SIIL SKLICH
Authorized State Agent: Date: 0& / 1Z, / wT
Construction Authorization Expiration Date: ofo//Z I Lozz
HTE# i — S `141546
Harnett County Department
Permit # Z9f���'
of Public Health
Site Sketch
PROPERTY LOCATON:i l U CoKEsb > ecu - L-4
ISSUED TO: 1 Unyt e I•%(,kL5 -Ptz.6 L) C_ SUBDIVISION C P� .,c -y__ LOT #
Authorized State Agent: Date: I t Z Z�6 t
I
taa Net
J
� ZSi� aCsa, yrs • 5 F aj
SoC 3� 3 4d
� 4 8' x 4 3'
ml
Vh ZSia rL� S) �4tor
COKr5Q,3CLY Ppk-Ct_v t,r-\,.�a—
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: App, licant:7licVV7k- Ik w45 P •
Address: Lc { �'� Co P2. Date Evaluated:
Proposed Facility: 36.-Z-5�� ublDesign Flow(.1949): SPD
Location of Site: Property Recorded: 11'e->
Water Supply: ic❑ Individual ❑ Well
Evaluation Metbod:EYAGger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G 01 C
❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Hartz
I. 5�o
-I W -10
C'2 L -s sss�
q
59a
-w�
G2 `Is
sf1° `
S�
6/6.6
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): sem; E«b�C
Available Space( 1945) Evaluated By:
System Type(s) / Others Present:
Site LTAR