IPAC RHTE# I -s- gl`4632 Harnett County Department of Public Health 29565
Improvement Permit
A building permit cannot be issued with only an Improvement Permit l
L PROPERTY LOCATION: �t j9 'Tnlvds/nn /, a A Cy/l I55/ )
ISSUED TO: �, I (Cr SUBDIVISION JJ LOT # _
NEW Ek� REPAIR ❑ EXPANSION ❑
Type of Structure: S r%t-,
Proposed Wastewater System Type: 75 i, A.A� 4yn :
Projected Daily Flow: :310 6 GPD
Number of bedrooms: Number of Occupants: _max
B❑Y
Site Improvements required prior to Construction Authorization Issuance:
asement es o
Pump Required: ❑Yes ❑ No ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ablic ❑ Well Distance from well feet
Permit conditions:
Permit valid for: ars
❑ No expiration
Authorized State Agent: cam/ Date: G -Yo /Zieef /C_'oI 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 gla . 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 provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are inmrismatd by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: -5e)o/varrt nJ/tlEw
CL -L—
PROPERTY LOCATION: 316 5'C) AiA �M,niy R..1.CS2 651
Facility Type: 313n-
s
I -New
SUBDIVISION LOT # a
❑ Expansion ❑ Repair
Basement? ❑ Yes to
Basement Fixtures?
❑ Yes
❑ No
Type of Wastewater System**
ZS% fsp
2�
� /_ (Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable ❑)
9 yiA tl[�oc.b; c>�- S -,s _ (Repair)
Installation Requirements/Condifiom Number of trenches �'
Septic Tank Size 102-> gallons Exact length of each trench P'y feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: A C-) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
c�
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: G, inches above pipe
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.
I Z inches total
**If applicable l understand the system type spealied is different from the type speciled on the application. / accept the spechnationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The construction Authorization shall not he 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. SEE ATTACHED SITE SKETCH
Authorized State Agent �7� { /lam_/ Date: fib / z 8 / r -o 1,4
Construction Authorization Expiration Date: C)Gt/z
HTE# ) i - S -'414 S32 Permit # 2 95415
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON:_J01 Jk6iisl-_4 G,,xaA:, aA. (9Z, lSS)�
ISSUED T0: sau�(��� !_LL SUBDIVISION —T` LOT #
Authorized State Agent:���—��� y �� Date: UC,
2Sid (L
M6 7-1 ,� C (3 v t.3 -r Y
Asn. Ise u
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Appplicant 5_6VAit11q ��- �� LCA
Address: t,a / 'T�y.�>�'" 45'• �. Date Evaluated: o9l-7j11j
Proposed Facility: ; /j/L Design Flow (.1949): f60 6PD
Location of Site: Property Recorded:
Water Supply: 91uhh,❑ Individual ❑ Well
Evaluation Method: ugerBori ❑ Pit F1 cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: �, J3615)
❑ 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 (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I
L 3-qU
0-20
GQ SL
f/���i
U pS
2036
g� &4,
Val 10,v
36r
04
?S-4?
gr
_7.5Y211 P L11"
Tj
v.y
3
1, 3-4%A
YL
Description Initial Repair System Other Factors (.1946): n
S stem Site Classification (.1948): Ir��,�14.in�J i "i✓�t
Available Space(. 1945) Evaluated By:
System Type(s) Z Others Present:
Site LTAR lei..d.I/