IPACHTE# Harnett founty Department of Public Health 29563
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
��_PROPERTY LOCATION: 2 C'3 B�� i;5� r ,mo, 2 \ Ce 52 l4 r 1
ISSUED T0: /fix_—�441 a .1Ioc,y— SUBDIVISION 606th d r3¢++� M a+41,o .� t LOT #
NEW f� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 &Z . (,56 a VS6 i, 5
Proposed Wastewater System Type: 5i.• tl e hoc 4 c n S� f
Projected Daily Flow: —sac In GPD
Number of bedrooms: -- Number of Occupants: (i max
Basement ❑Yes lid'No �.
Pump Required: ❑Yes Ll No l clay lu squired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for:il�rs
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: C' r- / Z 8 Z ZZ, 1 --7 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 requiremenn This
site is subject to revocation if the site pian, 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: Z3_4 G,pTl ca am Z-4
w— CL1 (<n FY)
SUBDIVISION &nl f 1El a5 LOT # _,"r
Facility Type: C 651 X65') s.`et `r� 2-1 rew ❑ Expansion Repair
Basement? ❑ Yes I�Ho Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z i< /FPalr (Initial) Wastewater Flow: cSCU GPD
(See note below, if applicable ❑)
'Z�%, lAev;) .4zt'rj/, S> s {��+ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s nacs gallons Exact length of each trench RU feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. / Z 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.
6 inches below pipe
Z inches above pipe
I Z inches total
**If applicable / understand the srrtem type specified is different from the type speafied on the app/icadon. / accept the specillcationr 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
tanslNeamn Authonzauon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �t �� 5 Date: [k � Z- S /to F-4
Construction Authorization Expiration Date: 0(bJZ'R1Zoz,z
HTE# i 'S -41641 Permit # Z c756.3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: S2 WZ:7)
ISSUED TO: Ke J-6 �v16 IC SUBDIVISION LOT # y�
Authorized State Agent: Date: OG / �8r2--6I
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEMkA,
Owner: /}.PI't''f_pplicant: �Oj l�
Address: G44 S /j�,St (vra t - Date Evaluated: �J
Proposed Facility: Design Flow (.1949).
Location of Site: �g2�Igcrkoppg�
opndi Recorded:
Water Supply: dividual Well
Evaluation Method: ❑ Pit ❑ Cut
Type of Wastewater: Iff Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O` q (2)
❑ 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
MineralogyColor
,1942
Soil
Wetness/
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L
6L
Z
L 31
O-zO
r,2 x
rA �7y�
C'S
3
L 3i
v-Zo
si
Oq�fifv
PS
zs 4ro
r�� s�v
S
TqO( ya't
�6+
o• 4—
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): PIOVj*jr,''✓ 1- 1'
Available Space .1945) Evaluated B
System Type(s) 7 40-1Others Present: 417 jrja..v Garrrin,vLlvoel.
Site LTAR