IPAC RRHTE# t I -,s-` IWKa- Harnett County Department of Public Health 29572
Improvement Permit
A building permit cannot be issued with only an Improvement Permit \
1/ PROPERTY LOCATION: 6o 0,55 Cr"ea!� Aa -(2;5.S Cs—m Sgaia)
ISSUED TO: �' 1�� Nva 1C0� SUBDIVISION LOT # t
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: '3 62-- (qac) x (.o' ) S n= -t>
Proposed Wastewater SystemTyykpe: LS%v ll[ dvG kyn S s.
Projected Daily Flow: SG0 GPD
Number of bedrooms: 3 Number of Occupants: C, ax
Basement ❑Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Fk es ❑ No ❑ May b ."ired based on final location and elevations of facilities
Type of Water Supply: ElCommunity I Psf' ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
IleTr ye years
❑ No expiration
Authorized State Agent: Date: U—.X / r u / -Z� t 1 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 requiremenu. 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
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1957, .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 TO: I l vot 11gM Ran PROPERTY LOCATION: 13\)ol" Cre-J Ac -€55 CSR 15t:;Pg
SUBDIVISION LOT #
Facility Type: 1> 111 New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? 1-1Yes ❑ No
O
Type of Wastewater System" _ t UMr' ka Z,5% elawi i;cati 5 55 . (Initial) Wastewater Flow: 34 0 GPD
(See note below, if applicable ❑)
eVreto k.a Z55,, J]�AX�Fon 575" (Repair)
Installation Requirements/CondjtionsI Number of trenches 3
Septic Tank Size 1000 gallons Exact length of each trench 510 feet Trench Spacing: Feet on Center
Pump Tank Size 1000 gallons Trenches shall be installed on contour at a Soil (over: 54 inches
Maximum Trench Depth of: I % inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM 6 inches below pipe
Conditions:
Aggregate Depth: 2 inches above pipe
r z inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system type specilled /s different fmm the type spedfred an the application. / accept the speciltcatians of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Construction Authoritarian shall not be transferred when there is a change in ownership of the site. This
tanstmction 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 )tt AI IARntU lilt )Rt[LH
E
orized State Agent: Date:y .4-/ A v / -r_ IZ'
Construction Authorization Expiration Date: a-4 I re / r- -z—
HTE# l S ` yl G 02, (L(Z Permit # Z is '4' 7 -
Harnett
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 6,,)mnc55 L.reeK ACCC-SS ( set.. l %O g)
ISSUED TO: L T rtac O a C -O L ion SUBDIVISION LOT # I
Authorized State Agent: Date: a / I / Z o t,+
SSo
p2o0�5IZ:b �' P
N
5 u
u
QN e/ q 0 S � bs',,,� j ,
L� "_ sem'
z
S 2.0 AAt2 J�{1.
ACL ESQ
►,-5� l �7 Og
�C 5 6�cM Slwdl I� on
� (-OnEo.,r Sv \6'.n
w t t6"-- m;n 5e6bAc44 occ 5kac oroe
3i iem✓_ e6l•Wl 'have- lrft M' -n 5e-Ar6acae oc bc,5en�.n�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: ��II pplicant: '' ' �
Address: �;; &,wK ACS Date Evaluated: ( �(i �// -7
Proposed Fact ity: � �i Design Flow (.1949): 3Z aP
Location of Site: /� Property Recorded: yGj
Water Supply: _1 u lic❑ Individual ❑ Well
Evaluation Method: uge nng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: l• 1G 00k,
❑ 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
46,04
rsQ LS
%!S
i Y6
3il
5Y, L
?WrA
z
z%
51�t6, z�'`
3z
a. F6
3
G -lb
U( 1`5
�� 5/
J/N
Io -3Z
�k U`��
S
2 �
v -ID
17.16
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s)r1.C.). Others Present:�h°� Gvrri�I,-�vAt5
Site LTAR 5