IPACNTE# ILS - —q, 768 Harnett County Department of Public Health 29575
Improvement Permit
A building permit cannot be issued with only an Imp rovement Permit
�/ PROPERTY LOCATION: S +c] &,mye1 fM s! C r''S Z4)
ISSUED T0:/ V�Qnrte Eh a. SUBDIVISION LOT #
NEW Q" REPAIR ❑s EXPANSION)❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Ll 64— 4G x z,f� ar.a ti
Proposed Wastewater System Type:
Projected Daily Flow: '140 GPD
Number of bedrooms: a- Number of Occupants: max
Basement ❑Yes ❑To
Pump Required: ❑Yes ❑ NoaCi Fiy be required bas�"O0 final location and elevations of facilities
Type of Water Supply: El Community El public Lel Well Distance from well r C�C::' feet C Permit valid for.
Permit conditions:
f
❑ No expiration
Authorized State Agent: / �G�f� Date: O :11
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 provision 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, .19S2, .19S4, .19SS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mer. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: Kenna.ibp Iry/� PROPERTY LOCATION: ON 5ctrnve1 Nc v Ln a�G Z}�
SUBDIVISION LOT #
Facility Type: N32sc Z Qw v s+ [t.�� ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*" o fro lli-X2C 1 ca Ni (Initial) Wastewater Flow: 1/- GPD
(See note below, if applicable ❑)
c
Z6' S >s (Repair)
Installation Requirements/conditions Number of trenches 3
Septic Tank Size soon gallons Exact length of each trench feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /G inches
Maximum Trench Depth of. 2b inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/•1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. _ GPM inches below pipe
Conditions: Aggregate Depth: Z inches above pipe XF111 1 Z
inches total
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.
`"If applicable: / underrtand the grtem type speciled is different from the type specified on the app/kation. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is sublets to revocation if the site plan, plat or the intended use changes. the Construction Authorization shall not be transferred when there is a thane in ownership of h. dr. ni,
Construction Authorization is subject to compliance with she provisions of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITEITE SKETCH
Authorized State Agent:- ��� �� -i�j, Date: _ 0 �i` 113 / zo t -4
Construction Authorization Expiration Date: - c> -;-t 13 if zozz
HTE# 14-6-L41 q3'4 Permit # 29 64-6Harnett County Department of Public Health
Site Sketch
ISSUED T0: �enl1� 1 2. v PROPERTY LOEATON: Soy Sc4mue.1 M Vj-. Ln (
SUBDIVISION LOT #
Authorized State Agent: �i �i o��i��ys!%j//ll Date: Q 4 11 3/ Z c i l
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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: Applicant: 6`-'I10 -to M clap y
Address: SAmvi/ r''Koy Ln.. Date Evaluated: Ofji.Ojl'''�T
Proposed Facility: 49 � 5�p Design Flow (.1949): 409CAN
N
Location of Site: Property Recorded:
Water Supply: Public❑ Individual RrWell
Evaluation Method: uger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3.c/Z- 4�_
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L ;5 f"
0-3r,
c¢ st_
yet
36-40
'tit
Gn S P g'
2
3i,
O 34
G2 , 5
VR g*1
P3
34 1�
6rG 5rL
S t
u�
a,10
3
L 3j
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6q sL
WX SSS'
Ps
32 4�
bd- 3w
0S
7.SYjl�h Uzi
ya"
Description Initial Repair System Other Factors (.1946):
S stem Site Classification(. 1948): 'Prb✓s�r+a nAly S�r�-a,6�
Available Space (.1945) Evaluated By: Ar1r) "1A C �)CrFn
System Type(s) Others Present:
Site LTAR b. b•