IPACHTE #l-91-4�4S Harnett County Department of Public Health 29579
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CIcf-eAAoA I - Ln� S dr�C nA 5,. yUoo)
ISSUEDTO' nmFur� )o kt i3 �� SUBDIVISION G x iti�t WctrrYS LOT # 3 z
NEW f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 32 ( -1 Z s f Jt .36') 5
Proposed Wastewater System Type: Z.Ve,
Projected Daily Flow: '3 LG GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes f
lo -
Pump Required: f3Ye El No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑--PGfiTic ❑ Well Distance from well feet Permit valid for. D—We "years
Permit conditions: ❑ No expiration
Authorized State Agent: Date:y3 It til 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 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 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, .1951, .1954, .1955, .1956, .1951, ASS. 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: CO/A(Ur"I. tIc un 'Tc r' PROPERTY LOCATION: 52 iocxi)
SUBDIVISION LOT # 3z
Facility Type: I rL '}Z. S' x 36 s) 5 F3> 2--Ke—w� ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pt:vcAp-li,�, 7�io 11eA4XV n <;z6,- (Initial) Wastewater Flow: 36d GPD
(See note below, if applicable EI)
Pone i66 2.5%a 14-c\ Sz _ (Repair)
Installation Requirements/Conditions Number of trenches _3
Septic Tank Size 1 dGC- gallons Exact length of each trench :�7o feet Trench Spacing: 9 Feet on Center
Pump Tank Size tcy�o gallons Trenches shall be installed on contour at a Soil (over. / r— inches
Maximum Trench Depth of: Z µ 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: 2 inches above pipe
I z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*If applicable: /understand the syJtem type rpecihed it d/Kerent hom the type speciled an the app/nation. / accept the spec/b'cations 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
Lonstrucnm 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: Date: C7 / 18 / (1 -
Construction Authorization Expiration Date: o,4/le/ z -r
HTE# » 5'y14gl5 Permit# 295-79
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C I01CC000 (E. (W. S4c 9.A_ iJ Sit Iocl�)
ISSUED TO: GOMFah 140mg6 Inc. SUBDIVISION 0x Cc, r-,4 x LOT# 3Z
Authorized State Agent Date: (W-) 1
95
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moat �
J
36'
I
u01
1061 I
GL A2 Et�hoJ �(�•a rt_-�
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: CCw R% * 'Ve^96 -T'� - % _
Address: LO)' 32 O t�or� +.a.c i,' ate Evaluated: p �//',p-1 1 --
Proposed Facility: wz S� Design Flow (.1949):r. '¢Q +
Location of Site: Property Recorded: )rte
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method Auger,ng ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6 SBI 4C
❑ 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
Wemess/
Color
.1943
Soil
Depth (IN I
.1956
Sapm
Class
.1944
Restr
Horiz
2
L 31v
U -g 2
�o'% ' �
� ✓
Ps
3Z 4S
(
r S P
7_6/Zl to
�( �
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945)< Evaluated By: q :t
System T e(s);,4071
c Others Present: ttnU re_�
Site LTAR p, 6 y