IPACHTE# ".� -5 y(�}� Harnett County Department of Public Health 29580
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 45ei &4 Dr. �OIi V J 5!t 1000)
ISSUED TO: 0AV,& 7 i1G . SUBDIVISION (fix (-e,rzA- t 3cun A S LOT # '33
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 34,L 5') slob
Proposed Wastewater System Type: 'We rLALeAi cvA
Projected Daily Flow:�3 2 GPD
Number of bedrooms: 3 Number of Occupants: _(max
Basement ❑Yes o
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E�Pu�lic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
U-Fniry—ears
❑ No expiration
Authorized State Agent: ���:y � /rf�Date:01-1t'bl I —i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamnmes the issuance of other permits. The permit holder is responsible foe 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, .1957, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in amrdance
with the attached system layout.
ISSUED TO: re,r>r,%Cur-j,4inM¢�� k=n�. PROPERTY LOCATION: C"t>^ oe. flc\ s-• —5te. wol.�
SUBDIVISION 6xCo,4 w Dads LOT # 33
Facility Type: 3e3.2 (;9(1X37S') SFS 9-1 rew— ❑ Expansion ❑ Repair
Basement? ❑ Yes E;1 -116o Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** P„mp Just, 7_si - .a, k S-;_!5 (r � (Initial) Wastewater Flow: 36,0 GPD
(See note below, if applicable ❑)
Pew, P 4o &d b (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /Grid gallons Exact length of each trench *o feet
Pump Tank Size It x) gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. I— 'V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: % Feet on Center
Soil Cover: 1 z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: -Zinches above pipe
I L 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: / understand the tazem type speuled it different lom the type rpecihed on the app/motion. / accept the cpecificatimis o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pian, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstmcnon 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 Stt AI IALHtU Silt SKEICH
Authorized State Agent: Date:yI (I
Construction Authorization Expiration Date: 0411111
HTE# 1 +"S— 4l l4G Permit # -Z gsp_,o
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ion O c . C018 S4121- tAa • - Sn.
ISSUED TO: -:rhr SUBDIVISION 6� c, -d .x�s LOT #
Authorized State Agent: Date: t Sl C'L
'=hToN
,t 1
1�3�1.vb`
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: GpM.(clt-z' �4-W3 yam-,, _
Address: jc j 53 0/q-0,4 Date Evaluated: 61/ �" �
Proposed Facility: 5j—,r�, Design Flow (.1949):
Location of Site:O roperty Recorded: Y
Water Supply: u lie❑ Individual E]Well
Evaluation Method:❑ ager Bo❑Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6-5-i?-q� •\C_
❑ 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
Structure/
Texture
.1941
Consistence
Minendogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
10
e
3S
'Y't �✓
✓ ✓�
Z 160
C-->./��
L aid
o- zG
(��
Z440
IF
3
�. 3i
o -tit
Qs
VPO 4
q0t
Y6�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):i.itl
Available Space(. 1945) Evaluated By:
System T e(s) '' Others Present:
Site LTAR nj