IPACHTE# I-s-yisu Harnett County Department of Public Health 29590
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 43 :5, at— 1.10. e: Ci a i W qc)1 AJ,
ISSUED T0: _5'Eernkest�t� 6ICTs TK SUBDIVISION rAr, �.r �c SZ LOT # TS
NEW EV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4/32 C6b'Y _ns) 5 FS-,
Proposed Wastewater System Type: ZSio
Projected Daily Flow: 4"'86 GPD
Number of bedrooms: ' Number of Occupants: g max
Basement []Yes 9-0 cv'�/�
Pump Required: []Yes Maybe gad based on final location and elevations of facilities
Type of Water Supply: ❑ Community 5�ublic ❑ Well Distance from well feet Permit valid for:
Permit conditions:
❑ Five years
❑ No expiration
Authorized State Agent:: r� /�'ai ��/� s Date: 0 c; 14— 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 ronstrucdon and instillation requirements of Rules .1950, .1952, .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: SEepknson 81ds Trac PROPERTY LOCATION: 4-13 5weaf /6 G< (Ly6 V01 t
SUBDIVISION t w LOT # 15
Facility Type: 2 C4f0t> Coo') O—We—w— ❑ Expansion ❑ pair
Basement? ❑ Yes 9-- o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25 is (eal sc..L,' cA n 5-7,.f As (Initial) Wastewater Flow: VE G GPD
(See note below, if applicable ❑)
0
Z$/6 Si sT(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size L DOC) gallons
Exact length of each trench / U G feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z5- inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. YEN vs.
GPM
Conditions:
Trench Spacing: r/ 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
z inches above pipe
f Z inches total
**If applicable: l understand the t}rtem type rpecfded it different from the type tpedfled on the application. / accept the Jped9carriont 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
aonstromon 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:C-1- -q f tit 2%-4
Construction Authorization Expiration Date: o l f z --L—
HTE# 13- :S -141161I Permit # Z % 5170
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON13 Sweet 14oAw CL S .461 rJ�
ISSUED TO: _ cc SUBDIVISION Mocen FC.-,CrA LOT # _
Authorized State Agent: Date: D Z/ Z� l
i
N
,'LrEPA12 ACLr.A
PfLoga'"
68'14" x Lol
432
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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
GNq
Owner: ®r . Applicant: 54d&Wf ?44 —T;-.
Address 1 1449„4 jury Date Evaluated: V -747' ) )7
Proposed Facility: Design Design Flow (.1949): (/f76 (yiY3
Location of Site: PD Property Recorded: ,`rte
Water Supply: ublic❑ Individual El well
Evaluation Method: ager Bonng ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.69 .fC—
❑ 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
Y
C < %
a -1,(,
2 s`/
V/< afvo
PS
'(6
A41'
Ps
3
L 40/0
0-3D
4,5
WJL Nwly
Ps
304
014 �J,
F1 S P Y
7,SYg-7G@46"
9yf
22
oe ZC
F/gP S
Z-6&1i668A
3�f
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) " Others Present:
Site LTAR