IPACHTE# 1 +—z _y rlCx( Harnett County Department of Public Health 29202
Improvement Permit
A building permit cannot be issued with only anImfprovement Permit
PROPERTY LOCATION: `i8(!54L0 Cc (on 2d • �1(4ZI;( )
ISSUED T0:/C (1t i5{106y _ CUr6cln SUBDIVISION LOT #
NEW 5K REPAIR b EXPANSION ❑
Type of Structure: 4q1 .Yl'v 1..9, fL / L Fa
Proposed Wastewater System Type: Z
Projected Daily Flow: 6140 GPD (StuEt Mt,n;mvm\J
Number of bedrooms: Number of Occupants: SL max
Basement ❑Yes C
Site Improvements required prior to Construction Authorization Issuance:
0
Pump Required: Dyes ❑ No L$'May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t�c ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
!114wh years
❑ No expiration
Authorized State Agent: Date: L:20 I1 S I ZG a -4— SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat. or the intended use changes. The Improvement permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958, and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: CA%(;5{o9trc<- Cc CS on PROPERTY LOCATION: q0Q !< f Ezsn a�A (9n f<I @t �
� SUBDIVISION LOT #
Facility Type: X361 An t ���� T New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System"` Z$/o no 1,x1 ion S ,s!— (Initial) Wastewater flow: aW GPD
(See note below, if applicable ❑)
Z.$z�o Cttba+Gfni»t S ,.r/<•,. -a (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size l O o e gallons Exact length of each trench 4h r5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: as a inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: fL TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. /G inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
6 inches below pipe
67 inches above pipe
/ al inches total
*'If applicable: / understand the s}rtem type specified /t different from the type specified on the app/kation. / accept the rpedfIcaGonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject in revocation if the site plan, filar, or the intended use changes. The construction Authorization shall not be translerred when there is a change in ownership of the site. This
anstmcnon Authorization is subject in compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and on the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:_�j ��� �i /' Date: (Da 1 15/'wt —+
Construction Authorization Expiration Date: 0 W Is l zoao
HTE# 1-4 S- y6109 Permit # 2 g a0a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C04+on a,\ Lyn- wa(,)
ISSUED TO: C, c,kc-SSUBDIVISION LOT #
Authorized State Agent:1���.r� /�f%s Date:zo 1 }
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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: X` Applicant:Gl4r�Sf�y4Cl -�6"
Address: f/00 Cwh*4 &J, bate Evaluated: oQj/G2�t
Proposed Facility: 3g2 3 Fb Design Flow (.1949): 71/0 CPD
Location of Site: Property Recorded: j'LS
Water Supply: / ®'l ublic❑ Individual E]Well
Evaluation Method. -0-. uger Bori [j pit F-1Cut
Type of Wastewater: Er Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /L. 71-7 jqC
❑ 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
& L`T,AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN J
.1956
Sapro
Class
.1944
Restr
Horiz
1_5
VR
51-1-
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Description Initial Repair System Other Factors (.1946):
System - Site Classification( 1948): Prlw,•s -Ht] S�,�„ (,[—
Available Space (.1945) Evaluated By:
System Type(s) -Z (ted Z5 Others Present:
Site LTAR 0 . [ 0,91