IPACHTE# (T -!5-q01 R ci Harnett County Department of Public Health 29211
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
rr r� PROPERTY LOCATION: tc 3 t -->C-$5 0&
ISSUED T0: (��,u G S �2/IM¢ASon+— SUBDIVISION LOT #
NEW ❑ REPAIR O EXPANSION
Type of Structure: 1-'432 SPI> ca/ rjg-PC, Gc.r,,y_
Proposed Wastewater System Type: Zsio s, K.
Projected Daily Flow: v80 GPD T_
Number of bedrooms: Number of Occupants: max
BasementeCraY�o
Pump Required: ❑Yes ❑ No lk y be- ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ�Public ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for:
ve years
❑ No expiration
Authorized State Agent:: Date: �r3/�C3���� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holdonsible 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, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the anached system layout.
ISSUED T0: -i�r�sr n _J 1 PROPERTY LOCATION: fod T--- enc 6S ,
SUBDIVISI LOT #
Facility Type: c v c- E o 6- ❑ New xpansion ❑ Repair
Basement? es ❑ No Basement Fixtures? ❑ Yes E.a-Ko
Type of Wastewater System** 25 Srs�ca�_ (Initial) Wastewater Flow: tE GPD
(See note below, if applicable ❑)
LS% fded'LkAIrS,sEcr�(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I ;I 6p gallons Exact length of each trench I nc> feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: / inches
Maximum Trench Depth of: 04- 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: fL TOM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: /eZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spec hed is different hom the type specified on the application. / accept the rpecihcadonr 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
tonstmcuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conducting of this permit att MIAMI) NIt 5111
Authorized State Agent: Date: o�) I c5l 3//'4
AN*-rv, Construction Authorization Expiration Date: o4;1 a,z % a cl
HTE# I I - S- 4 a,Oa G Permit # a q1
Harnett County Department of Public Health
Site Sketch
---PROPERTY LO(ATON: G a 4' a Cr S S W o
ISSUED TO: G ken4nn LLl- SUBDIVISION LOT #
Authorized State Agent: G-��-�.-���`/�T�!/;f5 Date: �� ac3 /cao I�
Aa�2Es� G�cui-t tv
a
2EA2 \
POwr,L ��-01
Acce& s y
li
E -.,< T-
4 54zet;L syskem, 6o I,, ,As4="jtrA
N E.a (1a0065CE-.p 0(Z-, v)- w A`✓
Y
aa� I
i�20 f�0 5 En
S Fri
6A2A�,�
id
— — — 3a`xso�
\
IT-]
tyiyna3 3\ I I ? U
I
A2ca I I
ZS%
ar PPC a PVLJGIk
--
W.
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: f%/LC/lr7
Address: "!7:7 r c SS W _ Date Evaluated: c) d/o?cb/t _1--
Proposed Facility: vG S'�� Design Flow (.1949): k-90 6er>
Location of Site: ''TT Property Recorded: izs
Water Supply: �blic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: CI-SeG+age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: & / 1 /I L
❑ 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 (M.)
.1956
Sapro
Class
.1944
Rest/
Horiz
G 2�
6< SiL 5
K?
�sVC��Cgat�
�5
YL(
o�y
L I P/'
C)
61( SL
3, �!
L- 1«
c, -z5
41f, 3(-
4
f s
w-qU
r4 S (a�
-.sv2:�li e 4Otl
yy
G•
Description Initial Repair System Other Factors (.1946):
S stem Site Classification(. 1948):
Available Space(. 1945) Evaluated By: A9 J
System Type(s) Z 264 Others Present:Site LTAR , y It/