IPAC RHTE# ID'S `1 I�Q Harnett County Department of Public Health 29708
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: $aoexv��` v Com.
ISSUED T0: t—a i�flxnrcg SUBDIVISION '1"r— C.czA" LOT # 4
NEW -4 REPAIR ❑ �ANSfON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _56—p (yi7'x1Azr
Proposed Wastewater System Type: 9v a v7 o 15% aS p� V • 5:;
Projected Daily Flow: 3(e0 GPD
Number of bedrooms: 3 Number of Occupants: C, as
Basement []Yes �K No
Pump Required.�Il9es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well feet Permit valid for: Five year
Permit conditions: ❑ No expiration
Authorized State Agent: ��(Zjy—S Date: q 1 1) s `j SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ancenTs of other per.,,. The permit halder�nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revaatim if the site plan, plat. or the intended use changes. The Im ent Permit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Pump Requirements: h. TDH vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / undeatand the tynem type rpealed if different fmm the type tpeciled on the app/kation. / acrept the fpecilretionJ Of thir permit
Owner/Legal Representative Signature:
This Construction Authorization is :u n rotation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred cafe
Concoction Authorization - ct to comer w isions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permi
Authorized State Agent: Date: w`1
RAlstruction Authorization Expiration Date:
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
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 atuched system layout.
ISSUED TO: _ L—AMC.Of-
PROPERTY LOCATION: eCLC)0'w4 c6 C+r
Facility `5'Z�0 C4-7 IIA0
SUBDIVISIOIiii, E Gc2 EEti LOT # 4
'9.
Type: _
New ❑ Expansion ❑ Repair
Basement? ❑ Yes l9 No Basement Fixtures?
❑ Yes �KNo
Type of Wastewater System" Qu -,ego
well REDVGTl N S7s-6M (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable ❑)
PV
e/
ce�.SL a RC—Z `sYy
me�
(Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size top o gallons
Exact length of each trench `�S feet Trench Spacing: Feet on Center
Pump Tank Size toe V gallons
Trenches shall be installed on contour at a Soil Cover: F. inches
Maximum Trench Depth of: IB inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / undeatand the tynem type rpealed if different fmm the type tpeciled on the app/kation. / acrept the fpecilretionJ Of thir permit
Owner/Legal Representative Signature:
This Construction Authorization is :u n rotation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred cafe
Concoction Authorization - ct to comer w isions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permi
Authorized State Agent: Date: w`1
RAlstruction Authorization Expiration Date:
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE#
Permit # a�i104
Harnett County Department of Public Health
Site 'ketch
PROPERTY LOCATON: e'oAOW016.g G
ISSUED TO: �� b c,L—S /_ SUBDIVISION T�nE �a,,�. LOT # Lj
Authorized State Agent ld-M5(-04 ?oLy5o4 Date: 1p
le
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: Curttp 1A9••vs
Address: '!Y3 .+ ey Date Evaluated:�����'
Proposed Facility: Design Flow (.1949): 3�00t)
Location of Site: 31on— 5 F� Property Recorded: P,&
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Morin El pit El cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.61 A C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
Other Factors (.1946):
OLOGY
OTHER
PROFILE FACTORS
Site Classification (.1948):
L
E
#
Landscape
Position/
Slope%
Horizon1942
Depth.1941
(In.)
System Type(s)
onsistence
Mineralo
Soil
Wetness/
Color
.1943
Soil
De th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
C1.942
�S
Q
7.5Y2xlt 3011.374_
3a
lel
n'Z6
�� 5L_
VQ
20-W
61C 41'k
(tL � P 4
1I61al
3b4�
(.ej GS
vq p
7-5 f�23(t iL11[p
si[n1� wi
-30
3tic AL,
7. S 4�Q�) '. Z("
"Ni A a
6
cs
VK
I sY2�L�lN''
ZEE
Description Initial
Repair System
Other Factors (.1946):
S stem
Site Classification (.1948):
Available Space (.1945) 1
1
Evaluated By:
System Type(s)
Others Present:
Site LTAR