IPACHTE# ) J-5- ya3T Harnett County Department of Public Health 29230
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1$10 jn 1436
ISSUED, TO: gCrs�t rr in L o tVlbrrc SUBDIVISION LOT # '� 4
NEW L7 REPAIR ElE ANSWII ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 43(1 G%,e )r a F5 4
Proposed Wastewater System Type: 215,
Projected Daily Flow: 4 g a GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes 4o—
Pump
Pump Required: ❑Yes ❑ No elliiy be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E�Pu lic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
94"ls
❑ No expiration
Authorized State Agent:: Date:yI o o-/2 6 64 SEE AIIACNED 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 construction and installation requirements of Rules .1950, .1952, .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 attached system layout
ISSUED TO: La Mure-<t.; PROPERTY LOCATION: lei r4 44 4 n g, 41A Iy3GL
SUBDIVISION LOT # 24
Facility Type: 1X -40i �ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25% CcrQf t d,rs s9 a,6c (Initial) Wastewater flow: V8G GPD
(See note below, if applicable ❑)
6 `T °&A OC4 ' (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size inOO gallons Exact length of each trench Sip feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 90 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
-- inches total
**If applicable, / understand the system type speciled is different Imm the type speciled oif the app/icadon. / accept the specilcationr 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 transfersed when there h a change in ownership of the site. This
construction 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: � � 1, Date: /0 /-0 3 / �', 0 1 W
A ,j:Lc-L,r� Construction Authorization Expiration Date: rd( o'3 / 'Dv oR,a,
M
it—
HTE# - 5 -14d 3) a Permit # 9 C/ 9 -so
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 11310 MIWJR �s al (S 2 N 3G)
ISSUED TO: Ge,11' L, SUBDIVISION LOT # aA
Authorized State Aeenr L � /����%% Date: 46 6 3
3 c y'
1 -.4 , - D
52 1436
-0
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: 4� 'A"r i')
Address:/ (�✓t+fLC s /L�1_ Date Evaluated: 0/e,4/40f7-
Proposed Facility: y, b W,wt_( Design Flow(. 1949): YEC7 GP9
Location of Site: Property Recorded: %!�'
Water Supply: [2 -Public[-] Individual ❑ Well
Evaluation Method: Q—/Cuger Boring ❑ Pit ❑ Cut
Type of Wastewater: �wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3 111f C
❑ 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
i,a
a-
6 $
lot ;L
1AMfs��4
s pro
gr sw/G
r2 s���
y6 L5
o s
`l
a%
0 -IA
V/= sWN
p5
)� ND
9� Sw/L
f F fcy
7.6S�G�11 �j �G'
Ybf
0 .
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace(. 1945)Evaluated By: AnAreZ G�rrj n, 2
System Type(s) L 7-4 `o Others Present:
Site LTAR o, ;5 �� 3