IPACHTE# I1'S_0 Harnett County Department of Public Health 29233
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Oct Xr-:a� n, A, -c A !l<1.C� 1-/ <39)
ISSUED TO: -1CnnW� L. Ps.�t5on c- SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 47aMH Ze�'X601
Proposed Wastewater System Type: Z4,io
Projected Daily Flow: ';GCS GPD
Number of bedrooms: 3 Number of Occupants: C,, max
Rasamnnt MYot 2.10
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
❑ No f� Nay bb equired based on final location and elevations of facilities
❑ Community f�' Public ❑ Well Distance from well feet
Permit valid for.
frs
❑ No expiration
Authorized State Agent: 'r7G��_ � �z�s' Date: ZQZeo /aot a- 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 construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system 13YOUL
ISSUED T0: <xnte8 L� P�+�Fccson Tn. PROPERTY LOCATION: D<��ci dw C�unc� (L-\.�t t46cl
SUBDIVISION LOT #
Facility Type: _ttaorsn µ Z,25 f,< Gd Ei"c—ew ❑ Expansion ❑ Repair
Basement? ❑ Yes Ea-11�o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z S d (Initial) Wastewater Flow:S 6n GPD
(See note below, if applicable ❑)
F
25/v mS,s (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s u<x) gallons Exact length of each trench P111 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oL• dig inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil (over. <'7 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryttem type tpecifed if different from the type rpecAed on the app/icatioa / accept the rpe6featianr of As 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 then is 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: �a�-3�iL Date: a a L-4
A ^a Construction Authorization Expiration Date: 9
HTE# — 5 —t -1'a 35% Permit # a' 01 �1 3.3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Cr.. -i , l ancvr% Ra . S0. 14j
ISSUED TO: TUmL6 L. PHE-.trsc \ Tr SUBDIVISION LOT #
Authorized State Agent: or=ifS Date:
1J
d
I � j
I
I S
0 r
I Ill r
�J
r>w M 14 h
DO
Zr�tvoc" J
r
C
_ I OoacN
I) Du�UIe-
ar ooT >�u-
Pgtw ver
Dr,,,zo w4�
LZ5f—
✓l.to�c�iea
iftJo D�Svi\J` an
n
C' L 17 AnCC �f �fp(•�()`X_L�` C,:Ccle-
5h«ll �x lou. icy Skeen
�� acp.�nZ Qc�oso�
i
I Zcu.nC��\
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: —S-C'lm At&-_r� 6� 6�
Address: 't�r.lnn� iR%D,ate Evaluated: 1U1 /0
Proposed Facility. q 9 Design Flow (.1949): '5600'
Location of Site: 7 Property Recorded: /"'
Water Supply: •[]'('ublic❑ individual ❑ Well
Evaluation Method:0-An—eir Boris ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
L
1.5
VkAw
P�
gq-Na
6K
I'* 5 eye
04
S4 _Ij(b
Zrd-4a
�hL SCL
F f l��o
T5Yt'71, e I&
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Prov 5 vittili 3i'
Available5 ace (.1945) Evaluated By:
System Type(s) led I Others Present:
Site LTAR a,