IPACHTE# i 'I—5-44?gI3 Harnett County Department of Public Health 29235
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
,r� PROPERTY LOCATION: 66 6_ VrL�iria 14:115 tJt Soj+.,
ISSUED TO: �i C�1Ct�i AA'3Cs$g-n IJ�SUBDIVISION V Chyr' c &ilk, 77-- LOT # qO
NEW EK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 362 '34Iqir7(Sli'fd' Sri>
Proposed Wastewater System Type: L5% /tw.*1.arksan 5x6
Projected Daily Flow: 3(06 GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes Q10 �
Pump Required: ❑Yes ❑ No f7'May bb'���uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community fy' Public ❑ Well Distance from well feet Permit valid for.If v�'F a years
Permit conditions: ❑ No expiration
Authorized State Agent: 4�Ca t A�1�I ag55� Date: 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 revaation if the site plan, plat or the intended use changes. The Improvement Permit shall not he 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
squired 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: 0,Zhte�i Anaexza lA6Aat. PROPERTY LOCATION: 5� VtrJr,c;G 1_1IIS b,•' So
SUBDIVISION is LOT # 944
Facility Type: 3612 3yVS)(baa10te 6r1- 141De ❑ Expansion ❑ Repair
Basement? ❑ Yes 19—Wo— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: 305-6 GPD
(See note below, if applicable ❑)
Z3/v 5�� 5 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t c-A,cv gallons Exact length of each trench 90 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Ici� - aU inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: it. TON vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. (o-9, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A---�4 inches below pipe
Aggregate Depth: 41''A inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"pk inches total
**If applicable: / understand the tyttem type tpecifed it different from the type rpedfed on the app/icatiom / accept the rpecilcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revootion 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
Construction Authorization is subject to compliance with the provisions of the haws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: l oI f a If aot-1
/Aarparr. � Lv2cv-t N (onstruction Authorization Expiration Date: (Di to /ac)aa,
HTE# 1 i 'S -a AL3 Permit # �d9 Q35
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: 55(e V (--tvr,4 U; 115 %br. So,;O,
ISSUED TO: M;d(.el tan&fin OpAtin SUBDIVISION Vickrml , U-&S`G LOT #
Authorized State Agent Date: /G/ / -d orq
yif
n
5a'
r
,w,— 6a )QVC
� t
y
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: � Applicaanf m4, &i Ar,&('aC+'t
Address: V%(,fir%N 1,'113 !- Q4 Date Evaluated:
Proposed Facility: $�Design Flow(. 1949): 3co 6TIN
Location of Site: Property Recorded: Y�
Water Supply: ,,����ublic❑ Individual El Well
Evaluation Method: EkAuge�rng ❑ pit El cut
Type of Wastewater: "LJ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wemess/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
✓t lezo
�a33
�
'Ea
't-sP�
Ips
301+
a-0rar
L 6%
b-$
r!G L4
Vq f /.f'
*Z
.v
56LI
OR &
Povf
1.
36
Ov36
X15
Sia
o -ib
101(.
"/e-
0 rAsP��
Ps
q6t
dcw
o
Description Initial Repair System Other Factors (.1946):
S stemSite Classification (.1948):
Available S ace (.1945 Evaluated By:
System Type(s) Z Y Others Present: AIA J
Site LTAR n' 0.