IPACHTE# iI,4-5-q!aagq Harnett County Department of Public Health 29241
Improvement Permit
A building permit cannot be issued with only an Improvement Permit S(L :7cr> f'>
PROPERTY LOCATION: L/ 5 jarnc✓ (4 111 rz,,�
ISSUED TO: _1 "Ap, SurnoV /`:066" SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '3 a ,z- Vo' XSot 5t=1�
Proposed Wastewater System Type: ';15 5v flees- yLkiGvl Sys .
Projected Daily Flow: O GPD
Number of bedrooms 3 Number of Occupants: max
Basement ❑Yes G7—
Ko-Pump Required: ❑Yes ❑ No Eilfay b�e fired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Li' Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
71-Fi'veyears
❑ No expiration
Authorized State Agent: G� , 4' ids Date: /V / i 'd / 2s o L --+ 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 in compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
(See note below, if applicable ❑)
25% lrpc,l c�'u n S; 5. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size R t� gallons Exact length of each trench ry feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z i' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 feet on Center
Soil Cover, / inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
--JA inches below pipe
Aggregate Depth: � 4 inches above pipe
^-.aA 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: l understand the s}rtem type speciled is different from the type speciled on the application. l accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This concoction 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
Lonstmctmn Authorization is subject to compliance with the provisions of the Laws and Rules far Sewage Treatment and Disposal and th the conditions of this permit At AI IALH[U 111t MtILH
Authorized State Agent: Date: /Q//01, /-Dat-q
0 acz—Lti% Construction Authorization Expiration Date: /v/ /a />: oa6
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 this permit and shall be met. Systems shall be installed in accordance
with the attached system IayouL
ISSUED TO:
T-Sv. Oo
PROPERTY LOCATION:4` G
52 'app
1ir� +'� Or. CarrctL Nt'flr�
SUBDIVISION G
LOT# a
Facility Type: yo )c5o
D—Ire❑ Expansion ❑ Repair
Basement? ❑ Yes
Basement Fixtures?
❑ Yes ❑ No
Type of Wastewater System**
0 S i, lu'A�C.Jf
-- , S � s ��— �
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
25% lrpc,l c�'u n S; 5. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size R t� gallons Exact length of each trench ry feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z i' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 feet on Center
Soil Cover, / inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
--JA inches below pipe
Aggregate Depth: � 4 inches above pipe
^-.aA 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: l understand the s}rtem type speciled is different from the type speciled on the application. l accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This concoction 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
Lonstmctmn Authorization is subject to compliance with the provisions of the Laws and Rules far Sewage Treatment and Disposal and th the conditions of this permit At AI IALH[U 111t MtILH
Authorized State Agent: Date: /Q//01, /-Dat-q
0 acz—Lti% Construction Authorization Expiration Date: /v/ /a />: oa6
HTE# I 5 —y am i'iq Permit # 2 ci a q I
Harnett County Department of Public Health
Site Sketch
/
PROPERTY LOfATON: `IS Gv;lg L� ,yam s2 -a�
%->,
ISSUED T0: TAow- 44,( SUBDIVISION C:> -k )v") t LOT #
Authorized State Agent: <�� �/% Date:
2-S �J /L�cSiVCT1o^�
o;
3�2
'/o')( 60'
s�
1'� 1ST
2 t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: r� ft -Applicant: L.5-T-9G:,G
Address: LoV e4o+t_Lck'O Date Evaluated: a 101% 1 I�
Proposed Facility: qL 5� Design Flow (.1949): fap�
Location of Site: t/
Property Recorded:
,�/
Water Supply: � Public❑ Individual ❑ Well
Evaluation Method:r,Auger B - ❑ Pit F1 cut
Type of Wastewater: -[J Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:-Sq-A�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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
84-
Ss'/Y
PS
L do
0•216
64
v5;t 9'
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P r- 5i Gitc.�y 'sv: �•-r�o(e_
Available Space (.1945) Evaluated By:
System Type(s) c Others Present:
Site LTAR