IPACHTE# s-yaJg s Harnett County Department of Public Health 29240
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 '' PROPERTY LOCATION:5S C -,IIiS !� CerK1C M;II a C-.,La�GGJ 6
ISSUED T0: l L c�� �� F s __ -- SUBDIVISION G01"R P 53Lc'? ,Q LOT #
NEW AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1/32 325`X34' 5v=57
Proposed Wastewater System Type: Z5 zL
Projected Daily Flow: el C56 GPD
Number of bedrooms: 4- Number of Occupants: max
Basement ❑Yes Eg-No"
Pump Required: []Yes ❑ No Irequired based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community LYFubllc ❑ Well Distance from well feet
Permit valid for:
3 -fly -e -e years
❑ No expiration
Authorized State Agent: Date: o t -4 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 of the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the sire. 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 .1960, .1951, .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: S.JGA.12 -1-, Ln4::p 14c � PROPERTY LOCATION: 66 0:11;5 a-,,, (Q>c [IL fvuIl M5n ax¢�
t
SUBDIVISION cLOT # —7 -
Facility Type: `/3/7— 3S,)' x 3V 5 i=n f� ❑ Expansion ❑ Repair
Basement? ❑ Yes � Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7 6:;�r_ JL.e-.a �C,L.-:c> r\. 5 ;a s . (Initial) Wastewater Flow: yrs o GPD
(See note below, if applicable ❑)
/Le.A.�c�t�,,,� S, s . (Repair)
Installation Requirements/Conditions Number of trenches 5/
Septic Tank Size ior�gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Q Ch inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. /re inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
R inches below pipe
Aggregate Depth: "A, inches above pipe
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.
N,d, inches total
**If applicable: / understand the system type Jpeciled is different lom the type speciled on the app/icadon. / accept the rpecih'c7donr 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 transferred when there is a change in ownership of the site. This
wnstmctmn Authorization is subject to compliance with the provisions at the Laws and Rules to sewage Treatment and Disposal and to the conditions of this permit att WALKUP 311t )6111.11
Authorized State Agent: Date: -10, / a /;;f a t�
Construction Authorization Expiration Date: t&/ I G/ a o a a
HTE# 4 a2'11-5 Permit # 2t; a,t4c,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: SS G :11;s C,4, . ( mcvZ Mil\ Q . Srt 1G65�
ISSUED T0: �A3" A. T u (-04... 14(,Mm �n (LC SUBDIVISION C 0AA 1 P S Lr tin_ LOT #
Authorized State Agent•. Date:
i l5'
.'L. X, A , 2 J+tic�
M TGV2
Z Si
4,3 N
3 $' zc 34'
S Ftj
44.1'
9)a
C, IL L, S e-oV2
31-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
0"4 a,
Owner: (+� 61�L�Applicant: V-6141 i' u / I�
Address: Cxj4IQ�� L06 a Date Evaluated: 10/ t �c, I 'q ^�
Proposed Facility: ,,y 5 rs� Design Flow (.1949):
Location of Site:,�� Property Recorded: YY5
I;d
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Method: ❑ ger_�Borin$ ❑ Pit ❑ Cm
Type of Wastewater: L_�-rewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0n68 ,k -d
❑ 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
MineralogyColor
,1942
Soil
Wetness/
.1943.1956
Soil
Depth (MJ
Salim
Class
.1944
Restr
Horiz
Lt -ziu
0,Zy
G2 4,5
K/'i