IPACHTE# I 1--5—gD�09 Harnett County Department of Public Health 29237
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit 'y
PROPERTY LOCATION: yy M GiL- CA ;ctcMr1t (&A. SL
ISSUED TO: SUBDIVISION G LOT # ngI
NEW g__--7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3(,1- 110`X 5o t Sv=I�:>
Proposed Wastewater System Type: a5% r4A,)Lc4*,n
Projected Daily Flow: 3cgc� GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes EO. o _�
Pump Required: ❑Yes ❑ No ISI-Mgy bee ie tared based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ ub�P lic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Wk -rears
❑ No expiration
Authorized State Agent: Com, Lam_, C��-!!wh`S Date: lo/ s Gii /'a6 t' -Z- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 provisiom 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 this permit and shall be met Systems shall be installed in accordance
with the atuthed system layout
l7'L `d.t'jLlu
ISSUED TO: LJ �V(r2y 1 ks� cpg PROPERTY LOCATION: -Yo Mciclk,& Lf ((Sc"L wt;ll'A
SUBDIVISION C.44Len."a^4a- LOT #
Facility Type: 3132. clot x Soy 53-fe�w ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** .Z s to ti S55 4Y� (Initial) Wastewater Flow: 3r- U GPD
(See note below, if applicable ❑)
2570 AJA'X461 c�- 5)g, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s vop gallons Exact length of each trench �4-S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. 2 `b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. / G 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.
A
inches below pipe
-ti
inches above pipe
ti
inches total
**If applicable: l undeatand the system type specified is different from the type specified on the application. / accept the speoffcationc 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
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: �� _�»rte Date: / v/ 2 a / A o I--T-
c,,,q,rLLt--- Construction Authorization Expiration Date: /5/ls/a�a�
HTE# i — S aS Permit # 2 Gi 3
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: `/b Mc --41;A
ISSUED TO: Won%� Tvrn¢,ti 14or+¢b SUBDIVISION ( 4+1254v, -c_ LOT # a!
Authorized State Agent: 5 Date: 1 0 / I d / ay t -q
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Vt' is 6;A
Owner: &Yf WApplicant: k'T4, L (-G
Address: LULL a (oAA I," C... Date Evaluated: +Ul q I oo cl
Proposed Facility: 5�� Design Flow (.1949): %be�Z>
Location of Site: Property Recorded: y eb
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Method:;]-7V5ger Bonin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: C7 .5 '4-
❑ 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
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5�
VR Wio
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013
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(,2 SL
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oy�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) ° Others Present:k''�
Site LTAR O, p,