IPACHTE# I1-5- Wo) �9q Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY U
ISSUED TO: —L "e 'fyrAA A 4�NO—S SUBDIVISION
NEW REPAIR 11 EXPANSION ❑
Type of Structure: - yd2 59'X36" 5�=b
Proposed Wastewater System Type: &eJkyL4,&4 S,s .
Projected Daily Flow: Vf-.' GPD
Number of bedrooms: Number of Occupants: 0 max
B ❑Y fl t�
29236
6440
LOT #
Site Improvements required prior to Construction Authorization Issuance:
asement es o
Pump Required: ❑Yes ❑ No E ay be°ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Is -Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
❑ Five years
❑ No expiration
Authorized State Agent:G�"zo �i�G� Date: /0 / /'da t --j- 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 sire On, 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 installadon 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 T0: WCA& 7T-,.IEA4 a 140rK,9.,s PROPERTY LOCATION: 7�' Vi C, MCLI v:xd
SUBDIVISION C kt e s kctio LOT # 3c�
Facility Type: `/32 3it, s -A39' 5F4�- LYNew ❑ Expansion ❑ Repair
Basement? ❑ Yes D.A�Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'Z59 ae, wr 5 .sem'on. (Initial) Wastewater Flow: � � � GPD
(See note below, if applicable ❑)
25%0 /Eek uc,C.,-ntt S Asa (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size swat, gallons Exact length of each trench L oc, feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: ci Feet on Center
Soil Cover: acv inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
"A inches below pipe
Aggregate Depth: —4 inches above pipe
� A 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: / understand the system type specified if different from the type speciffed on the application. / accept the specilcadons o/Chir 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: � �.r�r✓f_ Date: rv/ `� ��az�
a4 sJriricc:, > GQt�r._S Construction Authorization Expiration Date: i -/2a /aaaa
HTE# qDaqq Permit# 090)3G
Harnett County Department of Public Health
Site Sketch
MCC- I&'d
PROPERTY LOCATON: Vit- aai- A G L ( 13n't"C
ISSUED TO: SUBDIVISION -41e5Ac&x-L. LOT# 36
Authorized State Agent: Date:
3vq'
&CePur--e 10
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
t�
Owner: y,�,r%l yn�. Applicant t^%5_ 14 L
Address: Lv L,90 Date Evaluated: Illlt /a
Proposed Facility: 415e�R� Design Flow (.1949): r/
Location of Site: Property Recorded:
Water Supply: lic❑ Individual ❑ Well
Evaluation Method: uger on ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:& .f}i
❑ 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 J
.1956
Sapro
Class
.1944
Restr
Horiz
L 3-A
D -Z6
✓r1t f/fo'k
P5
a
L 3-S�e
�-'/4
Grt �/fes
�'niffPy'
PS
4Y Ye
K Scl
S t//
L $
D.7
V( 3Sv �✓�
30-�16
elc Sw
r4, s r �
ps
N(,r
y
L 3-fw
C -M
/11 LSIfL
VEIL y
30.90
lk( s/c.—
✓/C f !/4"
IP5
Yo
0'44
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P('Qylji6r1./rj S�-h.bti
System
Type(se(. 1945) Evaluated By: /^�
S em T e(s) Z Others Present: " ' /�.-erg G� �l nt /(�./d S
Site LTAR (j