IPACHTE# 1Harnett County Department of Public Health 29246
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
qq ��"� PROPERTY LOCATION: C, B.nJiif +A Lail 1 t2el - C-� Ki ',;)1
ISSUED T0:b� �drnfKS Te SSiEf SUBDIVISION LOT # /
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: UR Q Ce l r Y V 41 5 t
Proposed Wastewater System Type: ZS %, .LcA . S ;, S .
Projected Daily Flow: �p GPD
Number of bedrooms: Number of Occupants: —max
el—
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes o � �
Pump Required: []Yes ❑ No CD Ifay bebe.required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ek rublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ars
❑ No expiration
Authorized State Agent::f�.��''t !!ir/�ate: ivv5�O1L SEE AIIACHED 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 to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
uL-Ciu^s 5, <
Ez,t (Repair)
Installation Requirements/Conditions Number of trent es 3
Septic Tank Size I rrl SU gallons Exact length of each trench _ / aC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: e9* 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: i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
'— inches below pipe
inches above pipe
inches total
**If applicable• / uadeatand the ryrtem type spelled is different from the type Jpearled on the app/iration. / accept the rperilra/ioac of 1hir 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
Lonstruchon Authoneabon 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:Date: io/ r�7i G ( 4
A"'s4n :o c0/Z '= .> Construction Authorization Expiration Date:
Construction Authorization
Required for Building Permittj
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: aoic A" ArA),:s-
—res e
PROPERTY LOCATION: C Fhr;4,iyA
1 ,4k J i S2 /cf/c77,
Facility Type: r 2 r'k 4qs
Std
SUBDIVISION
ew ❑ Expansion ❑ Repair
LOT # /
Basement? ❑ Yes E;-Ilo
Basement Fixtures?
I] Yes El No
Type of Wastewater System**
o�si LP d
•Ltw ri/t 5 S Lary
(Initial) Wastewater Flow: `/fry GPD
(See note below, if applicable ❑)
uL-Ciu^s 5, <
Ez,t (Repair)
Installation Requirements/Conditions Number of trent es 3
Septic Tank Size I rrl SU gallons Exact length of each trench _ / aC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: e9* 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: i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
'— inches below pipe
inches above pipe
inches total
**If applicable• / uadeatand the ryrtem type spelled is different from the type Jpearled on the app/iration. / accept the rperilra/ioac of 1hir 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
Lonstruchon Authoneabon 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:Date: io/ r�7i G ( 4
A"'s4n :o c0/Z '= .> Construction Authorization Expiration Date:
Q c'�c7
HTE# --4'd54 -J Permit # Zy a1(o
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ginc',51; ti L;�tik L�1- S2 I'/ 1-.2)
ISSUED TO: 12o'ip A A±\9es- T6651ef SUBDIVISION LOT # i
Authorized State Agent: Date: 10 a S /;A 01
/k�D2�„a CN22.tti1
C c? 2rCPa 2
\
0
111 VCc K I1
Q I yj Ci nci1. 1vK'j, to oC- S1.5 ("A w:-I:L"
r
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: f"
Address: L' �r 5sk- w Ct, <2.-1L, Date Evaluated: 101-agldo°+
Proposed Facility: , Design Flow(. 1949): i
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property 1 D:
Lot #:
File #:
Code:
I,a a5<t s--!::>
Property Size: f44C, 3. y 75 C 5th
❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L
45
✓q�
PS
C
D,ss
a
04a
Lsvrf
SYS
V
(a :3�
K c
►tel 5<
7-sret4tl6-36"
39
6, 3
5vi lS
c�>ns
ben{,
50,\F,
celv'r4c. 63
Description Initial Repair SystemOther Factors (.1946):
system Site Classification (.1948):n.,LLf $� ��
Available Space (.1945) Evaluated By: //�� � 1'Q_
System T e(s) lczb Others Present: A- t\c) fe_,� c, rr ce ev �•�S
Site LTAR 5