IPACHarnett County Department of Public Health 29762
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: VMaa o CL0
ISSUED TO' cy i� o n U. i0 SUBDIVISION LOT # A
NEW Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 32 S y 51 5 P=T�,
Proposed Wastewater System Type: D 5 / it c a ti
Projected Daily Flow: -3 L O GPD
Number of bedrooms: —_ Number of Occupants: max
Basement ❑Yes Piro -
Pump Required: ❑Yes ❑ Nofa�Ftay bei' ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community IAd�Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Ct] J4WY;fan
❑ No expiration
Authorized State Agent: e ; // Date: 1 1 11( / 'a G s � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permiti. The permit holder is responsible for checking with appropriate governing bodies in meeting their nquiremem. 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 to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: S��S�I.�rn Ct r—k
�S PROPERTY LOCATION:
M n l retnS -
LS(\ILt S 0
SUBDIVISION
LOT # Q
Facility Type: 2 5SAAY x 5Z-�
I—New ❑ Expansion ❑
Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 3 ;S moi,
0- -a_" (.—\( u . S;? s
(Initial) Wastewater flow:
-3 6G GPD
(See note below, if applicable ❑)
Qur^p -
rd5% A'eA ->s (Repair)
Installation Requirements/Conditions
Number of trenches C�
Septic Tank Size t C>vp gallons
Exact length of each trench 5(1)
feet Trench Spacing: %
feet on Center
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: / F5 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. jr� inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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
/4 inches total
**If applicable, / understand the xcem type spedbed is d0tent hom the type specihed on the app/kation. / accept the specih'cadonr of this permit.
Owner/Legal Representative Signature: Date:
This constructions Authoriution 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
Lomtruction Authorization is subject to compliance with she provisions of she laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L I 1 G 19,6 14
�,� wrz'(L s,� Construction Authorization Expiration Date: 11)
NTE# -4a 71';, Permit # .12c7if-y(�,al
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (-�a- �1
ISSUED TO: 6c)vfLesm TovcV, 1-% vua2, SUBDIVISION LOT #
Authorized State Agent/yam '� ��+� ` Date:
t3�
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: --Applicant: Ste, , `asp c -L -. tach
Address: lav* D ..,vL-,"tQ.cF5_ Date Evaluated: it 11{� �Ulq
Proposed Facility: 36,'L- Property Design Flow (.1949): '�j 6PG:
Location of Site: Property Recorded: y -ze�
Water Supply: ublic❑ Individual ❑ Well
Evaluation Metbod: ger Boris ❑ Pit ❑ Cut
Type of Wastewater.EI-Se-wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:(•�G—
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structurd
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
D.1943
Soil
IN.
.1956
Sapm
Claus
.1944
Resp
Hartz
Profile
Class
& LIAR
+
L
or CP
P�
-i
/54 SG
FI S1 `✓=l
7 S1 (L�ItQl�r
/-i`�
d
` a
C-10
&,t
0F2 fJ�iP
lo•l�
/Ai4 _
3
L Cyd
°"'°
(92
✓� iSf'?�
PS
YJ -x
Iii
o 3
Description Initial Repair System Other Factors (.1946):
System - Site Classification (.1948): Prbv�s� nit Hl1 S��-bl�
Available Space(. 1945) - Evaluated By:
System Ts) Others Present:
Site LIAR