IPACNTE# (—S—g24k Harnett County Department of Public Health 29764
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�a ��__� ''�� PROPERTY LOCATION: rr;s�Sk: n �C>Id S�r�jL (!1. S - 5/L dmf,
ISSUED T0: y�r4�sW [�. `T-r)68!�;0M r SUBDIVISION LOT #
NEW f� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3fi2 oR0'X 6L7 OwM 94
Proposed Wastewater System Type: 2,�ib �E� Y E•:a�t S 4
Projected Daily Flow: f.. n GP
Number of bedrooms:— �� Number of Occupants: ��max
Basement ❑Yes ted'No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Ea4o� ❑ May be required based on final location and elevations of facilities
❑ Community f?Public ❑ Well Distance from well fid— feet
Permit valid for:
Bars
❑ No expiration
Authorized State Agent:: il�� o [ Zg �� Date: I I IZ�L/ '46%4 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 revoution it 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 Permit)
The construction and installation requirement of Rules .1950, .1951, .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 layout
ISSUED TO: ChAa-1es (A T,ianSnn T> PROPERTY LOCATION: F, N,r16� L.n I 1A Sks C. S -
� � SUBDIVISION LOT #
Facility Type: -232 30 X(r(ct b Hcaµ 19 ew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2-1o. Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C-L—'%Ica n S s (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
0�)b7-' , n (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /c�r)cy gallons Exact length of each trench 90 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 91/- inches
(Trench bottoms shall be level to +/_I/4'•
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: y Feet on Center
Soil Cover. / �2 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type tpecvled it different from the type tpeciled on the app/katon. / accept the rpeti6cadonJ of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The Conswction Authorization shall not be transferred when there is a change in ownership of the site. This
zonstacuon Autnonraton 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: a1 ol--+
Construction Authorization Expiration Date: T\ I "Act I -A6 ��
HTE#I-S-a%a'44o Permit# G7clIC4-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2 L- fN a (6 la S -L aa
ISSUED T0: Cvy,�C-Z, M -Y-CAC, Tf, SUBDIVISION LOT #
Authorized State Agent: z "".�a.� Date: S ( I a, moi' d OL
li c�?hl --t-
'D'>
2
'D'>
io2o Po 5r_t)
33(-4- 2ce)`xG,Et J
5� hWM14 Q
(Li
ly
h
0
Q.
J0
C
t=(LA,�--.—nS HAP, L-A,—rz
7C3
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: t / Applicant:7-r-
Address: L,,,se Date Evaluated:
Proposed Facility: .7�2 : m �_}- Design Flow (.1949): fly GPS
Location of Site: Property Recorded: of
Water Supply: elblico Individual ❑ Well
Evaluation Method: �uger Bon ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 34- �.
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
G, 3L
b
o
�4 �5
t/,4L 4411'
�s
(a -5/g
4� 5�
�� 5 P
�
� •35
C-6
P�
eptl 5r--
wi s e 4
��
C) _s
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pr`-dvr`4rb,,..Ia7 lr-'`�``�'O��
Available Space .1945) Evaluated By: ('CA&Cr Cern A , 4ed:;%
System Type(s) Others Present:
Site LTAR S 0, Yf