IPACHTE# I -5 4aa� Harnett County Department of Public Health 29773
Improveme_ n_mit
�F� 1 Ea _ MC-,;;ssE A building permit cannot be issued with only an Improvement Permit
ISSUED T0: �(T 1 p�typ M PROPERTY LOCATION: L-, Imp ( L S544ij
NEW p--" REPAIR ❑ SUBDIVISION
EXPANSION ❑ LOT #
Type of Structure: 392 ;q"x yv 9 >, a,X GL Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: ';15 i)s
Projected Daily Flow: _ 3e tg GPD is S
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes o
Pump Required: ❑Yes ❑ NoMC7 ay h' 'equired b d
Type of Water Supply: ❑Community
ase on final location and elevations of facilities
ublic ❑ Well Distance from well
Permit conditions: Fret Permit valid for.
❑ No expiration
Authorized State Agent: Date:
The issuance of this permit by the Health Department in no way guarantees the issuance of other pertain. the permit holder is responsible for che<kin with appropriate SEE ATTACHED SITE SKETCH
site is subject m revamtion 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 m compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. 8ermit is s bjebodct in meeting their requirements. This
Construction Authorization
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1 57, 1958. and r.16959_ull
dl ncvpom it) by references into this permit and shall be met Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: (�a ty �( PROPERTY LOCATION: W l\;s t''o cL1.
LSfL t544s
Facility Type: '3o,L- d$'y"I yjwM�SUBDIVISION
—New ❑ Expansion ❑
LOT # /
Basement? ❑ Yes Repair
D-70 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(See note below, if applicable ❑)
(Initial) Wastewater Flow: 36C-, GPD
��oL fipn 15 t (Repair)
Installation
Number of 2
Septic Tank Size oCZ� gallons Exact length of each trench feet
Pump Tank Size
Trench Spacing `j
gallons Trenches shall be installed on contour
Feet on Center
Soil Cover. / ;-? inches
Maximum Trench Depth of: CSS- inches
(Trench bottoms shall be level to +/.I/4"
(Maximum soil cover shall not exceed
n all directions)
36" above the trench bottom)
Pump Requirements: h. TON vs. GPM
Conditions:
` inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM
ANY PART OF SEPTIC SYSTEM OR REPAIR
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
AREA.
a egal /understand the
re- type rpeciled /J different from the type spealed eve the app/ication. / aaept the rpecAcm
can
Owner/Legal Representative Signature-
t
am at this permit.
Construction Authorisation is
non it the site plan, plat or the intended use
with the provisions of the laws and Rules for
Date:
-• •... —u-w,.non span not be transferred when there is a change in ownership of the site. This
Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
�� �j�a Gvi Construction Authorization Expiration Date: t GG
Ago - a
HTE# 17-s.--*a-::v89
Harnett County Department of mPublic Health
Site Sketch
Cc.rz,l P. 2
ISSUED TO:yZ hael4n PROPERTY LO[ATON: , l�S Qry S- �5 �
SUBDIVISION
LOT # I
Authorized State Agent:
Date:
C?Zr�.� L`2rZin�
WOCi Ve- 1�.7 5k"%' N..E :at.
toc.ak�A ;A 1cCAk c
vIf-Lis
I &J
5 s
PILO Po>s=)
3g2 �6'X9v� ��i
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M y /
t� L w� e)ectU
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
Sheet:
Property 1D:
Lot #:
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: -� Applicant: (Lcj<. tio,''l.e M-iaLv—
Address: -wjfis e9cgz< q_e,, Date Evaluated: I X1/05/ i -
Proposed FacilitTStyL u13Myf Design Flow (.1949): �5CV &C ,) Property Size:
Location of Site: Property Recorded: A6 �-
Water Supply: ublic❑ Individual ❑ Well Spring ❑ Other
Evaluation Method: -ger Boring ❑ pit ❑ S rin
Type of Wastewater: ❑Cut
❑-Sc a e ❑Industrial Process ❑Mixed
P
G44 L-.,-
VAZ
('S
R
O
F
SOIL MORPHOLOGY
1
.19401941
OTHER
L
Landscape
Horizon
PROFILE FACTORS
E
Position/
Depth
_1941 .1941
.1942
Soil
#
Slope %
(�)
Stmcture/ Consis[euce
.1943 .1956 .1944
Wetness/
Profile
Texture Mineralo
Soil Sapro Restr
Color
Class
th (IN. Class Horiz
& LTAR
Tj L d%v O_df
G44 L-.,-
VAZ
('S
3IL3w1a-X
p7'"a G 4c �y y Pr/
ps
30 0 4�
System Other Factors (.1946):
Site Classification(.] 948):
Evaluated By: XcL J Gur:ini�
Others Present: