IPACNTE#M C-, Harnett County Department of Public Health 29778
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
/ PROPERTY LOCATION: 164 TA„;n r';�s Oc. (A- Apt IN. ,e,
ISSUED TO: �cwwk`*-IKAf2CS (S¢-vIr15 SUBDIVISION k' .1 F«rM�
s LOT#_
NEW ET—REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 33.7 5Cs)e66' S'y
Proposed Wastewater SystemyT pe: Q.5%, tt a xdr c n s
Projected Daily Flow: S v C> GPD
Number of bedrooms: Number of Occupants: 6 max
Basement ❑Yes
Pump Required: []Yes ❑ No L Nlay be required based on final location and elevations of facilities �'
Type of Water Supply: ❑ Community f� ❑ Well Distance from well feet Permit valid for. L] F ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: / 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 remotion 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 provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and Insullation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. 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: �A-V,8 + VC-C-f.A Qev. ns PROPERTY LOCATION: 1 S'4 Tw;1 �� eorcLtc a vn stl�
SUBDIVISION LOT # s 3
Facility Type: 36111 6>1acss5;P:. 9-1re-w ❑ Expansion ❑ Repair
Basement? ❑ Yes 14YfFo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 9S;G /L,A is, ' or, 5-4ry'm (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable EI) 5,50
� Sym fl1 c10c Je<c,.'� s, 5 lr1y� (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size /000 gallons
Pump Tank Size gallons
Pump Requirements: (t. TDM vs.
Conditions:
Exact length of each trench J aS feet
Trenches shall be installed on contour at a
Maximum Trench Depth of a'/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: i Feet on Center
Soil Cover: 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: / undevrtand the ryrtem type rpeciled it different from the type rperiled on the application. / arrept the spetilrationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is Subject on, revocodon 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
tonstroctmn 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 Stt AIIALNLO Slit SRLILN
Authorized State Agent: -5 Date: a 11'41 -a G t "4-
w���'l ver,v C�.7r4 Construction Authorization Expiration Date: Sa ITc! Ia0Q-'?
HTE# j i -S 44(64(, Permit # ;) 414 I-IT:3
Harnett County Department of Public Health
Site Sketch
t� ` PROPERTY LOCATON: 1$ Tw 1 F;4. s Zw. (� �i ®' ren
ISSUED TO: _`,Avid + L.(_1Sy.1�Vbw—y:11SS SUBDIVISION LOT # t3
Authorized State Agent: C/ � �t—� �c� Date: T I Iii I:TCt
9
av
\ \ art C
\ r
3C�'c3e TrY1Vded A. Ac1rk+�s,L�,
oneto 44-
I
,4,I A(��rc.0 GpFE.
(.wNtTc�
r -15h 62- s ,, I`- r—
�KAna C6yr-
Yss
'
1 Ii7l.lte'/Cl c',W /'Ctv,�
1s5'
(L;L,
a }S
ED
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: (��4 & * 1c+segl btvtAS
Address: { 'I)K,{axj, LvC 1`3 Date Evaluated:
Proposed Facility. -Design Flow(. 1949):t0
j
Location of Site: Property Recorded: rrS
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Boring ❑ Pit ❑ Cut
Type of Wastewater: �Srewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G,.,5`I Ac,
❑ 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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L
Uc t_5
WL 6541
y.w
s-( 5c,
7T_ sV!L �II GaN�°
Ps
x8.36
00c, SLL
'elt3C+
AVVIA.
3r,
0.4
ay 3a
rye, scv
, f
It
TLI
cc>rs.b
r
(a
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
S stem T e(s) 2e Others Present
Site LTAR