IPACHTE# 11-5-4901:q Harnett County Department of Public Health 29780
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: Lam' Jofr, rLe-ml, --'roc-
PROPERTY LOCATION: 133 F -7-'7s" N T�'r 01'o
SUBDIVISION GX Csz' -.1 Ac>'as
St c /U J�
LOT #
NEW Cam REPAIR ❑
EXPANSION ❑
_
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 332 Gpaad45' 5a=>
Tank Size ICXX,> gallons
Exact length of each trench
Proposed Wastewater System Type: '-15
X, (Ce 4N x4'en Six
.
Trenches shall be installed on
Projected Daily flow: 760
GPD
Maximum Trench Depth of: _A_
Number of bedrooms: �9
Number of Occupants: G.
max
(Trench bottoms shall be level
Basement ❑Yes C
in all directions)
Pump Required: es ❑ No
❑May be required based on final location and elevations of facilities
Requirements: h. TDH vs.
Type of Water Supply: ❑ Community
G?"Public ❑ Well
Distance from well rvA feet Permit valid for.
f v
Permit conditions:
❑ No expiration
Authorized State Agent.: Date: I V 20, 1 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 a 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 .19SD, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the atuched system layout
ISSUED T0: 1 3���cYd4 fls n�:1� enc . PROPERTY LOCATION: 13,3 lie-. ( Cilia -s-L' Cu "
SUBDIVISION c5 ve C:6 -rl-- wvaZs LOT # �3:a
Facility Type: 382 60Nx 452 5 0--ffe�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: 3C-0 GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: _� Feet on Center
Soil Cover: /o 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
inches total
**If applicable, / understand the spem type speriled it different from the type speciled on the app/icadon. / accept the rpecdicanimr o/ this 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
Construction Authorization is subject to announce 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: I V 1671 I ay1 �4-
't::>cz rck.� `V t_ct t — Construction Authorization Expiration Date: la lal I aU'7 a
��4xaTx>
vR S%, /Gc.1,
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic
Tank Size ICXX,> gallons
Exact length of each trench
'aO feet
Pump
Tank Size / LXX> gallons
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)
Pump
Requirements: h. TDH vs.
GPM
Conditions:
Trench Spacing: _� Feet on Center
Soil Cover: /o 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
inches total
**If applicable, / understand the spem type speriled it different from the type speciled on the app/icadon. / accept the rpecdicanimr o/ this 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
Construction Authorization is subject to announce 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: I V 1671 I ay1 �4-
't::>cz rck.� `V t_ct t — Construction Authorization Expiration Date: la lal I aU'7 a
HTE# 1'5-4d'�64a
ISSUED TO:
Authorized State Agent:
Harnett County Department
is,
Permit # a 94 go
of Public Health
Site Sketch
PROPERTY LO(ATON: t I C<„ ion 1s e C6N
SUBDIVISION
o C rd X,=*crx3s LOT #
Date:
rvo` Yqs+
i5'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: y Applicant:
Address: UX�d vko>i L,'--ZI Date Evaluated: 10014
Proposed Facility: Design Flow (.1949): 3to0
Location of Site: J!L 3F57 Property Recorded: S<*
Water Supply: public[] Individual ❑ Well
Evaluation Method: [],Auger BBori g El Pit ❑Cut
Type of Wastewater: J�ff Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 41,6glle
❑ 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
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salon
Class
.1944
Rear
Horiz
la -3a
,+/e--.
T5Yttlj, 3da
3.7
U•y
is 9v
9� 5u-
5 o
zsYtIlo 38"
ND
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qro,,,7z e.,. ttJ 5 41 btc_
Available Space (.1945) Evaluated By:
System Te(s) S _ RjUl, d- Others Present:
Site LTAR