IPACNTE# l,1 -S-`4 ;iel4b Harnett County Department of Public Health 29793
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: q6 M We Ai Ply, (r) —5 (LA <- 111!
ISSUED TO: "NkC i u% SUBDIVISION U
LOT # 3 to
NEW L-4� REPAIR ❑ EXPANSION ❑
Type of Structure: Li32 5 3' x 54s.5 1 5
Proposed Wastewater System Type:
Projected Daily Flow: z -y li�> b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes OF
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L3�f ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
9-ftyry—ears
❑ No expiration
Authorized State Agent: 4: ' Date: 01 1 It I ';?Cl 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 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, ASS, .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 T0: (Atlee Hotli, t1 -C- PROPERTY LOCATION: qO Nsa Y,,e11 Plwen f`Docs a.L Srt )11(
SUBDIVISION 6C.>•VMC'r%-k: LOT # 31a
Facility Type: y31 5 3 `N
6,
Facility s 5. s� 2-- w ❑ Expansion ❑ Repair
Basement? ❑ Yes 2-- Co Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 0an tc, aSYo a"t:s x:c,e\ 5zs. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) r
P"N.w -kfl a5%a /Le,, . 5) 5 , (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1'a 60 gallons Exact length of each trench 146 feet
Pump Tank Size s 66150, gallons Trenches shall be installed on contour at a
Pump Requirements: (t. TDH vs.
Conditions:
Maximum Trench Depth of: /0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on (enter
Soil (over. G 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.
Nik inches below pipe
^'It, inches above pipe
inches total
If applicable: / underrnn0 the r}rtem type speriled /s diNerent /rom the type speriled on the app/kation. / accept the rpecilcatioar of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject to revocation if the sire 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 Authonntion 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:it ' �r1'4� Date: a i I th c'p
N X02 C,vQ,2,,,Z, Construction Authorization Expiration Date: wC Iaoa3
HTE# 1 I" S- 4 a `m4 7 Permit # � 9 g Ci 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: a0 M��l elwe—cs o a� 52\11;
ISSUED T0: Alt 1Cee F16nut� L(G SUBDIVISION LOT
Authorized State Agent: l.S/S Date: "< < 1k 016143
->c J
(-u
r
AA Xtzq-t Ll e�A�+C.
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: ncw.� tacws ccc
Address: i�+ 3,9 Date Evaluated: 0401a
Proposed Facility: yf e� Design Flow (.1949): O,�L,
Location of Site: Property Recorded: if3
Water Supply: [3'11'u—blic❑ Individual ❑ Well
Evaluation Method:❑,Airger Boring ❑ Pit ❑ Cut
Type of Wastewater: -0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1. J etA G
❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN I
.1956
Sapm
Class
.1944
Restr
Horiz
b- 4o
GL Lj
✓Q rsw/ %fir,
S
ata
L L10,b
0-39
&G i5
/%2 ws,.v
S
3$-`I d
SL s
vtti �sNi sEP
5/S
o . &
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
,Available Space(. 1945) Evaluated By: Aw.a�w [.ren m6li3
System Type(s) 5` -L"A 2d Others Present:
Site LTAR 0 6. c. g