IPACHTE# (E�- s--'►3D3ct Harnett County Department of Public Health 29855
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: lCc�c�n o«t� PROPERTY LOCATION: f1i'\L \ Ln " w A ci1c� tom,
SUBDIVISION Vaay 's 6Z, LOT # ?C _
NEW 9 - REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: q/ 31Z GOIsc too Ras S�
Proposed Wastewater System Type: Q5%
Projected Daily Flow: S/SO GPD
Number of bedrooms: 'A- Number of Occupants: max
Basement ❑Yes Diro--
Pump Required: ❑Yes ❑ No9'N y abe re d based on final location and elevations of facilities
Type of Water Supply: 13Community ublic ❑ Well Distance from well ^.,A feet Permit valid for. �rs
Permit conditions: ❑ No expiration
Authorized State Agent: Date: o I / aaC1 E3 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 m revocation 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 subjxt 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 requirements 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
2c�b in Ccac�c5 ``
ISSUED T0: KcA -Eli W co c� PROPERTY LOCATION: m i 0. Ln • L w� a o �•,
SUBDIVISION Nc4 rn5 —.c'cn s/3-. LOT # 353
Facility Type: 9!22 W'Xto12.f31 5*11' Q--rew ❑ Expansion ❑ Repair
Basement? ❑ Yes Co Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" os Vo (Initial) Wastewater Flow: `��� GPD
(See note below, if applicable ❑)
a s% (Repair)
Installation Requirements/Conditions Number of trenches i—
Septic Tank Size I ,A 5n gallons Exact length of each trench =7 e feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Qi inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
laukion
Trench Spacing: i feet on Center
Soil Cover. /Q inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: A inches above pipe
af-etA N A inches total
Y—uhvC� Vc r,\ b twav 1,,✓ Is S41r . M t n) troll f I A,: ,k 5c< 'c. 1 oc 4 on
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.
"If applicable, / onderrtand the system type rpeciled it different from the type rpeciled on the app/kation. / accept the rpecilcationr of this permit
Owner/Legal Representative Signature: Date:
This Conshucdon Authorization is subject to revocation if the site plan, plat. or the intended use changes. The Concoction Authorization shall not be transferred when Mere is a change in ownership of the site. This
Construction Authorisation 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—Z:; � �� j%j Date: ;96 i aUl Cs'
6taJ�u'� C� \ J Construction Authorization Expiration Date: c>l'ZK' aUR'S
HTE# l G - S - 4'303 c� Permit # QCy9,i5
Harnett County Department of Public Health
Site Sketch
PROPERTY IOCATON: M,IIk1ccx� L-0. Qio
ISSUED T0: L6u--.ASUBDIVISION ac,ma K crt� 5 �_ LOT # 38
Authorized State Agent: Da1e: vl aS becl8
Gn Cor\ �,,c ��w.� O . s • k � �n
96v l 6,13c,�1 15C—L rs • •� C �r�c� n� 1 !uL
6"u "pp— rn"-ka X
incl.x�n� wl d¢, sG.c.
1 To 1 Lmaa
��ti SFc'
3
I ;
yal �
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: tKCIT�A
Address: (hitt 6b t Ln. Lot M Date Evaluated:
Proposed Facility: `{g t_ 5f:kj Design Flow (.1949): C -Pb
Location of Site:� Property Recorded:
,—,Yc}
Water Supply: �rublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: /0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3,4G t -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
Stmctare/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
�t °)
L 14"96
o i�
VQ Li
►�
64.
44
3
L q_0✓i2
#je �L.
PS
31:-4$
(i,C 5u-
F2 t55jrk�
c�rG
o.6
4
Description Initial Repair System Other Factors (.1946):
System Site Classification(. 1948): Q( -o v+s,,&nhp) 5 4 -lo tC.
Available S ce .1945) Evaluated By: .c l
S stem T e(s) i" /4 i w Others Present: `t`5 y
Site LTAR O -q-5 O.t/S