IPACHTE# IS -5 -`+3c6b Harnett County Department of Public Health 29796
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
( j��L!-^ !'+PROPERTY LOCATION: >JL q a
ISSUED TO: 1 OF �4 store SUBDIVISION Yvt J(C« LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site ImprovemenV required prior to Construction Authorization Issuance:
Type of Structure: Ot-a` N aQ X(�6' 3 pcL
Proposed Wastewater System Type: 06/ TC �� C s Sri 5 S
Projected Daily Flow: -&n c� GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes Lwo—
Pump Required: ❑Yes ❑ No Cd1ay h ' e based on final location and elevations of facilities
Type of Water Supply: 11Community Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
C
❑ No expiration
Authorized State Agent:: e(i if` SEE ATTACHED SITE SKETCH
K — Date: c'a aof
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 mbject m 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 Permit)
The construction and installation requirements of Rules .1950, .19S2, .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 attached system layout
ISSUED T0: PROPERTY LOCATION: t-:ar— t-1 a
SUBDIVISION Mix c lnz&-r LOT # S-
Faciliry Type: m µ a ' Ts 6 y p� ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*` — S% (Zr ,i�_:a S ti 5 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)!��
11t""GC'cscLha a�s`/a 2as1 S,t (Repair)
Installation Requirements/Conditions Number of trenches '3
Septic Tank Size S cz-�C:O gallons
Pump Tank Size gallons
Pump Requirements: ft TDM vs.
Exact length of each trench I OC7 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Is inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. _�`_ inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
Conditions: Z>—(;"�{.x 1 D' S% ' 11;r n dZrz � eaa
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
rJA inches above pipe
YJi - inches total
**If applicable / andetstand the system type speciled is diferent Liam tfte type spelled on the app/ica6on. / adept the spedbcationr Of this pelMit
Owner/Legal Representative Signature: Date:
This fo stmct on Authorization n subject to revocation if the site plan, plat or the intended use changes. The fonstrocnon Authorization shall not be transferred when there is a change in ownership of the site. This
lonstroction 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. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: o I ( 94 I dot 9�
Eb t, c� w dza_z� Construction Authorization Expiration Date: v1 ) 94 1 p093
HTE# r3' s' 9305 Permit # a 9-7 SY S
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: a C— 4- a
ISSUED TO:C-l� r� {gores - G- S�A(ord SUBDIVISION ar �a C C T0 -C 1-(- LOT # S
Authorized State Agent: �—� � Date: C.> t d Ll l ao z p
�'p"&mac �z.xnl oisEr�bv�:c,r` ReZ�:;re_�
a4a'
E 99
N L"j H
a d ?
°I J I`f-
a
�1)
a44'
-N-o a c- 4 a
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: c.1,?40n A0A..'5 Ofr
Address: rJG ri-2 Date Evaluated: 01)db)j/g
Proposed Facility:. L awµ,f Design Flow(. 1949):-,r4�t7
Location of Site: Property Recorded: ryt'
Water Supply:uhlic❑ Individual ❑ Well
Evaluation Method: ger BNrimg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: to 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3
e•lo
QZ si
iit-
Iv.
6v', G
'�P
ulPS
G�3
a
L 3,G
r-1-4
SL,
✓�. //is
as
P�
,wC%� ,
1
37�
v -lo
C2 s[
✓/2 f�P`
_��Y
5Ua
QwTide
.�
--
Jr-
0.3
Description InitialRepair System Other Factors (.1946):
S stem Site Classification(. 1948): 0(,5 ;"LE._ /P. vi52�ns,(� -57—; 1 -do 1—
Available Space (.1945) i Evaluated By:
System Type(s) a s -2 5 Others Present:
Site LTAR 0,