IPACHTE# 1�_6_ 146 Harnett County Department of Public Health 29862
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: la Ctcvxsrrf
ISSUED TO: 11-mGo 1%Y� SUBDIVISION C-Nc'n u\ ii.l\S LOT #
NEW 0 -'REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: XM G t s x 3 c,'
Proposed Wastewater System Type: a 5w lLc., , Ls,, n Svc
Projected Daily Flow: '3 c, b GPD ^�
Number of bedrooms: 3 Number of Occupants: L max
Basement Dyes Cd-tro
Pump Required: ❑Yes ❑ No�ay bye �*ired based on final location and elevations of Facilities
Type of Water Supply: ❑ Community LXPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
0-Mv y rrs
❑ No expiration
Authorized State Agent: Date: 9C- tot P, 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 requirement. 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 subject to compliance with the provisions of
the laws and Rules (or Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building_Permit)
The construction and installation requirements of Butes .1950, .1957, .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 TO: L<,,MLO 1as, r_t_(_, PROPERTY LOCATION: 1oT (i.1 .'2.II)�,1
SUBDIVISION Gc,1c"-'( \ LOT # !SF,
Facility Type: 2 G I sX 3%,' Si;36 171-16-w— ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ' 5 d GE16 n 5 > s Onr ..^_ (Initial) Wastewater Flow: 3Gy GPD
(See note below, if applicable ❑) q 4e�
25% 12�1/4%f n S > s (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size i tri gallons Exact length of each trench _qC, feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2n inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Trench Spacing: Feet on Center
Soil Cover: _F, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: - C c S<r \ s ' 4 l arkr,c� a- �. ; ce l
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
J` -'A inches below pipe
r.>,4 inches above pipe
r"JA inches total
**I( applicable: / andeatand the ryttem type rpeciled it different from the type rpedled on the application. / accept the rpecilradonr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended m changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction 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: c-1 15?G 1v 6t3
Construction Authorization Expiration Date:01) a(, /e0aD
HTE# 4'��It4 Permit # 1d C)C6(oL�
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: t d nie\r)cn-E CA, ( T4x cx,
ISSUED TO: L -C' Mco (ids t [ -C- SUBDIVISION R t it S LOT # S€s
Authorized State Agent Date: C, I 1 a (o /'a Or ri
yci�w\ ®',shd, b,ry"or\,
a ag)
,7G.g,
113
€7ot� LMUN � C,vv2T
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: Ld✓s'tu' C-vS! +-1�^�
Address: L,z�SG [61Ci)tb,( 4/% Date Evaluated: GIA //I�'
Proposed Facility: p�� .� Design Flow (.1949): W6G6A;Q
Location of Site:IYt' �- Property Recorded�f
Water Supply: Ej- unlic❑ Individual ❑ Well
Evaluation Method: ger Borin - El Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6 _g
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
4
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
Evaluated By:
L.�t-ntn5
System Ts)
d A
Others Present:�t�'`'�
Site LTAR
e3
—yg
cZI
Description Initial
Repair System
Other Factors (.1946):
System
-
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
L.�t-ntn5
System Ts)
d A
Others Present:�t�'`'�
Site LTAR