IPACHTE# - 5-qa 5A:;b Harnett County Department of Public Health 29864
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0:1 gy—Xinna' -lr c.b
ISSUED TO: Ni SUBDIVISION C_o\c�'n:cw\ 1-4`,k\S V LOT# C�
NEW R--� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '33 z— Soy x 4 57 51=�
Proposed Wastewater System Type: 25% e2�As"br, Sir .
Projected Daily Flow: 376 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes
Pump Required: py s ❑ No El May be required based on final location and elevations of facilities
Type of Water Supply: El Community ❑--PD61ic ❑ Well Distance from well feet Permit valid for.
Permit conditions: ❑ No expiration
Authorized State Agent: Date: I SEE ATFACHED 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 taws 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, .1952, .1954, .1955, .1956, .1957, .19SB. 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: (-Cx-MW C�-r ,ra (ills, LLL_ PROPERTY LOCATION: a% C;e 1 'rj� C_E...01- S2 /l(�)
_� SUBDIVISION C ,lot, c,\ VA, 1\5 6
LOT # G
Facility Type: 352 50xx415 5�-� P-Wew ❑ Expansion ❑ Repair
Basement? ❑ Yes 13--ro— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 9'-„ n 4� QsSc o �osn Sss (Initial) Wastewater Flow: 3 GU GPD
(See note below, if applicable ❑)
�rnn Q ✓lei, 5>s, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size L LY>C, gallons Exact length of each trench --7-C> feet Trench Spacing: 9 Feet on Center
Pump Tank Size I <-Cx;1 gallons Trenches shall be installed on contour at a Soil Cover. /,I inches
Maximum Trench Depth of: a t.) inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM ^'A- inches below pipe
Aggregate Depth: tiJa inches above pipe
Conditions: �— C>vo�c �s<y c;<A a :8�c to e r (ze < , ro _ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA,
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the s}rtem tYPe spedfed is different from the type rpeciled on the app/radon. / accept the rpedfcadonc of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
tonstmi 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: ate: c.>I rr3
f�aSjr �,J C.`1 q,�u t.� Construction Authorization Expiration Date: "/1 a('16g S
NTE# 1 I—e, - q d 4 66
Permit # 9 C1 q ( `E—
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 94 (WemrkC� {>C.0 2 S2 IIII�
ISSUED TO: LGgT%CC5 , - SUBDIVISION ionc,.\ H i A-�, LOT # (off
Authorized State Agent•. c Date: C� 1 tl d, 4� / &611
,,;rcA
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: 61X�C,n '31445
Address: , Colcn�hf L/�'I�1 Date Evaluated: 016,91e,
Proposed Facility: 2�„ s. j Design Flow (.1949): oz��
Location of Site: N'z- Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ger Bo ' - ❑ Pit ❑ Cut
Type of Wastewate . Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6.$,3
❑ 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
.1943.1956
Soil
Depth (IN.I
Sapro
Class
.1944
Restr
Horiz
�� I d
Csc- sI-
Y
)a46
C.L
/ywg
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): L'L
Available S ace (.1945) Evaluated By:
S stem T s) Others Present:
Site LTAR !/