IPACHTE# I'l— 6 ---1+ 3ti6) Harnett County Department of Public Health 29865
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: int
ISSUED TO: 1ct MC4 C's -k< M Q1d SUBDIVISION
LOT # 6
NEW ❑J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'a c t2 14Vyx 4 ci t 5y a-�
Proposed Wastewater System Type: :;�5i&
Projected Daily Flow: 3cec' GPD
Number of bedrooms: �3 Number of Occupants: 4 max
Basement Dyes LN'No
Pump Required: ❑Yes ❑ No f�e re aced on final location and elevations of facilities
Type of Water Supply: ❑ Community u lic ❑ Well Distance from well feet Permit valid for:lvtt"F a years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: r— oie—y6,� 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 to revocation if the site plan, pla4 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accorda u
with the attached system layout.
ISSUED TO: LcAtw h l .,rv. f3��.s�r PROPERTY LOCATION: VG Tc,eE.-
SUBDIVISION Gc,S c.r' ik \L LOT #
Facility Type: 3-S r- '4yyx S L-rNew El Expansion ❑ Repair
Basement? ❑ Yes fo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater flow: 3r -c- GPD
(See note below, if applicable ❑)
J1c, cin'SG- ,(,. S s. (Repair)
Installation Require ments/Conditions Number of trenches a 3
Septic Tank Size tfx5c- gallons Exact length of each trench 'gyp feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. F3 inches
Maximum Trench Depth of: QQ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM vR inches below pipe
Aggregate Depth: N!�. inches above pipe
Conditions: �—��X �� vca 1 fir, Iii c, /ley tv l4' inches total
r,
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeatand the s}rtem type specified it different from the type spenfied on the app/ication. / acrept the rperipcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Autho kation shall not be transferred when there u a change in ownership of the site. This
Lonsnuction 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: te; —I ply
�� N c a4l-L tV Construction Authorization Expiration Date: 01 1 9t;,
HTE# l -S -4 Q`151 Permit # c?r `7 &,s
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: t-1(. Tr 1 G� _ tCn�, q� S2 I11 (
ISSUED TO: _�c nnCn G, t r pia, �� SUBDIVISION Colo ; n I N Its LOT # Gam{
Authorized State Agent: U= Date: Gl X1(0
Deparnnent of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: ''__� Applicant: Lz...�Co t"'sK�+.. (bl
Address: 4cl 6V if llkl +l :i3O Date Evaluated: O it'0,71)%
Proposed Facility: 3,,3f_ 5,= Design Flow (.1949): IC0 6CID
Location of Site:Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Bo g ❑Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6 G R if—
C]
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
e th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
L yi
n' -g
(,,z
110/ 4
Ps
7
3
� +�,�
�-' a
� ��
✓tee
la �v
Su,
rra s n
�5
6.5
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): Plov�3� 1j,7
Available Space (.1945) Evaluated By:
System Ty c(s) Others Present:
Site LTAR U 0,.$