IPACHTE# l s-`�31 Harnett County Department of Public Health 29869
Improvement Permit
A building permit cannot be issued with only an Improvement Permit (/�/�/t,w
MM fn�� / PROPERTY LOCATION: 3 A . t (r inti I Laiflo,(ZA I
ISSUED TO: Ili l�n (3LJ% �ti Lb SUBDIVISION 1 Ju.�_ C 0 � LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Z Bet. Ny Ax6 a 16 Fr,
Proposed Wastewater System Type: 365ya 44Af.E0rA Ses-
Projected Daily Flow: 3 (« GPD
Number of bedrooms: — Number of Occupants: _max
Basement []Yes LR'No �'
Pump Required: Dyes ❑ No fa�ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lic ❑ Well Distance from well feet Permit valid for.If
Permit conditions: ❑ No expiration
Authorized State Agent:: to lro 4 r /;V_5Date: ba /O c7 f 'aol,ir3 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 in revootme, 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 pmvisiom 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, .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.
ISSUED TO: MA6,A Jk Hno&g�s,a-( PROPERTY LOCATION: 31 L-C>nwO ;:re LjA61(u
SUBDIVISION LJa.ag� .e— LOT # I I J
Facility Type: '&i 4y %r`c I dyzrz;v Rlrew ❑ Expansion ❑ Repair
Basement? ❑ Yes 19-ffo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** e3 1 eo (Initial) Wastewater Flow: 3CO GPD
(See note below, if applicable ❑) (
Q 6 I�J AQC A:r?7)n SiS (Repair)
Installation Requirements/Conditions Number of trenches 0
Septic Tank Size 1 6M gallons Exact length of each trench I(�)n feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover./7 inches
Maximum Trench Depth of: 9 IV 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: h. TON vs. GPM ti tlinches below pipe
� Aggregate Depth: � inches above pipe
Conditions: D-6ya( R?XX �- �/ k�—,, k ttl-�iS'tc" :,inn t--tr' inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speriyyed it different from the type specified on the application. / accept the specAcatiom 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 Authorization shall not be transferred when there is a change in ownership of the site. This
tonstructmn numonzabon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. )tt AI IALHtU lilt SUILH
Authorized State Agent: Date: v'd loci I
Construction Authorization Expiration Date: 03/09 /dogs
HTE# 4 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: i s SUBDIVISION LOT #
Authorized State Agent: Date: 09 /C-1' o9C>/6'
G�17t2�v, L�uN
V)
r
lot *t-36 vZ>! e- t3
3wL sa>
44' x Ga'
I
I
I
Y2.�ZJir'Y.C�
� I C U[l LUn•iOJ�
Ip
I�
(cs
I I
I
I
I
I
Y2.�ZJir'Y.C�
� I C U[l LUn•iOJ�
Ip
I�
(cs
I I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: 'F Applicant: iIt" 0-1L 14
Address: *31 (_Xyp -_ Date Evaluatedw: S�/
Oq I I 4�,
Proposed Facility. S&Z. 5 Design Flow (.1949): AGO rO7Z>
Location of Site: w�yPot operty Recorded: fYf'
Water Supply:ubhc❑ Individual [I Well
Evaluation Method:❑_Avgfr-L] pit L1 cut
Bo
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ( j . +6 N_C__
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
►
L ay�
o-�
&_ s6
v.
GAR
6& G
rl, 5 PY
?.sY�hC�4�d''
ua
CD3
a, 3
ZE,
CZ
✓,% sPY-
5
Description Initial Re air System Other Factors (.1946):
S stem Site Classcation (.1948): 'OrU vCSi onnI Sri
AvailableS Space (.1945) Evaluated By: J
System T e(s) 0 < a Others Present: F`(Vj "z' C\_r'1 /
Site LTAR p .