IPACHTE# Kb -6-4391q Harnett County Department of Public Health 29877
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S f crvCC.ln S�g 4�5r2 ljco�s
ISSUED TO: C-41cxSG-Q' (Z-r>5SUBDIVISION LOT #
NEW iia— REPAIR ❑ EXPANSION ❑
Type of Structure: (3'c>k a laa-M - li �cm t
Proposed Wastewater System Type: Cc)"* Oct- 5155,, &.4- is
Projected Daily Flow: I o6 GPD
Site Improvements required prior to Construction Authorization Issuance:
Number of bedrooms: r- `� Number of Occupants: t-/� max
Basement ❑Yes 8o
Pump Required: ❑Yes f 0 ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 2"We-11 Distance from well /00 feet (.M
Permit conditions:
Permit valid for.
5ddve years
❑ No expiration
Authorized State Agent:: 4: �' Date: c -a / 2G/ -q 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 8 the site plan, plat or the intended use changes. The Improvement Permit shall not he 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 Dispersal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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:
PROPERTY LOCATION:
S _ L; ncn\n 6-L, (
&LZ_
(1
Facility Type: po\e l&<c\ -
SUBDIVISION
L7X�— 2 --New ❑ Expansion ❑
LOT #
Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
>nn1 o2 a5% Ss
(Initial) Wastewater Flow:
\ Ud GPD
(See note below, if applicable ❑)
C,c)nyainnnnca\
c-xz_ a5io tt.->, - 5,s , (Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size 10bC� gallons
Exact length of each trench Sc
feet Trench Spacing: %
Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: / 1;?
inches
Maximum Trench Depth of: 04- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Q inches above pipe
l inches total
**If applicable: / understand the system type spedhed it different hum the type specified on the application. / accept the rpecifcirtionr o/ this permit
Owner/Legal Representative Signature: Date:
This contraction Authorisation 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
construction Authuriration 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 AgentCs i/� s_. z� Date:
c,,XXZJZ.a rJ Construction Authorization Expiration Date: C'a f q�) 1 �'
HTE# 0:6 ' S - 4 3a T-4 Permit # a 11 $-4 -1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: S . n Csvin 5£. 5rt '�C 01
ISSUED T0: G�`'S�"� Ct oS5 SUBDIVISION LOT #
Authorized State Agent: -z
r~
9
W
Date: c'.q / 0) S;
-' w"kS Shull 6� lc � : M N
3
4o'xbcp
�,--0-7— 1 tom')
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: 2.c -"Ls
Address: S. C, 'n ceAn s -L - Date Evaluated: 04,7oi a l ip
Proposed Facility: p Ic c3_ -T -\Design Flow (.1949): kb 6P1�
Location of Site: � Property Recorded: ,�uC3
Water Supply: ❑ Publico Individual L7 well
Evaluation Method: Augering E] pit ❑ Cut
Type of Wastewater: /❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: V zi'.'70 A.
❑ 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
XY8
6K- 5L)-
/1'rp 3W it
IY9
�S
a�
L at l%u
�. a�
G2 SL
trr 4 ^�Sni9f�„�
Ps
a� 4o
g✓ 51.L
x- Sff/ v'r��—
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qrov s: on wt �) s .,, }--..b
Available Space 1.1945) Evaluated By:
System Type(s) i .(.t_ Others Present: pn'A l'e_� vsr n .tgi YS
Site LTAR p, , V