IPACHTE# (�7-5-4 Harnett County Department of Public Health 29883
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:y2: xr 20c,,6 52 k}Ib)
ISSUED TO: h SUBDIVISION LOT # _
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of structure: Z3Z, ' X 10 ' > Y:Tj
Proposed Wastewater System Type: s
Projected Daily Flow: 4'93C7 GPD
Number of beeddroom$* L)4- Number of Occupants: _max
Basement IalY�s ❑ No ��
Pump Required: Dyes 1-1NoMaL7 y be ased on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
rvL7 F e years
❑ No expiration
Authorized State Agent:: 1 .1 Date: actSEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other penia The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Pemit shall not be affected by a change in ownership of the sire. This permit is subject in compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The constructions and instillation requirements of RUN$ .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 mrdano
with the attached system layout
ISSUED TO: q-6`.- PAcx -W— PROPERTY LOCATION: a<,C� C s, -- WfQ�
SUBDIVISION LOT # iA
Facility Type: A62 69')'30'5R� 2-%e�w ❑ Expansion ❑ Repair
Basement? es ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a 6 j 2� L�np_to (=„A (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
3,s2 5 . (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size I Q5c> gallons Exact length of each trench t cep feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: no 4/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover. /'d inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: `Ti�cec�'� Y35F� l-intUs fie rm'SsbIP
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
r",A, inches below pipe
r 4 inches above pipe
r`A inches total
*If a liable: / unJerrtand the r}rtem type rpecihed /r diNerent finm the type rpecihed on the app/icaaon. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authodradon is subject in revocation, if the site plan, plat or the intended use changes. The Construction Authoitasion 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: as
C "Jq zs Construction Authorization Expiration Date: oQ l Q,;? / fi g
HTE# ly 5-W3a3d Permit # �94�s3
Harnett County Department of Public Health
Site Sketch
' PROPERTY LOCATON: ✓L; .�rS 2c c? L5n-- 'q1$,
ISSUED T0: 1'05,W, Mc rlz L" � � q,/ AX;n SUBDIVISION LOT # Q
Authorized State Agent: Date: ? / as l a o e �s
A�z�
T'A'e-P— L3) 135E -C I;
1 v 2\ Vf2 t7
52 , q,43
y
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: a Applicant: Tc*k. ft-rf�'— tr�rT�fLd3.r-n
Address: r N_w_x cL;� - Date Evaluated: ople711 15
Proposed Facility: 434. 5%i:�, Design Flow (.1949):
Location of Site: Property Recorded: W4
Water Supply: O ublic❑ Individual ❑ Well
Evaluation Method:o__,Gger Borjng ❑ Pit ❑ Cut
Type of Wastewater: ,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 45. 33 A 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
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (Rd.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L '-cb
o_
C,4 J_
a
L 'I -&LCI
043
C.2
a �fP
qa t
�a
v s
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available pe(s) 1945) ick' Evaluated By:System
Site LTAR s Others Present:
5 0.3