IPACHTE# 11 -5 -q '1914 -Harnett County Department of Public Health 29$87
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 39ttR6n : r> 4- ckJr-eA ply C'S2 I a�}
ISSUED TO: GyM�.rrylW�c, 1 IbuC�S A SUBDIVISION N¢sC C«2K r-C�CMS LOT # 54—
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: yea— � 17 e Y Gaf'
Proposed Wastewater System Type: QKX> 4xAa Lkynr, S_i
Projected Daily Flow: S/2n GPD
Number of bedrooms: 40z-- Number of Occupants: _R max
Basement ❑Yes 9-1ro—
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
IT?�1ay be a based on final location and elevations of facilities
uLVP 61ic ❑ Well Distance from well feet
Permit valid for.
13- i1 ve years
❑ No expiration
Authorized State Agent:: �/ � �«�/�G�v Date: �
/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no we 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 sire 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .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: C�w�oc-tc� Nbn'e's r,r— PROPERTY LOCATION: 3c1i Mona-lkc;n ,cP1 PL (52graq)
SUBDIVISION --,)c ' its C fe-oigx T:;-%rmS LOT # 64L
facilityType: 'Y617- 5j eXr,y t 5 3> L r New ❑ Expansion I-1 Ronair
Basement? ❑ Yes [�;o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 96e% 6CM (Initial) Wastewater Flow: C> GPD
(See nate below, if applicable ❑) (RepMRx
A& (2n� a55 A S < air) � I
Installation Requirements/Conditions Number of trenches Z-/
Septic Tank Size I arjn gallons Exact length of each trench 9p feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: /0 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. TDM vs. GPM
" A inches below pipe
Aggregate Depth: N P inches above pipe
Conditions: On Ccyrrl c.x U- �, Y l D iSEr' sEiot� i�s> W Pt inches total
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.
**I( applicable: / understand the ryrtem type rpecfled it different from the type rpetiled on the app/nation. / accept the speciltatiaot of this permit.
Owner/Legal Representative Signature: Date:
This Construcfion Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Comtucdon Authoriaation shall not be transferred when there is a change in ownership of the site. This
tonstmcnon 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: t'aI R3 Q012
kN C.J(4.Q.Rt-Z) Construction Authorization Expiration Date: 091Z13/70a3
HTE# 4ajrq4 Permit # a9 g8 -I--
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 39 Mo > \ n 4 a , ggA C'tw� Le I q $,
ISSUED T0: �v 42a�t�tw� ! lonps��tc, SUBDIVISION r-JaAs Cr�,L rcszvaS LOT # s'f
Authorized State Agent: _ Date: _ a3l aoi!<3
C�NOCL[~i.J G�Y.LZ�I
M
1 /
D
46C, SFD
6 C6' K 64'
`-t-G2A0�
as�d (�F ChJ(-T10 (J Si'S�
- yv Lv
V iJ LUIVZ Uu�
ST
� <4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner:Ap licanI _G"� a '�'�""'� uyvc-
Address: 5�% 1'.Z5 C*-' tc Date Evaluated: Gap al aolB
Proposed Facilityty: �, 5 � Design Flow (.1949): jK j �-� Property Size: P.r �.
Location of Site: roperty Recorded: yAy
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method' Auger �BBoniin�ng8 [-]Pit ❑ Cut
Type of Wastewater: .I_J'Sewage ❑ Industrial Process ❑ 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 (W.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L K (A
i�2 t
55fP 9
P�
'6'36
OK c
•KI 5 /s'�
7.s✓2'hQaro"
3(}
6.3
2,3,4
L U 6 v
o-
C¢c L-
f5f�
a-39
ti L
KI 5 r f�o
Ulf-
s(f5344
3q4
Pa.rcrb
5
Q4,%
C-)
Description Initial Repair System Other Factors (.1946):
System Site Classification .1948):
Available Space .1945) ( 1�r15Js
( Evaluated By -
System Type(s) 3 v tab S`a Others Present:
Site LAR .35 1 0.3