IP ONLYHTE# 1$-s 13316 Harnett County Department of Public Health 29889
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_OISF Siker'qv L5 C51�
ISSUED TO `J rte\ Cc�n Ej'o ori SUBDIVISION LOT # Q
NEW �� REPAIR ❑ E%PANSION ❑
Type of Structure: J&L t�C54a 5 a=S�
Proposed Wastewater System Type: a64c_& xA �4 5,y ,
Projected Daily Flow: 36fa GPD
Number of bedrooms: Number of Occupants: all
Basement ❑Yes ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No 2 -ray -he eregfired based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�blic ❑ Well Distance from well ev4. feet
Permit conditions:
Permit valid for. eve years
❑ No expiration
Authorized State Agent:: /--,— f1<� 'cf%5 Date: a 21 a 4-1 ao/ E3 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, 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 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 construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in actordane
with the attached system layout.
ISSUED TO: gi e rii-. \ PROPERTY LOCATION: 91r> I the c CF Solhn bn C2A, 6¢. 151
SUBDIVISION LOT #
Facility Type: 362 51 X 5y' L-Ilew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** i�4h /1Pwcl;ten Sw7! �M (Initial) Wastewater flaw. 3G,o GPD
(See note below, if applicable El)✓
aSclo ae-A k -,:r [\ S � —(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size IC> C- gallons Exact length of each trench '9 O feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. �_N inches
Maximum Trench Depth of.. QO 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: ft. TON vs. GPM tJIN- inches below pipe
Conditions:6r-, Aggregate Depth: rJ P inches above pipe
4,OrL
k inches total
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.
**If applicable- / undeatand the system type speciled is different from the type speciled on the app&iiian. / accept the specilcatiom 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 Audionzation shall not be transferred when there is a change in ownership of she site. This
tomirurnon Atimmuavon 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:
Construction Authorization Expiration Date:
NTE# K� - 5 3' Permit # aC/ &e
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: a 16 Slerk� 2A( Sic 1510
ISSUED TO: C-, rvcal C0,4(4CADC SUBDIVISION LOT #
Authorized State Agent: Date:
6`x54' �-
45
� f I
r I �
I 3
`�'L 5I 5 t-1�21 Fr � c i {t�1so
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
90 4 L._-'�
Owner: ,V Applicant
Address: 1O�j Date Evaluated: 6aI .rd1lip
Proposed Facility: $krr moi. a-1, Design Flow (.1949): _3W(;9t!s-
Location of Site: -362 Sv�-> Property Recorded: 9-t5
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method:[D'Auger B ��ng ❑ Pit F1 cut
Type of Wastewater: J Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6, 96 4 c--
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
SWcture/
Texture
.1941
Consistence
MineralogyColor
1942
Soil
Wetness/
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Rear
Horiz
Profile
Class
& LTAR
++C'
L � ,6
� -(6
iri2 $L
illif
YGa
�ace1�-
3
t U6
f -Y
SL
Yfic 5f�
424
035
y
L a.yl
3a j
t
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Q Fonwt� $v.
Available Space (.1945) Evaluated By: �✓.5 �'
System T e(s) 5` .LcZ _757, n
Site LTAR o S Others Present: t -r ru—S