IPACHTE# -y33�1 Harnett County Department of Public Health 29892
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r PROPERTY LOCATION: GI �{t CLC,c � a ( Sr21�)
ISSUED TO- 4fO 5too-� 1 �r�M ¢z, -1nGo SUBDIVISION Gu ,� I c �� � LOT # �-
NEW LrS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3tb(L 19I r X 61 Sd=c]
Proposed Wastewater System Type:Sl
Projected Daily flow :SG 6 GPD
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes 9In—
Pump �
Required: ❑Yes ❑ No C91i berequired based on final location and elevations of facilities
Type of Water Supply: F-1CommunityL,YPublic ❑ Well Distance from well feet Permit valid for:
Permit conditions:
gli-yeyears
❑ No expiration
Authorized State Agent: - Date: Date: 0$ of I o?o/a 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 it 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 provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this pemiiL.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be me[ Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Cl7mY 'or -c t1Q!megaS PROPERTY LOCATION: Oka 5-Ect� 9-4A tJ- SGL ICXX�
SUBDIVISION 6., 1 < „—�L cxu?S LOT # �3
32 5t{
Facility Type: u6 p' 5 > E?' rew ❑ Expansion ❑ Repair
Basement? ❑ Yes E; --I o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** s ry (Initial) Wastewater Flow: 366 GPD
(See note below, if applicable ❑)
006 5. 5 (Repair)
Installation Requirements/Conditions Number of trenches :3
Septic Tank Size t CKic > gallons Exact length of each trench es feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ',�6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: `7 Feet on Center
Soil Cover: �3 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
rJA inches below pipe
Aggregate Depth: rJ& inches above pipe
V J P-, 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.
If applicable: / andeatand the grtem type specified it dff rent /cons the type rpeciled on the app/kation. / accept the rpecifcationr o! this permit.
Owner/Legal Representative Signature: Date:
This construction Authomatian is subject to revocation if the site plan, plat, or the intended use changes. The Canstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstrucuon Authoriution 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: 03 fol I -30143
Construction Authorization Expiration Date: 0301 Iac.�3
HTE# X43-5 - 43:3 I Permit # c� % �i
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: GIc� SIL ICXS(��
ISSUED T0: Gtrni SUBDIVISION LOT #
Authorized State Agent:
f�NbC1�� c,.�cuu t�
z/,
o�,
NP\ / Pori
n
\ /
'� a5io �FDucZ�oJ �I
5N' X 54 t
.�i3.2 rjGS
2(
G L{lfL�—,�
Date: 03/0/ / o?C1 P'
Z
Obxfve. 15
X(6mr Y t )P< re-n.fa -
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: Cgx�ch- {-io w.< -"b �Ln�_
Address: c„,qc-d word-5-oJDate Evaluated: odIRG &
Proposed Facility:- 5F3>Design Flow (.1949): 360 6i'4�
Location of Site: perry Recorded: )'�
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: EI-IlCuger 13 - ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G _ 6i - C_
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
TCIass
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
1942
Soil
Wetness/
Color
.1943
Soil
th (IN.)
.1956
Sapro
Class
1 )3
L 3-0o
0-16o
GQ LS
tr 6_,y
L 3 -(,yo
c�-I �qt�ZE(;�;f
S{'S
3c
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T e(s) 3r Others Present: AHA e�
Site LTAR �, ,