IPAC RHTE# IS- �S-L►3 72 Harnett County Department of Public Health 29904
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Plctc— (C-Acoloc cl<s S(Z, It�cgl
ISSUED T0: �. E t lKCS �:vs• Eam @ 1&1 SUBDIVISION Cv C p ; Pl w a �� : a5n LOT # -�
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 362 3o T X l" t 5 t%
Proposed Wastewater System Type: Q5%a ",c ki,�.,6ra�.
Projected Daily Flow: 2 C,6 GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement []Yes
Pump Required: s ❑ No ❑May be��� d based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1YPublic ❑ Well Distance from well NA" feet Permit valid for: 9-rve years
Permit conditions: ❑ No expiration
Authorized State Agent: Date:y3/08 /'W'Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in mewing 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 to 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, .1952, .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 T0:L-- s �,�.� Q�\� g PROPERTY LOCATION: R)
SUBDIVISION LOT #
Facility Type: 60- 3o kd'40a s5 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes CJI o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 9UMn 5a6 (Initial) Wastewater Flow: 3G d GPD
(See note below, if applicable F-1) it
bEirlp 1 4cLs,LE t��� (Repair)
Installation Require ments/Conditions Number of trenches g
Septic Tank Size I CX' -f--2 gallons Exact length of each trench feet Trench Spacing: c� Feet on Center
Pump Tank Size I CC>C> gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Pump Requirements: ft. TDM vs.
Conditions:
Maximum Trench Depth of-. T Pa inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36 above the trench bottom)
in all directions)
GPM N F,- inches below pipe
Aggregate Depth: f"A inches above pipe
d �Jl C.C'A Ly-, a, inches total
Oc�rno-'e �rrt-� sem• I� �t
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: / oodecytaad the system type specified is different from the type specified on the app/icatioa / accept the specifications 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 Concoction Authorization shall not be transferred when there is a change in ownership of the site. This
Constmaion 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: l ?� �Date: C-13 /off/a`t748
aa`� C.uQ.LI (N—'Xonstruction Authorization Expiration Date: D3/op,/c9�-3
HTE# O'�J - 4{ 3�o-IQ— Permit # a 9CIC3 q:
HarnettCounty Department of Public Health
Site Sketch
PROPERTY LOCATON: 6G SOu6nPIu�(c1�nc �. sa 11a�
ISSUED T0: 61 khWA kis SUBDIVISION Curtin AcnkAktn(\ LOT #
Authorized State Agent: — Date:y3 /ceI ab 18
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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: — Applicant: Lc„HLo C. s-bM V&-->
Address: C,. c -H n. Date Evaluated: �a I a01I'b
Proposed Facility: LA i Ppsign Flow (.1949): -3c o r zr� Property Size:
Location of Site: Property Recorded:
Water Supply:ublic tvidual El Well El Spring El Other
Evaluation Method: Auger Bo El Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
1 -di
C'
C"R L-5
va ofitr
P�
54t
F2 sr
7•SY2%1 �'I
'ia
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pc'pdiSiGeuJly
Available Space (.1945) Evaluated By:
System i s) Others Present: R y�rC.J G.Jct�/l�
Site LTAR