IPAC R 68HTE# )p,- S- q SQ- Harnett County Department of Public Health 29903
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 46 Sa.x�l.nm Plc �G1cvtC t2tj - CC k
ISSUED TO:._p C �S m g SUBDIVISION LOT #_J
NEW Gam REPAIR ❑EXPANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '366 G 3, X 3c' a 5 r�
Proposed Wastewater System Type: g26r2& /!P,i`k;4n> 5 y
Projected Daily Flow: 'bra GPD
Number of bedrooms: --:;j — Number of Occupants: max
Basement ❑Yes L910
Pump Required: []Yes ❑ NoMCS ay a based on final location and elevations of facilities �'
Type of Water Supply: ❑ Community Pu Well Distance from well feet Permit valid for. lve years
Permit conditions:
❑ Na expiration
Authorized State Agent:: / 4—� Date: h 3tc:' 31o7C_dk 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 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed is accordance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION:�ov>�rn P� , (r -1c rK Cid 5-L1 Lao)
SUBDIVISION Cif P\"0. 'xa an LOT #
Facility Type: 35tt G 3 R X R i f� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �A, et:e (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Q65'0 S, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size % Cum% gallons Exact length of each trench -4-,S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Qct inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: <� Feet on Center
Soil Cover: /b inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
NA inches below pipe
Aggregate Depth: inches above pipe
NJf"- 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, / underrtand the system type specified it different from the type speciled on the app/ication. / accept the rpecilcaaonr of thir 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 Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstmct m 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: b3 / 643 / W-)ik
AtJCrt�� Cw2G2-tR.-� Construction Authorization Expiration Date: 031o?jif aoa3
NTE# t -i 3 Permit # �, Cf 9
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A� So A�CSI u2 CG1 CLQ S/Z 51 �
ISSUED TO: SUBDIVISION -1,vn LOT #
Authorized State Agent:
Go�G��✓� Date:
SU V T I} rr_.--2-1J 0 t_P.-C—.ice=
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
t_r-wvcc, C.�54c.�t Otdj
Owner: Applicant: -
Address: C�c,:n Date Evaluated:
Sheet.
Property ID:
Lot #:
File #:
Code:
Proposed Facility: L -"t ` Design Flow (.1949): jlr Property Size: 6,
Location of Site: ---P?6perty ndi Recorded:
Water Supply: C;
-�`'blic❑Individual El Well [I Spring El Other
Evaluation Method: uger Boring _ ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(110
.1941
Structure/
Texture
.1941
Consistence
Mineralo
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Salim
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
q
W �a
IW_
7-sWI
qo7
G • �4
la Nb
Sw
%11 ifi'P
7.5 N/G�li�D
U .
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): PrO�h Sri o�K) 1dnbL�
Available S ace (.1945) Evaluated By:
S tem T e(s) Others Present: (Ark G W«'A I fin
Site LTAR