IPACHTE# lrr, — 5-431orj Harnett County Department of Public Health 29870
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ Kl�/! Iiifl`
ISSUED T0: —VE3fYI Lz�� t `> SUBDIVISION OT #
NEW m REPAIR ❑ EXPANSION ❑
Type of Structure: `3M ';01) GA l £;�
Proposed Wastewater System Type: _Quo 4"y U
Projected Daily Flow: '3 Gh GPD
Number of bedrooms: ;3 Number of Occupants: ro max
Rae.mewr near
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
L�May be srequired based on final location and elevations of facilities
ublic ❑ Well Distance From well 16c,�i' feet�wle:ll,%� Permit valid for:
1BTv years
❑ No expiration
Authorized State Agent.:' e—f� /�/�%`�?� Date: C>t 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 permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .191 .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: '- "gtcs LPA S PROPERTY LOCATION: f3 �� 110 wl< eg 2wi LS 4 q 1R
SUBDIVISION LOT # S�
Facility Type: O'X(e�j I S L=c7 L ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" +c?5 Lv iLC (\ 5�3�c=rti (Initial) Wastewater Flow: 3� GPD
(See note below, if applicable E -1)'e
P�NyIiJ �o ,s% df -c . ) 5 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1(aRM` gallons
Exact length of each trench
1 a U feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover:_ inches
Maximum Trench Depth of..
avid 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: (t. TDM vs.
GPM
°Jp inches below pipe
Conditions. :Iq\ 4 ;
Q
Aggregate Depth: inches above pipe
dJ `bo 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: l understand the system type speribed is dihierent from the type sperif d on the application. / accept the specifications of Chir pemni:
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
canstmcuon nmimmanon 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: U3 /141 Rol ';is
Gv ¢-2L s Construction Authorization Expiration Date: /141 "Co? -3
HTE# 193 — 4 3I Oq Permit # a 9
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C3�1 N a10tei nb 61st • CSCt 14� 1\�
ISSUED T0: T�nomc.S iiP J.S SUBDIVISION LOT #
Authorized State Agent ' Date:y 3 / 13/,a)e
LWj
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2
6i
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JI PvMP <v
C �52 t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
44� I
Owner: Q lbnt-^ Applicant: TUM Le+r`S
Address: GaJ NK�5 eQ . Date Evaluated: 08l0G I cb
Proposed Facility: Design Flow (.1949): 310 6l'6 -i
Location of Site: operty Recorded: <P
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Boa ❑Pit ❑ Cut
Type of Wastewater: RrSewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size: J .&Y k-,
❑ Spring ❑ Other
❑ 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
MineralogyColor
1942
Soil
Wetness/
.1943
Soil
De th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L 3 E
K
(iL 74,
vr( 1
Qs
c.
5_3
5-3€�
gr L
G/ S P Age
7•6YVIje-se
38
0-�5
q-
3✓ `.
Fl 3 f `gyp
-75Vt4tj 3C:
32)
Description InitialRepair System Other Factors (.1946):
Sy stem Site Classification (.1948): �3tl�si ona.l J 5..:-f�1bLL
Available Space (.1945) Evaluated By:
System Type(s)) S O Others Present: " �� C..�Cri �� �r4
Site LTAR p, 0.