IPACHTE# l `� —4 3 �Il� Harnett County Department of Public Health 29917
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit 5 R I
rC�.��' PROPERTY LOCATION: I C Ici2°yken L-6618 �L� �7
ISSUED TO: i�LJtfTtll� C i i0MGsj , 737nc SUBDIVISION V��A \S " LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3(b4rz t -I(, f)( c{ q 1 53 ' >
Proposed Wastewater System Type: 07 .
Projected Daily Flow: 3C C> GPD
Number of bedrooms: �3 Number of Occupants: C max
Basement []Yes RIO �
Pump Required: ❑Yes El No aL��l'M y Direct based on final location and elevations of facilities �,�---��
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. iveLTt years
Permit conditions: ❑ No expiration
Authorized State Agent:: ��� 4: �T � Date: Q 3 1 1 < I > 18 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees rhe issuance o�er 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
(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 be met. Systems shall be imtalled in accordance
with the atuched system layout
52 ICY�>
ISSUED T0: —Comq-lac, a-4 c PROPERTY LOCATION31 CL (61& �`6 ^v�
SUBDIVISION Crit I >OrA AY S LOTS# «�
Facility Type: 38CL. LEGTX art t 2' New ❑ Expansion ❑ Repair
Basement? ❑ Yes U,o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 124!sa ri!a;, 6'L'nn (Initial) Wastewater Flow: 31 GPD
(See note below, if applicable ❑)
2*,K2 Ct, Ic cLc ,cN s, < . (Repair)
Installation Requirements/Conditions Number of trenchers
Septic Tank Size LCY`6 gallons Exact length of each trench 4S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 122 _ inches
Pump Requirements: ft. TDM vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on (enter
Soil (over: (n inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FI. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
J- inches below pipe
5 /! inches above pipe
ivy- inches total
**If applicable: / understand the system type specified it different lora the type rpeciled on the app/icadon. / accept the specilcationr of this perxit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revonuon if the site plan, plat or the intended use chanees. The construction Authorisation shall not be transferred when there is a chane in awne,,hin nI rhe it. Thi,
Construction Authorization is subject to compliance with the provision of the taws and Rules (or Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 03 /LL I2( -JP
.c�-7, r�>rzr> .1\ Construction Authorization Exairation Date: o3/[GI ;?n4Z
HTE# VS -6 -4 3 406 Permit # �j 9 1 q-
-Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 41 (�-,c7 rEn(�Or) ( <.(�,p,�
ISSUED TO: (a3mwr ;IU �Sn�. SUBDIVISION C:> a. AS LOT #
Authorized State Agent: _qq �f� �� Date: _ C>3 IG 001
F4N�Lh�i.c7 (�vtL2.t ry
I t-1.tII
ai5`,o 2Erj
�1 t v r:>
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:f � Applicant: (0rAki-A—uezB
oA.,—i`-/vC--
Address:(�F�c� � , Date Evaluated: D3jIQIe,
Proposed Facility: Design Flow (.1949): 3(0 r7 > Property Size:%.
Location of Site: 3r�5 Pj
Property Recorded:
Water Supply: Pub' Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:;Auger
ng ❑Pit ❑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
<AR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN . t
Sapro
Class
.1944
Restr
Horiz
1 '
L ylv
D 16
64
I& tvk/a
Icy ��
e� 5�
G2 5fX'
P5
S8 k
iG - 3?
n�,rr Sw
i�G fffl
70 5Y2 %G� 3v"
3�
�—
Description Initial Repair Syst Other Factors (.1946):
System Site Classification (.1948): h�'✓�ti%lG'�ra�:5lonuJ Sv.e.)glE:
Available Space 1.1945) 1 Evaluated By-
System
y:S stem Type(s) Others Present: •`�-fi
Site LTAR U,