IPACHTE# I v -S -U Al Harnett County Department of Public Health 29918
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 52 1000
���'z PROPERTY LOCATION: 1 t•_r n ac rL (✓� ( C>IA
ISSUED TO: j(2:6 +/lt'o- I -b rg' iK SUBDIVISION Cvrr rct '� , —�' LOT #
NEW E," REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3(,2 a�?�X 3 o I
Proposed Wastewater System Type: 965�4, JbA t�'an 5
Projected Daily Flow: 1? GPD
Number of bedrooms: Number of Occupants: ----C—max
Basement ❑Yes 11 -4 -0
-
Pump Required: []Yes ❑ No f9'May be based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for. l.J-ttvF-years
Permit conditions: ❑ No expiration
Authorized State Agent: Jl Date: i��f� 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
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1956, .1955, .1956, .1951, .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.
52 lC-r
ISSUED TO: stY �or� tiAorvtcsZs - Z7r PROPERTY LOCATION: 36 C IOU �Gld .
�- SUBDIVISION c� t,rd cc1. LOT #
Facility Type: 362 a K 5�D L�New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**$ty !/ A t,lsyq (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑)
� 6e cLc Cc n s,s (Repair)
Installation Requirements/Conditions Number of trenches �-
Septic Tank Size 1 (.JFJC> gallons Exact length of each trench o� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I Q> inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: ���rn incl- lloa 1-0 .{- Ste" 15 �fG;n�ce �5r'LT
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
N'N inches below pipe
/J,AK inches above pipe
n1 A inches total
[Owner/Legal
If applicable: / andemand the system type speciled is different from the type spelled on the app/ication. / accept the rpecibcationr of this permit.
Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction "continuum shall not be transferred when there is a change in ownership of the site. This
ionarmaion numonzanon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent --G>zz'%l�''i li Date:y3'i0 aa18
Nix i� c,.')MYLLN Construction Authorization Expiration Date: c-)3116 Ian
HTE# -5 - Ll"3qL a Permit # Q q / a
Harnett County Department of Public Health
ISSUED TO: Coy cc -- 1ao,ce , r
Authorized State Agent:
1$4
Site Sketch
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PROPERTYLOCATON: J Glcge—aor� S-Lt.,� A\�
SUBDIVISION OXT;- cL �� LOT #
Date: _ C�3 /io/c?Cy e
41
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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
Owner: — Applicant: L6f-�c
Address:Cy-kord. U'xLAS 0--0—f Date Evaluated: 03115' jq
Proposed Facility: _ 5 � Design Flow (.1949): 6r
Location of Site: roperty Recorded:
Water Supply: Public Individual E3 Well
Evaluation Method uger g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6.434AL
❑ 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
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L 47'c,
0 -.?q
re
✓m. NSt 'Y
PS
3
4'70
C)
3d
G.
Description Initial Repair Syste Other Factors (.1946): 1
System Site Classification(.1948): VO�i1s+,bl���r6u�S�GM1�(� �O
Available —Space (.1945) - Evaluated By: r
System T e(s) Others Present: \dN"D Y' D
Site LTAR