IPACHTE# 4341-- Harnett County Department of Public Health 29928
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S C'n f- C' 65 S '�-
ISSUED T0: hit SUBDIVISION LOT # --5
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Oac'fn a XC' -v2 ")/ Cfac.i�5
Proposed Wastewater System Type: ;I , 4:c�>n Ss
Projected Daily Flow: SCUC-, GPD
Number of bedrooms: --LJA Number of Occupants: t--sf-x- max
Basement ❑Yes C?TO
Pump Required: ❑Yes ❑ No ay b Ired based on final location and elevations of facilities ��
Type of Water Supply: El Community Public El Well Distance from well tea feet Permit valid for. IveL-hT years
Permit conditions: 5 r�.�M c. --al %r fedi tis tr a tar a—�— w; Sf77 G P h M k. 4 ❑ No expiration
Authorized State Agent:: w Date: a l 761aw9 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 respon(ible for checking with appropriate governing bodies in meeting their requirements. This
site is subject on 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 Permjtl
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 TO: 'rc�) 13i liens PROPERTY LOCATION: La o
SUBDIVISION LOT # .3
Facility Type: &i ,Cn coax wl B�Ek� ❑'New ❑ Expansion ❑ Repair
Basement? ❑ Yes Q-16— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"'tar. m5.1(—� (Initial) Wastewater Flow: vCX--+� GPD
(See note below, if applicable ❑)
o b tela (6n S2e; &c 1L (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size T aZC> gallons Exact length of each trench I 1775 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: V4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: t Feet on Center
Soil Cover: /c7 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
6V<L inches below pipe
Depth: NA inches above pipe
vQ4ac Nn, inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. ROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
."If applicable: / Understand the system type speofed it diBeresit from the type specified on the app/icatioa / accept the rpecifcations 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 construction Authorization shall not be transferred when there is a change in ownership of the site. This
lonstrucnon Authorization Is subject to compliance with the provisions of the laws and Rules tar storage Ireatment and Disposal and m the Conditions of this permit TCC AI IAAA7CV AIC .M[Rn
Authorized State Agent: A w Date: a3I2f.I avy�
tv �2 Gvr12 v. i Construction Authorization Expiration Date: 03 /a6 / ;?G93
NTE# 1'&-'S-4341 Permit # dc/ 9:W8
Harnett County Department of Public Health
ISSUED TO: Jc
Authorized State Agent:
w�cr� Venom
tow
17,
Site Sketch
PROPERTY LOCATON: 5C7o 1- C-
SUBDIVISION LOT # .3
Date:
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3asC� oe asy�
ucJSU vTk3LE-
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Sol L S
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: ^S'o:�'fh WJ9S
Address: aCr6i& .3 Date Evaluated: n 3I l0 p,
Proposed Facility: r,),,S-n Design Flow (.1949): :5cj 69;�:)
Location of Site: Property Recorded: V'ej
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ager Bori ❑Pit ❑ Cut
Type of Wastewater: L,,rSewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: L• 41 Ac-
❑ Spring ❑ Other
❑ 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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
-No
6a L3
Vtirn�WAg,�e
lef>
d6*
4�K st
r2 ��r 4q�j
O•J4
cs
a i�
o -X
G2
VN_ AW%4,,
7.5V211@
aG-3a
Ox scv
ted f Ai *-
e rn
39
vr�s
Description Initial R i System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: n
System T e(s) AwL Others Present: v-6ncNPG�-�7tc";,nr Fi3
Site LTAR