IPACNTE# i �' S -y353, Harnett County Department of Public Health 29925
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C4 ( 52 i6JE3
ISSUED TO' na- --42n SUBDIVISION C6syof EAJA - r o LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 462-:6s Xq1 5 F:21z—
Proposed Wastewater System Type: 96Vj M ✓ S�3 .
Projected Daily Flow: -/90 GPD
Number of bedrooms: Number of Occupants: _-max
Basement ❑Yes
Pump Required: Dyes
Type of Water Supply:
Permit conditions:
❑ No 2'�May berequired based on final location and elevations f facilities
El Community 91 ublic ❑ Well Distance from well feet
Permit valid for:
a"iyears
❑ No expiration
Authorized State Agent:lT�—��f,/_�2//1 � Date: C_ 3:3 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 Permjt)
The construction and installation requirements o1 Rules .1950, .1952, .1954, .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
ISSUED TO: I� rnkinr, CJcA,s
ur— CC>nSEc ({z n PROPERTY LOCATION:
aoa
Mc.,bst, lac i
va 153w
SUBDIVISION Gl eSfec(�
Cr . 6<<T
LOT #
Facility Type: y32 -75 r p X
21' -New ❑ Expansion ❑
Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a'sZEn
ftl—'oe"6 �r-\
(Initial) Wastewater Flow:
41(a GPD
(See note below, if applicable ❑)
R�yo
5a, s -_(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size I Q5d gallons
Exact length of each trench I C>d
feet
Trench Spacing:
Feet On Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover.
inches
Maximum Trench Depth of: /It?,)— inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
M
t_d+A inches below pipe
Depth: N A, inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undemand the system type spedfed is different from the type specified on the application. / accept the specdieationr 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 conjunction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction 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: 4 1 Date: U3Ia31Q(.*8
i�:Jp, Construction Authorization Expiration Date: 03/23%a(3P�
HTE# I�d-S- 45653, Permit # a /9aS
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: '222 Mahc-J 2: 52 153
ISSUED TO: SUBDIVISION Gb¢S(�cF AA PtcT . C�rp_ LOT #
Authorized Stare Agent / �� 1� Date: 0 3
.. _ P��Ucz�r� w22r�.
Fnv¢�
(oAn.gGt
O(A Cvnkc-.x- C> - G,/,
oq�k
5
�n t� 6 2 SrL 153��
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Appllic t: Gc..rol`nw Glcv55;c- nb'E"' a6i8
Address: �'C 'b�&*0— Date Evaluated: Ci3 /aa/
Proposed Facility: q04. 5;pC] Design Flow (.[949): '/W(VYD
Location of Site: Property Recorded: `!
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:er Boy g ❑ Pit ElCu[
Type of Wastewater: 4n Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3,13Arc
❑ 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
(poi
L 1}%p
p' I
(�/� L5
✓�L .15r f
P�
?.sY24IS3gy
3�
G
�
as'
t
�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Vn5✓{tibl� I Qr cj (o
Available Space (.1945)i i Evaluated By: MsSwgcd 5... l: t
System Type(s) Others Present:
Site LTAR 0.41 u