IPACHTE# ]3-5- 43 1 Harnett County Department of Public Health 29938
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit
PROPERTY LOCATION: a`SiMoIH Cvt4 4J 15 40/ Nw
ISSUED TO: 60il5Cl(T g�C�S 1 1Go SUBDIVISIONLOT #
13
NEW &k' REPAIR [IEXPANSION. ❑ Site Improveme required prior to Construction Authorization Issuance:
Type of Structure: 3p 5a' if 1 i3l' v�
Proposed Wastewater System Type: W62 e rti�uLl C�lS , l3,
Projected Daily Flow: 5 (aQ GPD �V
Number of bedrooms: Number of Occu ants: max
Basement []Yes Nlolo
Pump Required: ❑Yes ❑ NoaLsY�M y b t�ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Pu
blic ❑ Well Distance from well ti1oc feet Permit valid for.rvfd'i a years
Permit conditions: ❑ No expiration
Authorized State Agent: 7� ��� i Date:yz{' 13! Rc�/A_ 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .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: �6-45(1y 61 5, TAr—, PROPERTY LOCATION: o2'J !&'rA0!:t C4>r5Ar„ Ln . ips 401 PJ )
�a,.,SUBDIVISION r LOT #
Facility Type: ` &L Sq'4r1X 61`01' SrD 3- 'New ❑ Expansion ❑ Repai
Basement? ❑ Yes E;-N�o Basement Fixtures? 1-1Yes 11 No
Type of Wastewater System** 'J6 L6 (t" (Initial) Wastewater Flow: 3CoO GPD
(See note below, if applicable ❑)
'a55L ?< A.y fttiS�ss'%. (Repair)
Installation Requirements/Conditions Number of trenches �5_
Septic Tank Size 1 00C> gallons Exact length of each trench 90 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. I a inches
Maximum Trench Depth of.. 244 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: H. TDH vs. GPM t✓ to inches below pipe
Aggregate Depth: rJ inches above pipe
Conditions: �' p_[�g,•�„r- -Z-(Sc e t✓4 I �'S�.ci low E� n Ninches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: l undennnd the system type specified it different from the type .rpeuTed on the application. l accept the specifications 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 he transferred when there is a change in ownership of the site. This
Commission 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 AgentrT'l/ Date: 041%3 he lw
a+- kxY - c > aAj .> Construction Authorization Expiration Date: 01 I t 31 ada3
HTE# 1 b--6— 43gC-11 Permit # .9 iq 38
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON: 09 S; mpkI CG.,n� C -o � k-6 4o I N�
ISSUED TO: Sr L^eQSot� (a,I , , =nc. SUBDIVISION cr 4,, " 3= ce LOT # �
2
Authorised State Agent Date:
T3%at-,V8
Ta8.I/
0 N -L -T-
) - �)
fl—=M r 2 -r0
Lfa�v L-
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: lam. jk.hw r` (3 lA/-=,I �—
Address: ME�f l-c.r� Date Evaluated: cq III atm
Proposed Facility: t � Design Flow (.1949): 3C-OC,?S>
Location of Site: Property Recorded:
Water Supply: ubhc❑ Individual E] Well
Evaluation Method: uger B ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: b, "fk-r ,
❑ 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
Minenilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L q%-Irr
ra¢ s2
✓Fc SY��
fJ
(L
'bv- ;"'
- sr� a/rC 38'1
5
3
L4�6
0 lS�.
CA- 5L
�5
V"qp
416'
a, s
r ye
0-k,
lG t�
4k sw
r ti SP
Y25
G
Description Initial Repair System Other Factors(. 1946):
S ste Site Classification (.1948): i5 (�^`")� e,
Available Space (.1945) 1Evaluated By: A r� WCC, ^t n�GrfS
System Type(s) Others Present:1-
SiteLTAR U.TSG• �S