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IPAC RRHTE# 1�-5-�t2 Harnett County Department of Public Health 29943 Improvement Permit A building permit cannot be issued with only an Improvement Permit L� //� on5 PROPERTY LOCATION: 54- �e� ©(:vn 6Q9 7tF✓f JQ�o ISSUED TO: nP i Sry— SUBDIVISION n4 "k LOT # �T41- NEWREPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3i32 44,'Y, 45 f 5>;� Q Proposed Wastewater System Type: 656, "i zcs sw<. Projected Daily Flow: 3 &c) GPD V Number of bedrooms: 3 Number of Occupants: 4�wa max Basement ❑Yes G] Pump Required: ❑,yew El ❑ No El May be red based on final location and elevations of facilities Type of Water Supply: El Community ublic ❑ Well Distance from well NIA feet Permit valid for:Iveld'F— years ❑ No expiration %-> `11 'E=SC tZoScr L. \Ira F V Authorized State Agent:: off Date: C.3 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of otter 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 pmvisions 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, .1957, .1954, .1955, .1956, .1957, .1956. 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: \k)P)a``Kkrls 0-4Z6kS" n[a PROPERTY LOCATION: Qkon ©r:rvP (6114a "• x0o SUBDIVISION n it .% "f,-,8,-> LOT # 3y Facility Type: SU2 GOs x R 5 f 2—1 ew ❑ Expansion ❑ Repair Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** Q ?%jm? -oAXi fu&yk....C) n (Initial) Wastewater Flow: C3�� GPD (See note below, if applicable ❑1 B J� L%2 {4b ',WS%v &A,�a.� - (Repair) Installation Requirements/Condidons Number of trenches 3 Septic Tank Size IOOG gallons Exact length of each trench '75 feet Trench Spacing: Feet on Center Pump Tank Size \CXX!> gallons Pump Requirements: (t. TDH vs. Conditions: Trenches shall be installed on contour at a Maximum Trench Depth of: I ib inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Soil Cover. (o inches (Maximum soil cover shall not exceed 36" above the trench bottom) r-sA inches below pipe Aggregate Depth: N 6, inches above pipe NAS inches 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: / m7detytand the system type speriled is different from the type speriled on the app/iration. / accept the sperileariom of this permit. Owner/Legal Representative Signature: Date: This Conetmction Authorization is subject to revoation if the site plan, plat, or the intended use changes. The Construction Authorization shall not he mnsferred 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: Date: C4 IQ—v2) a AP. Gvv2.-Z f rte} Construction Authorization Expiration Date: Gy J- j "' c T HTE# Jq' �J - 4��Z 2— Permit # Harnett County Department of Public Health Site Sketch ! J� i r�� PROPERTY LOCATON: !S h Dr.(oas�e-a,� • �-� ISSUED T0: SUBDIVISIONp�C tic c c� l)Cx�ZkL-. 101"t�'34-- Authorized State Agent: yb,-�g .51It> Xys' P IPAt" r J Pomp TU asy, A40I sYs. u-�P412 ArkTA i !,C 4-�-o t--,> Z>ru✓C-- Date: CM (ROI RGIlEt) V5gp&�G Pct Sinr 1 vve� c�-Sc Qr 15 F� c F Po L"D Jr--� Goy- 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: V -61 0n-) CZCaeAi � -7-nC .. Address:(}I(U-6 i Lcrt $'� Date Evaluated: 1�1 15 II - Proposed Facility: 362_ F:M;> Design Flow (.1949): 300 Wy j Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: [jAiTger Bori ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: &505 ❑ 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 (M.) .1956 Sapro Class .1944 Restr Horiz ,5 L qyo o -aro L5 Voj� fP /All � os 3d �K sc; 5 l '14W 7, sYrL-llt v'ba 36 b•35 3 yj b-ao �� Li uLS�'Y c?a" y �yy o- 3c 2&-Q 94 5LL yqC 5P j 7.5y 'IIGr fd" `7 8 c1 y f%;"6 61.10 (,2 LS VG6 yj` S 7.5YQIt,a 8" IU tJt IS p5 49 Y1t A e"V 4v 0.1 i5 L L% 6-1`5 6L 05 / 0(i / O PS 15-36 Ati ScL 1( i�� 7 . SY&G , e, SY' 3 L G,(� Description Initial jRepirystem Other Factors (.1946): S stem Site Classification (.1948):Available S ace (.1945) EvaluatedBy: S stemT s) Others Present:Site LTAR .