IPACHTE# Ia! 5 g58Y5 Harnett County Department of Public Health30053
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5%x¢c C� Zcllnta5on R a. -so— le,
ISSUED TO: ,EcC\ Tovc 1. PriA&e,5 LL.[ , SUBDIVISION LOT #
NEW 0 REPAIR ❑ r EXPANSION ❑
Type of Structure: 3Li2 St X �{3naJy s D
Proposed Wastewater System Type: aSy� M� �tLt1�n 5
Projected Daily Flow: 3Cn(*)s GPD
Number of bedrooms:I— Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes o
Pump Required: ❑Yes ❑ Noa�t�"M y be Ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ubll.�P is ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
@"Five years
❑ No expiration
Authorized State Agent: Date: ds /6�f (�?C>18 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 responsi le 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 Pules 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..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: Sciyk�L.cc. 'Tc�X.Ar. 4At:-s..¢5 C PROPERTY LOCATION: 51,.¢cA� Tu1.nbs,- at A - (so -1610
� SUBDIVISION LOT #
Facility Type: A- 611 Y 43, 4t 5 R'New ❑ Expansion ❑ Repair
Basement? ❑ Yes Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'Q b %a vR ct.ate Lcn n .54 sde-nn (Initial) Wastewater Flow: 366 GPD
(See nate below, if applicable ❑) llos ✓
as%n a-uc',n S,.s. (Repair)
Installation Requirements/Conditions Number of trenches Y -
Septic Tank Size / C>a0 gallons Exact length of each trench 8� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of inches
Pump Requirements: ft TDM vs.
Conditions: (3n t) -
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: c7 Feet on Center
Soil Cover: /G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
ty inches below pipe
Depth: rJinches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
N-4jt— inches total
**If applicable: / onderstand the syaem type spelled is different from the type spetifved on the app/iration. / accept the rpecileationr 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent ������/, Date: 66/ 011 c`L(d16
�CT1�)fLa�. rA -),O0 At. -]e Construction Authorization Expiration Date: 661 o4 19033
HTE# 18'S-43E49t) Permit # 3 0063
Harnett County Department of Public Health
ISSUED TO: ---�-LAAA
Authorized State Agent:
-Ti.vc1.'-
Site Sketch
PROPERTY LOCATON:
SUBDIVISION / LOT # a
�\ ate:
J C -u �-i �J dF
2-F--9 41 Z
k -CL;' 't
i-
11 u
44,31
151 � �T
S N �Ll lz
—
CS2 !S[L�
91'-�)
2 t::
W bv-�) al y rc�lZ
o ✓Z�- vl�S�
�o
M y�i
7K C e -"-,VW 2— MXt�
v Rz fir'
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: Stkk n TC' �
Address: Luca - Date Eval ted• CJs/� y7 (�
Sheet:
Property ID:
Lot #:
File #:
Code:
Jr+ ua �1
Proposed Facility: n2n ��7 Design Flow (.1949): � Property Size: . V
Location of Site: �'v roperty Recorded: y
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: uger Bon ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ 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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.)
Sapro
Class
.1944
Restr
Horiz
/ d
L Q-I
CCL L6
li2 nsyuya/Z
►�
���
`��s��
�a
�.3
3
L
Vft t✓we
1 3�
1�ktl �1-
r,(Z, SfsP
lot
ua .
3b
o
L cc IU
d-��
fdL Lfj
Yrz, A*6(
'
Description Initial Repair Syste Other Factors (.1946): n
System Site Classification (.1948): {fp s(!/U' S v; ,lv (,,
Available Space(. 1945) Evaluated By:
System Type(s) Others Present r'GfiOtCi'a �^��A/
Site LTAR .,3