IPAC RHTE#-S-43Z(o(aarnett County Department of Public Health 30056
Improvement Permit
A building permit cannot be issued with only an Improvement Peyfmit ���--a\
pp� p t (2 PROPERTY LOCATION: 915 L tpburt) lLC� • f`S� � )
ISSUED T' X 'uk & s.�w to M cpvC— SUBDIVISION LOT # 6
NEW Gds REPAIR ❑c�, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3(s�L_ 15 T7
Proposed Wastewater System Type: �' apka-LkCION
Projected Daily Flow: 3G0 GPD
Number of bedrooms: �3 Number of Occupants: ro max
Basement ❑Yes Leo
Pump Required: ❑Yes ❑ No May
ed on final location and elevations of facilities
Type of Water Supply: ❑ Community uhliLP cell Distance from well feet
Permit conditions:
Permit valid for.
v+�f a years
❑ No expiration
Authorized State Agent: 11. , Date: c>5 I1(a 12--)1 a SEE ATTACHED SITE SKETCH
in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
The issuance of this permit by the Health Department
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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The constriction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, ASS. 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: 6511 L Lz]oc nCt. �Ju.S�cT�r PROPERTY LOCATION: alS LO'sl ,)m fZ.X.(S(2-K3Q)
/' SUBDIVISION LOT # S
Facility Type: 36�L 'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 4o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* 0615/L so 64.e ti (Initial) Wastewater Flow: 36C> GPD
(See note below, if applicable ❑)
m JCC—L% (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ICXX�) gallons Exact length of each trench Ce S 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: Qi4 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: (t. TDM vs. GPM N k inches below pipe
Aggregate Depth: �J inches above pipe
Conditions: �Y f rc%&R
y,r �- c r�5(Zic , 6 ,A' s ✓7 A inches total
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.
**If applicable: / ondentand the fyJtem type rpeciled is different from the type specified on the app/icatioa / accept the rpedfIcations 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
lonstructon 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: Us11cl;ye
W Cr--> Construction Authorization Expiration Date: os'I&12W3
HTE# �G--S- 4 326iO2 Permit # occ6c�
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
P
PROPERTY LOCATON: aTS 1,rsA,-Nom (LA . CS2 ty Zoi)
SUBDIVISION LOT # S
Authorized State Agent:
PoJpCL " "a.47—
Date:
�L.UIiL �tS'i2l3uT/G�
2EQv� t'Lt—_�
•mac! t._ ILL,L.p,J
lei
ras � -r �
f>vrgp � a,5 jo
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a
l03'
(_So— 1143a)
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: �j G�Ior�S'�. G`'1
Address: Wi16wtn c" Date Evaluated: l
Proposed Facility: �2�,"� Design Flow (.1949):
Location of Site: �J r� Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger B g El Pit ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 040q kc—
El 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
J
6 ao
fns �5
VZ? �U
wo- y�
Ok 54-
i 4 n Y
P5
7 / 4
PMc-
.—
`f y
G
2
—
o -C,
c�2 i s
5ho„\io
2 ;S
L y p
o -X
G< 5
I'�t t�If
l a
v ho
ao+
6t& 5a
1i 5P
7t,5 � ''
?Df
Uig
CGj Ac
L 4-K
c Z
6(Z L.5
✓LL j�.p%
P5
2,415
3Z f«
Description Initial Repair Syste Other Factors (.1946):
System Site Classification (.1948): P(G'A" bJ"4'�7t/V
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR