IPACHTE# 4343:� Harnett County Department of Public Health 30072
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_y6s ceacAc- eocy -VS 1 C§ %2!4b 4aA 52 140
ISSUED TO: RL`bb SGS SUBDIVISION Ge c\cCs czckl,�_-#T O
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '4 j3 L �S 1 � `a'b) 5 L=[�
Proposed Wastewater System Type: aoS (leAy n Number
Daily Flow: GPD
Nu
Number of bedrao her of Occupants: max
Basement es �-N6
Pump Required: es ❑ No ❑ MMay bee ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community L-1�Public ❑ Well Distance from well NA- feet Permit valid for. ne years
Permit conditions: ❑ No expiration
Authorized State Agent: l/ //��� �/AiHs Date: a —17-4 9 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 Permit)
The construction and installation requirements of Rules .1958, .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
521c1�3 \
ISSUED T0: �A�� SGI�Ae I PROPERTY LOCATION: q( C gti it[x1�Ti 1 H 0
1 tSUBDIVISION C2cycs— LOST v C
Facility Type: zip XzF() 5�` J 9"ke`w ❑ Expansion ❑ Repair
Basement? es ❑ No Basement Fixtures? ❑ Yes ❑ No v vL
Type of Wastewater System** �f_wI �� S ,_3�_r_ (Initial) Wastewater Flow: i60 GPD
(See note below, if applicable ❑) F� wvsc¢_ c
L01 (Repair) :a i 10 "/o SLpPE-
Installation Requirements/randitions Number of trenches 4,
Septic Tank Size 1'gll�() gallons Exact length of each trench 35Q— feet
Pump Tank Size t aEC) gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: t?? inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
rJ+� inches below pipe
Depth: NA inches above pipe
eJk 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, / understand the s}rtem type specified it different from the type specified on the app/icatioa / accept the specifcadalis of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorisation is subject to revocation if the sire 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
Authorized State Agent:
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 6-17,—d
Construction Authorization Expiration Date: &2 —/Z—Z3
HTE# —IB -6-14393:4 Permit # 2Cx%4-a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: SIM CPAc (%)c1GTc A i�c,��—�
ISSUED TO: (LOW,p .�Lb,lpt,l SUBDIVISION C ok,_�(Zr r LOT #
Authorized State Agent: ���`lT�_rLS Date: _i10
-qSI X L4 (:)I
LA 32 6=�
3
(=-r
�ed c�
w n/
P 1� _
1 �
ft, DG'€ZTY
'4Ns= S +44Lt-
cT
01,�- ITE- e210(L_
Tv sus-�qL�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: "" Applicant: &0bb SC.hie- lS/ o jjF��aUli3
Address: 'tom -4 ��—61.ot.a/(..� Date Evaluated: 1
Proposed Facility: 46(. S� esign Flow (.1949): VW hep
Location of Site: , / jl .- nrt� Property Recorded: Yep
Water Supply: ubl Individual ❑ Well
Evaluation Method -r-1 uger B ' g ❑Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 10.0
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
p
.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
1
L 6-Idb
e3- I6
G2 �5
✓�L
PS
Y
7,5)0C
Vq
��+
IL.TYsvtp
r
t/�G
V•�/
LG bG
v"�o
G2 L5
Ve7l
r3K- U
fft- 5*'s ,
7.5ye, 036"
yG
o 05
urs, A*ve
v (X
9ti
Ptif,Y',
7,5Y1iJ/tell(
3�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qro.��5ialla(IJ Ss}(pl�
Available Space (.1945) Evaluated By:
System Type(s) . ,[rd P Others Present:
Site LTAR