IPACHTE# I -5-11M- Harnett County Department of Public Health 30087
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 5ef— s 3 apo
"� PROPERTY LOCATION: G na 4kei Tv� � "i -I&A Wekll, C% ll
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ISSUED TO: C: lC xk�A t vA.L. fkN SUBDIVISION vvV npTL #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4612 qrAi yq J Std
Proposed Wastewater System T pe: a3 `fo r`?e&C z 'y5�
Projected Daily Flow: Y'e-- 7 —GPD
Number of bedrooms: Number of Occupants: g max
Basement []Yes o
Pump Required: es ❑ No ❑ �May be r iced on final location and elevations of facilities
Type of Water Supply: El community ubILJiP is ❑ Well Distance from well IVA-- feet Permit valid for. 91file -years
Permit conditions: ❑ No expiration
Authorized State Agent: _�-f Date:y-4 I 10 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 u 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 .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
5/i A'S o�i
ISSUED TO: PrCx Snn C.- JJn A 40AA0 PROPERTY LOCATION: 3o& -v,% (Ai 14r, Weilc .
SUBDIVISION Stern a.—�;n LOT # �o
Facility Type: y L tX . t 5�9 2'New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (2.rnp �-- aS% fio . t Laofi 5�5 (Initial) Wastewater Flow: 1/8C� GPD
(See note below, if applicable ❑�
P S S (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1CX)G gallons Exact length of each trench 186_ feet Trench Spacing: ? Feet on Center
Pump Tank Size —0(�, gallons Trenches shall be installed on contour at a Soil Cover: (o -Its inches
Maximum Trench Depth of. I 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
dvR inches below pipe
n�A inches above pipe
___IS9Lk_ inches total
**If applicable: / understand the ryctem type fpedhed it different from the type Jpedbed on the app/icanon. / inept the rpedh'cidom 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 Authorintion shall not be transferred when there u 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:y'f /IOla'?O{a,
Lv Construction Authorization Expiration Date: C -11,0 13:9Z
HTE # 19>-ti-Wf*6gq Permit # 3C)C>s,:4=—
Harnett County Department of Public Health
Site Sketch
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PROPERTY lO(ATON: cu\� '�� Ao�S4¢ �x-� (�'�E.i.� 4�1r�r
ISSUED T0: Qr r r\ C,6L yy 1.6A42i f ..,, n (Zan %/, SUBDIVISION 'S..rA k n LOT #
Authorized State Agent: � � � Date: C>'1- 10 f 670/8
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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: QpeCiS" C09p t- 90W3 '10w
Address: SvquttA.IA t*� (0 Date Evaluated: G`i'�"�1 10, 00
Proposed Facility: g8eL_ 5=37> Design Flow (.1949): #�O GC'9
Location of Site: Property Recorded: 77,S
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:. Auger oring [D pit El cut
Type of Wastewater: /] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: &, 6,Q Ae�
❑ 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
MineralogyColor
!1942
Soil
Wetness/
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
X13
L 3�
�-"a
�
�s
6,8
a
L- 310
c9-1/6
yb-�
fon/ gL
� ✓�if/��
/�
G'�
Description Initial Repair System Other Factors (.1946):
System _ Site Classification (.1948): (�/ovi3iGn w,(c7 Sv�-�J t✓
Available Space (. 1945) Evaluated By:
System Ts) Others Present: aAC)NQ--> C_�Cr-'n I /L--95
Site LTAR