IPAC RHTE# 1"6-3Cn�-5\ZZ Harnett County Department of Public Health 29786
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n PROPERTY LOCATION: Q tl� d t- Lci . (Ac r�
ISSUED TO: pc -'\o o S «i c4 Zc'-C- SUBDIVISION (F i- LOT # `l3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 Q 2 5 W CA u
Proposed Wastewater System'45a "e>`,t-6Zor, 5 w.
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: Co max
Basement []Yeso
Pump Required: ❑Yes ❑ No I ay'tl y b ' ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 'QA, feet Permit valid for. 940 -Years
Permit conditions: pex-rJ' rncd e�;l C0ns',Slcak "D"sic 1A 1.61�tiIIS perni.l b., El No expiration
Authorized State Agent: Date: O t 1 os / 0 61 G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuamce 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, pla4 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 .1950, .1951, .1954, .1955, .1956, .1951, .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 T0: PROPERTY LOCATION: 'nf/Le- O� f< C " • Qcr t' s 2.i Stt t I\\1
�
SUBDIVISION S Jee1�� r e—£ilc• LOT # lila J T
Facility Type: 3f'v2 SJ
srA,t.-(- E New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'"Any%, 2cA—CA-rs . S , _ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) /a
dSZ/'r-c�l.vr r>n `S]s , (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench L''� feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. Co inches
Maximum Trench Depth of. /6-/a 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: @. TON vs. GPM A inches below pipe
Aggregate Depth: A inches above pipe
Conditions: Q-, r, k es c c, r 6 ;, r N 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: / understand the system type screciled it different from the type speciled on the app/iration. / accept the spechi5tairmts of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization it mhi a ro revocation if the site elan. plat or the intended me [hamate_ The (om maion Authorization shall not be t.mf.,r d when there it a shame in ownership of the it. Thi,
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and on, the conditions of this permit att AI IAIntU Nit MILE!
Authorized State Agent: Date: v t I 0 5 / Q6, I k
AatJ"tea � C- -s asap Construction Authorization Expiration Date: o f d pts I ana --,
HTE# Ib - 5 3Co(,j1 ,32
Harnett County Department
ISSUED TO: l&\0 o a,\ C'Z-wr-
Authorized State Agent:
Jow
4in5;sienl. .�:d•-h to
KN�
/a�ILs r
pence;{, b� �. 1hcS�•n, rt€i�s -e
Permit # 99 4 �
of Public Health
Site Sketch
PROPERTY LOCATOR: P,(G Ckk-✓ U) (nl-SV-s CQAl VIII I)
SUBDIVISION 7Si0ez�16-66c-K- G -7s+ LOT # I Ia 1 113
Date:
3t;I1
JiA) M H y5
=�vcno 'UI eQZro
V >
c
� 3
al5,
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:
Address: Date Evaluated: c✓
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Publico Individual ❑ Well
Evaluation Method:a Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
uI ILII
Property Size:
❑ 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
Demb (R4.)
.1956
Sapro
Class
.1944
Resir
Horiz
Lf Ad
Gj14j-lie�r/�llrl
77
d. /rc
� Z
rQ2
�4.3c,
Spt su
rr wl-�;v
193
Description Initial Repair System Other Factors (1946):
S stem Site Classification (1948)/-f
Available Space (.1945) Evaluated By:.f^
System Type(s)) Others Present:
�ftclrC'� G.I�nllr .y�µs
Site LTAR _ • 1