IPACHTEA(--5 3490 i° Harnett County Department of Public Health 28905
Improvement Permit
A building permit cannot be issued with only an Im movement Permit
GerzoN1M6r NrQ.9+'�5 PROPERTY LOCATION: � sc M s
ISSUED TO: 01 f--,40, s Gc+ SUBDIVISION LOT #
NEWWV REPAIR ❑ E1�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Man
Proposed Wastewater System Tye: R69y G+v oT4 5-76n
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes �No
Pump Required: ❑Yes >O0 ❑ May be required based on final location and elevations of facilities
Type of Water Suly: ❑ Community Public El Well Distance from well l� feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: QC—.5a' Date: 113116 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the 3%1`1461-1permits. The permit holder resp Bible 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 flanges. The Improv 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 commission and installation requirements of Rules .1950, .1957, .1954, .1955..1956, .1957, .1958. and .1959 an incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached
bNCata MOft.O.LG5
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ISSUED TO: Q NxGq PROPERTY LOCATION: ANG-TLL-
SUBDIVISION LOT #
Facility Type: 0%�N 1 lr' 6❑)� New ❑ Expansion ❑ Repair
Basement. ❑ Yes No Basement Fix res? 11Yes XNo
Type of Wastewater System" �.Stl%oye--1S's O �-d S -q- C, m (Initial) Wastewater Flow: �S C GPD
(See note below, if applicable ❑) / n
r)'Oz. S-)0iGK (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size A (0 O o gallons Exact length of each trench D -Q -S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 t '-3 6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. —all inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 speciled is different from the type speared on the application. / accept the specification of this permit
Owner/legal Representative Signature: Date:
This contraction Authomatio jest to revocation if the site plan, plat. or the intended use changes. The Construction Authorization shall not be transferred when dere is a change in ownership of the site. This
construction Authorization iisublect to romps thepr4visions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: T1S Date:
Con ion Authorization Expiration Date: _
HTE# ICc S 3�i0C
Harnett County
GEaorctcY,o 'C`1ocZ,A�
ISSUED T0: YJIPKA ��caiaoo-
Authorized State Agent:
Permit # 2L-49
Department of Public Health
Site Sketch
PROPERTY LOCATON: t -L i1 t u C
SUBDIVISION — LOT #
'4', " r�E6t
M G�C:)LLtA1LL\4p
ZRC
Date: C l
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:
Proposed Facility: Design Flow (.1949):3 `0
Location of Site: Property Recorded:
Water Supply: Publico Individual ❑ Well
Evaluation Method;Ej,�u Boring ❑ Pit ❑ Cut
Type of Wastewater: Fa $ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
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
L..j
s 2,
j
Q5
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Description Initial Repair System Other Factors (.1946):
systew, Site Classification (.1945):1
Available Space(. 1945) Evaluated By: o�
S stem Type(s)) Others Present:
Site LTAR y