IPACHTE# 16 Harnett County Department of Public Health 29008
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
PROPERTY LOCATION: S UO N PaN-411a I WS . Ka
ISSUED TO: S 6n ws U cl.E 1�y tr E Q �p0 S. SUBDIVISION LOT # _L_
NEW)K REPAIR 7n 7FY�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _COV') `50 x5s-i/
Proposed Wastewater Systep Typep�� D�GovG��e,l y�^Fj
Projected Daily Flow: `-N O GPD
Number of bedrooms: r'A Number of Occupants: max
Basement []Yes >' No
Pump Required: Dyes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well s O U feet Permit valid for: X1 Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �\ \\�\SNS Date: `d 30\ l b SEE ATTACHED SITE SKETCH
The Tswana of this permit by she Health Department in no way guarantees the iss r`of other permit. The permit holder is respansi a 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 .1950, .1952, .1954, .1955, .1956, .1957, ASS. and .1959 an incorporated by references into this permit and shall be met. Systems shall be installed m accordance
with the attached system layout \,
ISSUED TO: SsC"cK70q,(- %t.og"— PROPERTY LOCATION: uD YNtaw��ni5 QD
SUBDIVISION LOT # L-)_
Facility Type: S Gfl LSO ^-S,40 '�D< New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ,KNo
Type of Wastewater System** `-LS a/ m aC-Dy e s 0 t F �ZE t^ (Initial) Wastewater Flow: Lit O GPD
(See note below, if applicable ❑) /
��ml o REO, Sys . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t d od gallons Exact length of each trench %2)0 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: Y 5 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Ywl'e41MvOP G(5w(n}L rJE.E3AEr> OVG-rt OaA)N{-\-tA inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL 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 /mm the type specified on the app/ic2don. / accept the spedlcatiosr o/this pem2it
Date:
This Construction Authosmaxiiiii7prvirsted400vocation if the site plan, plat or the intended use changes. The Construction Authonntion shall not be transferred when thea is a change in ownership of the site. This
construction Authonaaton it nahject to ampp, n v ith Ile�it-ps of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Permit SEE ATTACHED SITE SKETCH
Authorized State Agent: "Z�, \ RF S Date: 8 30
Authorization Expiration Date:
HTE# ' S 3`�U+� O
Harnett Connty
ISSUED TO: S'
Authorized State Agent:
Permit # 7'SOO`3
Department of 13,tiblic Health
Site Sketch
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PROPERTY LOCATON: $\-Uo LOT #
SUBDIVISION
Date: A 3,INk
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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:
Address: Date Evaluated:
Proposed Facility: CioR,n Design Flow (.1949): 12�M
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Ll<�uB 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheer.
Property ID:
Lot#:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
D"d,
(in.)
SOH, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure
Texture
.1941
Consistence
Min
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Roux
Hora
G
9
yak =L
FlL 515e
CQ 3
ei3�S
9x CL
C -0-
L
3o
Sg��
V -n
Description Initial Repair System Other Factors (.1946):
S em Site Classification (.1948):4 j
Available Space (. 19452 1 1 1 Evaluated By: CX,
S stem T e(s Others Present:
Si[e LTAR
136 e, is r