IPACHTE# C�'S3o1{�—] Harnett County Department of Public Health 29026
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit n
PROPERTY LOCATION: Zdwc& �ouNQ
sotg D
ISSUED TO: Ga4, VrybNras0 v4 ikvMZS SUBDIVISION Sou 5 LOT #
"'14—MANSION REPAIR 9 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFp `z.4 C; c30
Proposed Wastewater System Type: o.S? ca QLF9VCKIclt i�JanC44�
Projected Daily Flow: O GPD
Number of bedrooms: _� Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community —TX Public ❑ Well Distance from well 10 C7 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: SL
The issuance of this permit by the Health Department in no way guarantees the issil
site is subject to revelation if the site plan, plat or the intended use changes. The Impn
the laws and Rules for sewage Treatment and Disposal and to conditions of this permit..
Date:
SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, AM, .1955, .1956, .1951, .1958. and .1959 are incorporated by references raw this permit and shall be met systems shall be installed in accordance
with the attached system layout tD
ISSUED TO: GAcuo lAanr-5 PROPERTY LOCATION:�20Cj�owz0N yip
SUBDIVISION 7543\ rA5,cp Fwbl. s LOT # 11
Facility Type: SFO L�O'y3�o� X' New ❑ Expansion ❑ Repair
Basement? ❑ Yes -K No Basement fixtures? ❑ Yes AND
Type of Wastewater System" Q.S°/o PInv6,1 GN gY5 Err (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
as-/ b RE.O. SyS e (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size s ei gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 1�L inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: R TDM vs. GPM
Conditions:
Trench Spacing feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / onderrtand the system type rpech ed /r diKerw from the type spec/fed on the app/iwion. / accept the rpecibcafionr of this permit.
Date:
Authorization
Construction
plat or the intended use changes. The Construction Authorization shag not be mnsfen
of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent k&-sis Date: 9 0 16
sstruction Authorization Expiration Date: 9 a
SEE ATTACHED SITE SKETCH
HTE# �C'-s- `N01 Permit # a`l01--b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: 8a. oc . S oHNS QNJ
ISSUED TO: HseN `�t�mES SUBDIVISION Dov\ soN FMrA5 LOT # Y 1
Authorized State Agent: �CL-ra6rz-7OLX—. 00Y) Date: 9 I QA I ib
6{0 v 5
I t.
5fooLE LN.
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSTfE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L)aDct ,.n Design Flow (.1949): !-1 pp
C F
Location of Site: Property Recorded: 1
Water Supply: Public❑ Individual E]Well
Evaluation Method4j<Auger B nng ❑ Pit ❑ Cut
Type of Wastewater: rl Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
SOIL MORPHOLOGY
.1941
OTIC
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Rcstr
Honz
Profile
Class
& LTAR
�� 31y
sex sty
'�
5
.3
�cr3'1
fix, sc>_
fid. s>lg�
�S
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space(. 1945) Evaluated By: p
S stem T e(s aj> >c Others Present:
Site LTAR • 3