IPACNTE# to 2o -z Harnett County Department of Public Health 29252
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
A -)O r nS C M PROPERTY LOCATION: tt ,73 Yo u n R o� �1 <4—� I � sit}
ISSUED TO' On ��- SUBDIVISION
NEW WREPAIR ❑ EXPANSION ❑ LOT #
Type of Structure: 3 R 2 kA ova
Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: 'Z6 `/o (2ea�e..ti'oA
Projected Daily Flow: 3&0 GPD
Number of bedrooms: 3 Number of Occupants: % max
Basement ❑Yes 10%
Pump Required: ❑Yes li?No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Gi/Well Distance from well too i feet
Permit conditions: Permit valid (or: Dive years
❑ No expiration
Authorized StareAg t: Date:t z/ v s Z o i G SEE ATTACHED SITE SKETCH
The issuance of this per by rush 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 t e 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 in 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 attached
and installation requirements of Rules .1958, .1957, .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 atuched rystem layout
ISSUED TO: tVo r, -,s C • VVl v dSon Sc PROPERTY LOCATION: Q 3 3 iso unc� lZcc t1 '5 ft I s 4)
SUBDIVISION LOT #
Facility Type: 3132 1AoJse. EeNew ❑ Expansion ❑ Repair
Basement? ❑ Yes 5;,* No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ZS ° o (tr sAa i (Initial) Wastewater Flow: 36h GPD
(See note below, if applicable ❑)
sjyp`(Repair)
Installation Requirements/Conditions Number of trenches +
Septic Tank Size i bar. gallons Exact length of each trench 50 feet
Pump Tank Size *&- gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 'Z G -> Z O inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: 9 Feet on (enter
Soil Cover: ty inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A_yyinches below pipe
Aggregate Depth: 2: �(' inches above pipe
IV ille_ inches total
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.
**If applicable: / ondeatand the rystem type specified /s different from the type specified on the app/icatioa / accept the roe�ih'iatioar of this permit.
Owner/Legal Representative Signature: Date:
Thu Construction Authorization is subject to revoation i( the site plan, plat. or the intended use changes. The Consruclion Authorization shall not be mnAerred wh.n sea.. �. , .e,...:. _..._._.:_
Construction Aulftontramn 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 Agen G / t/�rc%.� �'
Date: T ZZCZ I Zb / G
Construction Authorisation Expiration Date: L Z us 2 L
HTE# IG-S-11UZaz
Permit # 2 `i Z S -Z,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: `133 yo u
ISSUED TO: 06e-ri S M e,8spn �� � 5 mad i `� cL \
SUBDIVISION LOTT # #
Authorized State Agee
Date: I Z/ U I Z -O t G
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Nu i'-5
Owner: rvlr.ds, l) Applicant: Nods Muc15 - n
Address:933 Vim_+y "'. Date Evaluated: t3v I
Proposed Facility: S S 9- A� J � Design Flow (.1949): ,3Gp b
5•V
Location of Site:yIo„�y ay Property Recorded: Na
c
Water Supply: ❑ Public❑ Individual (Well
Evaluation Method:E)"Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q3ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3. ��-2--
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (. ] 946): N ,,,pS stem Site Classification (.1948): kovS5:o j
Available S ace (.1945) Evaluated By:
S
Rem s ys a¢a- ped Rt�eta Ca«n
Site LTAR 6 .Ll
Others Present:
JP�ition/
L MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
e
e
.1941
Consistence
Mineralo
1942
Soil
Wetness/
Color
1943
Soil
IN.
.1956
Sapro
Class
.1944
Rem
Horiz
Profile
Class
& LTAR
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Description Initial Repair System Other Factors (. ] 946): N ,,,pS stem Site Classification (.1948): kovS5:o j
Available S ace (.1945) Evaluated By:
S
Rem s ys a¢a- ped Rt�eta Ca«n
Site LTAR 6 .Ll
Others Present: