IPACHTE# Harnett County Department of Public Health 29255
Improvement Permit
A building permit cannot be issued with only an Improvement Permit Ltd Sttyy 2A
PROPERTY LOCATION: 0-.- Cc,( C, WnaC4S U,; [ to r2 t pcsGJ
ISSUED TO- (00516f,< L0n,6.&.. SUBDIVISION n>d''csrrd Ilt2iGo6 .S LOT # $_
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: lt',!J'A, i 0 (L ffvu3L'
Proposed Wastewater System Type: Z-50/4 12 'a a/v 5 5"
Projected Daily Flow: ate C5 GPD
Number of bedrooms: 3 Number of Occupants: _ 6 max
Basement ❑Yes f10
Pump Required: Cos ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 21;wPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
LWFive years
❑ No expiration
Authorized State Ag go Date: _ 17, /n �0/ 4_ SEE ATTACHED SITE SKETCH
The issuance of this permit by t I �alth Department in no way guarantees the issuance of other fermis, The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject m ruination if th me plan, plat, or the intended use changes. The Impremment 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 Formic.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1956. 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 TO: tZE- px '4PROPERTY LOCATION: (3>5F0fcl 000r • -5R �w� Q-1)
�� SUBDIVISION C2 -,e Ccs- A L c cis LOT # �
facility Type: 5 0 2 19 New ❑ Expansion ❑ Repair
Basement? ❑ Yes OrNo Basement Fixtures? � ,,❑ Yes ❑ No
Type of Wastewater System** 2r5% r2oA ,cA-Ar n S i SQ4-4xv% (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size t goo gallons
Pump Tank Size S csaG+ gallons
Pump Requirements: ft TDM vs.
Conditions:
Q"vCNA("t' 5-154rfY(Repair)
Number of trenches
Exact length of each trench SO feet
Trenches shall be installed on contour at a
Maximum Trench Depth oh Z O inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing: q 'I" Feet on Center
Soil Cover: 119 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
17- 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 strec/led it different from the type speciled on the app/icaiion. / accept the Jpedfraaonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownethiD of the site. Thin
Lonstruction Authorization 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 Age Date: OZ/10/6
action Authorization Expiration Date: I Z x, /
HTE# I6 - 5 - 3113- V Permit #_ 'L
Harnett County Department of Public Health
Site Sketch
r oia Siox_ R.4.
��� PROPERTYLOCATON: 0)40rj (, 6g 5 DC l St•i. po(,
ISSUED T0: �,( ?:Llrnl ✓�rfJ/ SUBDIVISION QxCr, t> Wtt LOT AE
Authorized State Age Date: 1
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Departmmt of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
t JeAzl'
Owner: Gc�sl Applicant _->-E2vc "Tu n.yycM
Address: buc,cJ t.a,0y6 11 .� Date Evaluated: 1 I t 3% t b
Proposed Facility:.3 64L 11Design Flow (.1949): 3(,05a1
Location of Site: eId S K Property Recorded:
Water Supply: &iublic❑ Individual ❑ Well
Evaluation Method:[YAuga Boring ❑ Pit ❑ Cut
Type of Wastewater: 04ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: r„5 F
❑ Spring ❑ Other
❑ Mixed
DescriptionInitial Repair System Other Factors (1946):
S em Site Classification(. 1948): V�u,S�O,lc.tly 5�„1wb
Available S (.1945 Evaluated B
Site L�TAR s Gy' i - f.s� • "A . Others Present .
FP=bOW
SOB. MORPHOLOGY OTHER
.1941 PROFILE FACTORS
zon
th
.1941
Structurev
Texture
.1941
Consist,,..
Mineralogy
1942
Soil
Wetness?
Color
.1943
Soil
.1956
SWO
Class
.1944
Restr
Horiz
Profile
Class
h LTAR
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DescriptionInitial Repair System Other Factors (1946):
S em Site Classification(. 1948): V�u,S�O,lc.tly 5�„1wb
Available S (.1945 Evaluated B
Site L�TAR s Gy' i - f.s� • "A . Others Present .