IPAC RHTE# iG 5-c/o1Si12 Harnett County Department of Public Health 29251
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A2', e r 2oc c1 (517- t2 14) 2?)
ISSUED TO: -filer Aso An3e rw IAkm Al on SUBDIVISION LOT # 3 21
NEW Gds REPAIR ❑ EXPANSION ❑
Type of Structure: 3 %G 2 Ri 005
Proposed Wastewater System Type: ZSe/o ewc U c n 5+t ftp
Projected Daily Flow: 3G0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes N10
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: h3fes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community VPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
54i e years
❑ No expiration
Authorized State Ag :: � a9 ,7 ` Date: 1 Z/Ot f 'Z 4� 1 G SEE ATTACHED SITE SKETCH
The issuance of this permit byt th Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if t to 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 requirement of Rules .1950, .1951, .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 attached system layout
ISSUED TO:-LA�ir� ^� Anc�cl \a�a�.l�on PROPERTY LOCATION: t)L vL 1Z�� 52 t+18)
SUBDIVISION LOT # TO
Facility Type: 3 tR- V\ 0-3--,t C3/New, ❑ Expansion ❑ Repair
Basement? ❑ Yes EVNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25 /o Ysaa ck c>A 5� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
25"/0 5,aW-6(Repair)
Installation Requirements/Condifions Number of trenches 3
Septic Tank Size t o C3,6 gallons Exact length of each trench is x S feet Trench Spacing: i Feet on Center
Pump Tank Size tyc>o gallons Trenches shall be installed on contour at a Soil Cover: 'i— G inches
Maximum Trench Depth of: ll -(1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth:— inches above pipe
Conditions: LZ YL inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spechfed is di!/erent hom the type speciled on the application. /accept the specificatioar o/ 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 ownership of the site. This
Lunswction 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
i-boW
Authorized State Agent. W+ �n Date: ' Z-/ of / 7-at6
�J ��_ -instruction Authorization Expiration Date: tz o ze.ti
IOIS.F
400,
3 36'
HTE# 16o-5-g6/JIB
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: CZ% Vel 20 o A l _'5 (Z- ( y 1-1)
ISSUED TO:itiTk �Oqf &. 9C -M lian SUBDIVISION LOT # :3
Authorized State Ager Z? fjjn /tDate: -Z-
go N
go`
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
On -Site Wastewater Section
Property ID:
Lot #:
SOIL/SITE EVALUATION
File #:
Code:
for ON-SITE WASTEWATER SYSTEM
Owner:d{�.n ,t}on Applicant 'T�le� Nwa,l}6n
Address: 3R,I R.v es' R�. Date Evaluated: II
Proposed Facility: S S 9- Novsc, Design Flow (.1949): c•I/a4, Property Size:
Location of Site: (Z,C, C>-5 . Property Recorded:
F� C
Water Supply: Q'Public❑ Individual ❑ Well ❑Spring ❑Other
Evaluation Method: [Auger Boring El pit ❑ Cut
El
Type of Wastewater: ❑ Industrial Process
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1
OTHER
.1940 .1941
L Landscape Horizon
PROFILE FACTORS
E Position/ Depth .1941.1942
# Slope .1941
Str°/< (In.) Structure/ Consistence
Soil
Wetness/
.1943 .1956
.1944 Profile
Texture Mineralo
Color
Sod Sapro
D th IN1 Class
Restr Class
Horiz & LTAR
L Z /o -
v 4C vk. sssv
t" N
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i@ 36 sBK� sc� V5s e 5(ry
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3G
OA35
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N
I z -"L8 58VC' SLL G; �� 5
N {�
(9 t 35
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Description Initial Repair System Other Factors (.1946):
System
rvo.2c
Site Classification( .1948):
AvailableS ace .1945)
Pre�,Sf�aao.li-� S-v,i a,�l�
System Te(s) o- (Za ,Q 1
Site LIAR ,5 o� . , _
Evaluated By:
Others Present: