IPACHTE# 16-5-314TW Harnett County Department of Public Health 29269
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
•�, PROPERTY LOCATION: �Z eC(-tAe..A cc U,4 5 2 r e+ 3 J
ISSUED TO: S�Cn_MJ &IJA J a—AC . SUBDIVISION Ph ,/I& LOT # SZ
NEW V' REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 62. 5 FO
Proposed Wastewater System Type: Z-Soio Qeav l:c,n SSM
Projected Daily Flow: 3 (c 0 GPD
Number of bedrooms: 3 Number of Occupants: ( max
Basement []Yes 011or ��
Pump Required: ❑Yes 11 No f�YFta be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community GG Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
[�e years
❑ No expiration
Authorized State A ti �. B ' Date: /-7-e-Ve'- SEE ATTACHED SITE SKETCH
The issuance of this permit bye alth 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 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 perry c.
(See note below, if applicable ❑)
'Z<S� /%'-•icL:�-+'i�A S�SLr-.n (Repair)
Installation Requirements/Conditions Number of trenches :3
Septic Tank Size 1000 gallons Exact length of each trench 10C. feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: ` Feet on Center
Soil Cover. io inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: 2 inches above pipe
/ Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undemaird the ryrtem type speciled it different /rom the type speeded on the app/icatioa / arcept the rpecibcationr 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
Construction Authorization is subject to compliance with the provisions
soof` the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State AQen . �-. G �%/ (�Q �Datce !
�> �_� -construction Authorization Expiration Date: / Z -294Z/-
Construction Authorization
(Required for Building Permit)
The construction and installation requirements
of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in ucordana
with the attached system layout
ISSUED T0:�J�LJI [ ; /
8 yr%a�tlS Ly. PROPERTY LOCATION: (o L
Pzr(\!b G &V'-+5
2 t t}3 4- J
SUBDIVISION 1-1-4 ldm
Po;7oeerr
LOT # $
Facility Type: Q �
/
11 b 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
S
(Initial) Wastewater Flow:
3G0 GPD
(See note below, if applicable ❑)
'Z<S� /%'-•icL:�-+'i�A S�SLr-.n (Repair)
Installation Requirements/Conditions Number of trenches :3
Septic Tank Size 1000 gallons Exact length of each trench 10C. feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: ` Feet on Center
Soil Cover. io inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: 2 inches above pipe
/ Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undemaird the ryrtem type speciled it different /rom the type speeded on the app/icatioa / arcept the rpecibcationr 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
Construction Authorization is subject to compliance with the provisions
soof` the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State AQen . �-. G �%/ (�Q �Datce !
�> �_� -construction Authorization Expiration Date: / Z -294Z/-
HTE# 6 ' S - 3ygC/ Permit # Z % ec G
Harnett County Department of Public Health
Site Sketch
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ISSUED T0: J ��iC:/ $U /�CrS ��
PROPERTY LISION : GZ Perna a L0',,�P c
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/ SNUB- DIVISION %dud den Pv>"n a P,y LOT
Authorized State A��� G��.! — Date:
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Department ofEnvironrncm, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOIUSITE EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM Code:
_q,",
Owner. d,. ,4-'r3 Applicant: iJ. lder Z�zc
Address: G 2 Dale Evaluated: , z/c,e//c
Proposed Facility: 2 ,lI „rDesign Flow (.1949): Property Size:
Water supply.
p Site: i lud.1P.n pp 6
Water Supply: Property Recorded: G'�
Evaluation Method: Auger��ynglicO Individu Pit Well
❑ Spring
Type of Wastewater: Ud Sewage ❑ Cut
❑ Industrial Process ❑ Mixed
P
R
O
P
l 1940 SOR.MORPHOLOGY
LLandscape Horizon .1941 PRO OTHER
FARC
E
Posit ive✓ Depth _1941 .1942
# Slope^� (In.) Structure/ ConsistenceSoil .1943
Texture Mineralo etnewColor Soil
D th
1 C baa St��^ 15-
-Z'7
5-
-Z'j
ZZ "f S,gfs l
2 ,fL
[
0'6 SSSi f F
SG
❑ Other
3a! Sip
1 96
.1956
Sapro
.1944 Profile
Cis
Rem class
Horiz & LTAR
Site Classification (.1948):
Evaluated By:Others Present: R.IJ,t, C,,,,-,�
2E.yS S