IPACHTE# 1(0-S-g0Z5.--T Harnett County Department of Public Health 29270
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5 -le- � r -t 12-c c d\ (S(t.. IVO)
ISSUED TO: DcM6 + C2 Or -z-1 Stc�\' SUBDIVISION LOT # f t
NEW 52 REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 B 2 M" Aetw. Av u42
Proposed Wastewater System Type: Zb�lo fit sc-k C;6ftn
Projected Daily Flow: 3L b GPD
Number of bedrooms: _ � Number of Occupants: `max
Basement []Yes Eno
Pump Required: []Yes ❑ No f3 1a be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 21,eve years
Permit conditions: ❑ No expiration
Authorized State Al
The issuance of this per
site is subject to revoa
the laws and Rules for
SEE ATTACHED SITE SKETCH
(Health 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 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
animist and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 ars incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Kenn S t Rc� ng PROPERTY LOCATION: 896)
SUBDIVISION LOT #
Facility Type: 362 I-bme— 201ew ❑ Expansion ❑ Repair
Basement? ❑ Yes fyHo Basement �Fix�tures? E] Yes El No
Type of Wastewater System** 256 4eJ\XA! on (Initial) Wastewater Flow: 3G.6 GPD
(See note below, if applicable ❑)
Zs;g� S >,sLr+n (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 7cc� -t- gallons Exact length of each trench '7-S feet Trench Spacing: C Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6+ inches
Maximum Trench Depth of: Z6 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
fe inches below pipe
2 inches above pipe
I Z- inches total
**If applicable: / understand the sitem type specified it different from the type specified on the application. / accept the specifications of thir 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 of the
Lawsand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A Date: 01 103/f4
3 — ����s�6'��f%�_Lo➢structjon Authorization Expiration Date: cls / 0317-2—
HTE# 1 (c' `' -yU L6 :r' Permit # 2 9 Z � 6
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:_ fL i 8 t o,
ISSUED TO: Oentis + aackgN Sbc&sA�nj SUBDIVISI01 LOT #
Authorized State Date: 0110's/ Zo I
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section e
Lot
File
SOIL/SITE EVALUATION #.
Cod
Code:
for ON-SITE WASTEWATER SYSTEM
nL�n�y
Owner: Sk, IV Applicant: r)�n;S & IL—cktl
Address: 4,t ii 51, rza_ Date Evaluated: t2
Proposed Facility. 362 s, ip Design Flow (.1949): SCo d9 PropertySize: (, Z9 .
Location of Site: sk ��, rz,k . Property Recorded: /—rf
Water Supply: I3Public❑ Individual ❑ Well
Evaluation Method-0 (9°Str139z;rg pit El Spring El Other
❑ cut
Type of Wastewater: �J Sewage
8 ❑ Industrial Process ❑Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
1 1940
L Landscape Horizon .1941 PROFILE FACTORS
.1942
E Position Depth .1941 .1941 Soil
# Slope% (In.) Structure/ Consistence Wetness/ .1943 .1956 .1944
Profile
Texture Mineralo Color Soil Sapro Raw
th IN. Class Horiz
Class
& LTAR
0 8 Gr s t r .1s5P s4?
PS
(54/ Li S P SEry 7 SY2G�G� yZ N� t
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S
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3 L CZ% O AL G. SL F/ . Sssv
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PS
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Description Initial Repair System Other Factors (.1946): N c,..r,
System Site Classification (.1948):
Available Space 1945)
. Pia a�J r o •t. Itj ln.-1� 6 /
System T Evaluated By:
s) 25 r/cA. 3 r Rcd.Others Present-. �
Site LTAR
a, S '.Ti nn �n...r %..✓� Rf.i1