IPACHTE# Harnett County Department of Public Health 29294
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l55 PROPERTY LOCATION: �5 W C r ', (F 'SoiS tl< n( S 2 \ 5 1 b
ISSUED T I1rsg2J Ti -56") 1( 6.,sp o YAC ro v51n SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 3II a- <' F'i,
Proposed Wastewater System Type:ZS O�.Aor1.0„� J ,^
Projected Daily flow. 960 GPD
Number of bedrooms: '3 Number of Occupants: G max
Basement ❑Yes Lel no
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No E R Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IMS Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. 5Y five years
❑ No expiration
Authorized State Agent:: Date: 0 �1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guar es " uance of other pennin. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The amen, Permit shall not be affected by a change in ownership of the site. This permit is subject m compliance with the provisions of
the laws and Rules far Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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: A(&eS PROPERTY LOCATION: Stier Cr `TvHnSc,n (L� . �$(L 161,
a--
�� SUBDIVISION LOT # J
Facility Type: b (L. 5 r 0 I 0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" -Z-S,!?-,,(U4vU; nM (Initial) Wastewater Flow: S6 GPD
(See note below, if applicable ❑) D y Db
?5% �} em (Repair) GNaPL \ A�os�
Installation Requirements/Conditions Number o trenches 4
Septic Tank Size / ocd gallons Exact length of each trench -5 feet Trench Spacing: �_ Feet on Center
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Trenches shall be installed on contour at a Soil (over. G inches
Maximum Trench Depth oL• to inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"IF applicable: / undersand the system type specified is different from the type specified on the applici6n, / aerept the rpecil2iatianJ of this permit
Owner/Legal Representalau Signature: Date:
This Construction Authorization is subject to 'on 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 Authoriz to compli'th pons of the Laws and Rules for Sewage Treatment and Disposal and m the mnditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:t Date: \ I l 0 1
at!f;e fttruction Authorization Expiration Date:
HTE# —6-g6s(x3 Permit# ZgZyy�
Harnett County Department of public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
LOCATON: 5h e6W -Yc, if 50A Q.L csaL 1 S 16
IVISION LOT #
Q vv- -TegH So.J fZb
5cz 1516
Date: S) W j )'1
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOMITE EVALUATION
for ONSITE WASTEWATER SYSTEM
w;w 4 CM. A
Owner:(4eF /=/A Applicant: C kr.O.Z
Address: 2A Date Evaluated: ` t I L 2 I
Proposed Facility: 36a_ i ,�t) Design Flow (.1949): 3,6?
Location of Site: Property Recorded:
Water Supply: [P
�,/ ublic❑ Individual El Well
Evaluation Method:M Auger Bo ' g ❑ Pit ❑
Type of Wastewater. EY Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
t�
Property size: 5 FS 4, ,
❑ Spring ❑ Other
Cut
❑ Mixed
Description
P
R
O
F
1 .1940
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Positron/
Slope Ya
Horizon
Depth
(In.)
.1941
Stmcaad
Tczture
.1941
Consistence
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956jHoriz
Sapmss
ClassLTAR
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Profile
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Description
Initial Repav System
Other Factors (.1946):
S st
Site Classification (.1948):
Pr..+•r,i ��slj Ste,' brL
Available Space (.1945
Evaluated By:
S eT s
ro
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Others Present:
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Site LTAR
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