IPACHTE# I G- 5 yt7y33 Harnett County Department of Public Health 29300
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /8S De.a T st. L 52 I L4 03
ISSUED TO C 1�cs \ �s e�ae 1 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 2 42 .51 --
Proposed
t=Proposed Wastewater System Type: Z!�%a ael S z1
Projected Daily flow: 7-q n GPD
Number of bedrooms: �Z Number of Occupants: Q max
Basement ❑Yes INNo
Pump Required: Dyes ❑ No C$ May be required bon final location and elevations of facilities
Type of Water Supply: ❑ Community El Pub 13" Well Distance from well SM } feet
Permit conditions:
Permit valid for.
lie years
❑ No expiration
Authorized State Age ��a �/ �/ /t.qZ —/safe f — 23 — f SEE ATTACHED SITE SKETCH
The issuance of this permit by i rlth Department in no way guarantees the iuuance of of erh permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if t 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 permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
�ILl1baX Qct.
ISSUED TO: G1nc�\eye Oe-:6;re,\ PROPERTY LOCATION: 185 C)e.Auc Si IYO Z /
��SUBSION LOT #
Facility Type: Z Ld � New Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (Initial) Wastewater Flow: ZS/a GPD
(See note below, if applicable ❑)
Z -S` (Repair)
Installation Requirements/Conditions Number o renches 3
Septic Tank Size /o c, O gallons Exact length of each trench G, n feet Trench Spacing: �_ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. S'S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
I 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: / anderrrand the ryrtem type rpeciled it different from the gpe rpeciled on the app/icaden. / accept the rpecibcatianr 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 ownership of the site. This
Construction 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
p
Authorized State Ag enC C �g ate: 1-7-3-17
`v _---F-Construction Authorization Expiration Date: /- 7 3-Z7-
NTE#
Permit # 2 9 3no
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOEATON: ISS Dem Si, ( 52 1'1,03
ISSUED TO: C,kyCleS Oe2',e 1 SUBDIVISION LOT #
Authorized State
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ot,ZiGl Applicant: C_Vve-
Address: r,)e,,,x,s.. Date Evabtated: U I I l/�
Proposed Facility Zq2 5 c 9 Design Flow (.1949):
Location of Site: fir, rg , ,-j6+ Property Recorded:
Water Supply:��/ ❑ Public[] Individual Well
Evaluation Metbod:D/Auger �B� g ❑ Pit ❑ Cut
Type of Wastewater 6d Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: Z ."--19 14-C .
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Positioa/
Slope %
Honvm
Depth
(ln.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wemesst
Color
.1943
Soil
.1936
Sapro
Class
.1944
Renu
Hanot
Profile
Class
& LTAR
62
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r s e s<
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Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): �r�„ 5 •'�^-<<tj Sv7=.Id-c—
Available S e .1943 Evaluated By:
System T s !c 'Z a E Others Present:cp'"
Site LTAR i 0 . S