IPACHTE# td_I Harnett County Department of Public Health 29167
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
--y—
PROPERTY LOCATION: Ot U
ISSUED TO/ V OA)AI1—%
_
Sl CLJi& OUr—
SUBDIVISION T
LOT #
NEW d
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
S W
m 4—
Proposed Wastewater
System Type: ZS°/ofZ", .-w!—
Projected Daily Flow:
3 la n
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
—�3
I�No
-May
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
3 be required b�as
❑ Public Ld' Well
on final location and elevations of facilities
Distance from well ! au a feet Permit valid for.
J/
fJ Five years
Permit conditions:
❑ No expiration
Authorized State AEent� lif / v f �j{ p/k ✓�y(�// Date: ^ 7 ��� SEE ATTACHED SITE SKETCH
The issuance of this permit bthe ilth Department in no way guarantees the issuance of other permits. The permit holder responsible for checking with appropriate governing bodies in meeting their requirements This
site is subject m revocation i e site is 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 mnstmction 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 she attached system layout.
ISSUED TO: �y hNnl:f . S i ✓' GJin r�� PROPERTY LOCATION: 3 ° I f'J
SUB IVISION
Facility Type: 540 nX,14 2' New xpansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes 9 No
Type of Wastewater System" ZS2. _5 r fyk (Initial) Wastewater Flow:
(See note below, if applicable ❑) 7!�t-5/
—r.� `2"5'� t c°—W (Repair)
Installation Requirements/Conditions V Number of trenches I I,
LOT #
3 (e U GPD
Septic Tank Size ) 0 oa gallons Exact length of each trench 2`i o feet Trench Spacing: feet on Center
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of / 8 r inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover: _�_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
.%� inches above pipe
inches total
"If applicable: / understand the system type specified is different from the type specdved on the app/icatioa / accept the cpecillcatiom o/thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject in revocation if the site plan, pias, or the intended use changes The construction Authorization shall not be transferred when there is a change in ownership of the site. This
unetucton Authorization is subject to compliance with the provisions of theLaws and Rules for Sewage Treatment and Disposal and m the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Ag�� -C2/; til � �� Date: -L 7
�" Construction Authorization Expiration Date: -Lq— Z
HTE# 9048Lf Permit # 29 / (77
Harnett County Department of Public Health
Site Sketch
�PROPERTY LO[ATON: I�I� 4 30/ AJ
ISSUED TO: QD/fAZ4- -5/1-_`Wen-% SUBDIVISION LOT #
Y�IZfnl�
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Authorized State A,(i t G+-�+ / " Ljk�6 Date: !-2 Y /7
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 5F6__*7L
Address: Date Evaluated:
Proposed Facifirr.`Design Flow (.1949): J(�A
Location of Site: �/y j/ LA/ Property Recorded:
Water Supply: ,��,� [��]''Public❑ Individual ❑ Well
Evaluation Metbod:0'AugerBoring ❑ Pit ❑ Cut
Type of Wastewater. ❑-S`ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
E
#
.1940
Pae
Plno/
Slope %
Horizm
DMA
(In.)
SOIL MORPHOLOGY
.1941
07mm
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Strucmvd
Texture
.1941
Consistence
Mio
.1942
Sod
Weloerst
Color
.1943
Sob
.1956
Sapro
Clue
.1944
Restr
Honz
I•Z
3
L7''
b-22
L
C A%�
z�Le
SQL
N
y '3✓0
3i�" 1
y
6-Z,rf
L
r,
N -k
Ks..
1-04
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Description Initial Repair System Other Factors (.1946):
S em Site Classification (.1948):
Available S e (.1945 Evaluated By:
S em T s Others Present:
Site LTAR e l