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Harnett County Department of Public Health 29313
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: _P s,\n,
ISSUED TO 5�FF Pnee SUBDIVISION LOT # 1I A'
NEW f� REPAIR ❑ EXPANSION ❑
Type of Structure: 3 BCZ- 5 FV
Proposed Wastewater System Type: 2 S '/ w Ctea� ,cA
Projected Daily flow: 3 Co 6 GPD
Number of bedrooms: — Number of Occupants: _bmax
Pump Required: ❑Yes ❑ No May b,g,Rquired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for. mars
Permit conditions: ❑ No expiration
Site Improvements required prior to Construction Authorization Issuance:
Authorized State A / Tate;' —` — � / 3 / 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by tly Ith Department in no way guarantees t e issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if a sire 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 instillation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: 11 s'i 90w, PROPERTY LOCATION: "JN',or
SUBDIVISION LOT # i } Ar
Facility Type: 3 ZAZ- : I> ®� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS% IiICAv %r- On rJ a.S lC+a�L (Initial) Wastewater Flow: y i tZ GPD
(See note below, if applicable ❑)
?�/o S� ..rt (Repair)
Installation Requirements/Conditions Number of trent. es 3
Septic Tank Size I 1-2n gallons Exact length of each trenches feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6'1-f inches
Maximum Trench Depth of: *Z— 14 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
G inches below pipe
�— inches above pipe
s Z inches total
**If applicable: / anderrtand the ryrtem type speciled it different from the type W611'ed on the application. / accept the specilcatianc 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
Lonstmrnon 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 Stt AI IALHEU Slit SKETCH
Authoriz State en • Date: 2^ /
Construction Authorization Expiration Date: 7--%3 -ZZ
HTE# I — S ' y U S$(�
Permit #
Harnett County Department of Public Health
Site Sketch
A ^a^ PROPERTY LOCATON: (L 1 t} DO)
ISSUED T0: SUBDIVISION LOT # f A
Authorized State Agfnt 4 '-' —\V— Date: Z-13 —/7
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: 1a(rf�
isApplicant:Te-Cf OK
Address: rZr� • Date Evaluated:
Proposed Facility: 342 5r`l) Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: lic[1 Individual ❑ Well
Evaluation Method: AugerBo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage C] Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 3 '�+s ��
❑ Spring ❑ Other
❑ Mixed
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#
.1940
Landscape
Position/
Slope Yo
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
,1944
Rear
Horiz
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Description Initial Repair System Other Factors (.1946): ^.W&e_
SystemSite Classification (.1948): Pic ✓i tH'd'r*••��j S�+•'f+ b'L
Available Space(. 1945 Evaluated By:
System T s t.S% JSed. Others Present: ��� Gvr�•>7 �� ��
Site LTAR o.44- C,. -