IPACHTE# I-�- 5- -10G33 Harnett County Department of Public Health 29405
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
r� PROPERTY LOCATION: -l" '1 M Uc4C-Wsa-<To� r sU Kp
ISSUED TO: L r-.5 ANfl61P "C, U Y t2RE SUBDIVISION LOT #
NEW)< REPAIR ❑ EXPA' J)N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �' q'o OD X-tk O
Proposed Wastewater System Type: PQ fy-, 0 r-NSo FAvaa%) 0,4 Sy�sE.r�
Projected Daily Flow: _�00 GPD
Number of bedrooms: 5 Number of Occupants: L O max
Basement []Yes No
Pump RequiredYes El No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community --�K Public ❑ Well Distance from well SO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ���\ NS Date: dL 1151 t'"'T SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan (yther permits. 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 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
squired for Building Permit)
The commission and imtallation requirements of Rules .1958, .1957, .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: vili:2 PROPERTY LOCATION: �'8�
vcLcNtsoa�ot. >v S�9
SUBDIVISION
Facility Type: New ❑ Expansion ❑ Repair
LOT #
Basement? ❑ Yes '>R, No Basement fixtures? ❑ Yes >No
Type of Wastewater System** a$d%o QCa�7s�,0a 1 gystGx, �QVmf�
(Initial) Wastewater Flow: (00 d GPD
(See note below, if applicable ❑)
;) s Z o F(j(� • ��s. Civ �') (Repair)
Installation Requirements/Conditions Number of trenches Y
Septic Tank Size S 0.50 gallons Exact length of each trench S O 0 feet
Trench Spacing: Feet on Center
Pump Tank Size tas O gallons Trenches shall be installed on contour at a
Soil Cover: 6 inches
Maximum Trench Depth of Ya 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
inches below pipe
R�
Conditions: Sr CaetotTtovS Q S�sL SKb-�(.�
Aggregate Depth: inches above pipe
-c --\'\Lt t
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 101"T. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderrtaad the system type specified it different from the type speciled on the app/ica6va. / accept the rpecilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization a revocation if the site plan, plat, or the intended use changes. The Construction Authorindon shall not be transferred when there is a change in ownership of the site. Thu
construction Authorization i object to corn wi s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: SNS Date: s S t 7
Con tion Authorization Expiration Date: 2T IS 1a
HTE# Permit # ag'1OS
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -7�°i Myljq�l56r�5oti11 R�
ISSUED TO: `— 2 t v 12CzC-. / SUBDIVISION LOT #
Authorized State Agent Date: ZI SSIi�
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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: Applicant:
Address: Date Evaluated:
Proposed Facility: Y, GO(Us — Design Flow (.1949):6 0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method. uger Boring ❑ Pit ❑ Cut
Type of Wastewater: J Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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P
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F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minmlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rear
Horiz
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Description Initial R air System Other Factors (.1946):
S st Site Classification (.1948, f
Available Space (.1945) Evaluated By:osr ,
System Type(s) 'D Others Present \
Site LTAR :7