IPACHTE# j-�-- 5 —`t v I'S -4 Harnett County Department of Public Health 29327
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
''�
__ ,, PROPERTY LOCATION: NG Z a f -
ISSUED—T0/ ` nn �-CA0 "\ jmaco v •rau,N SUBDIVISION LOT # /
NEW IS REPAIR ❑ EXFWSION ❑
Type of Structure: q 32 5 b (o 2 x 6 9'�
Proposed Wastewater System Type: Z5% ti,d. Sy j; 4- t
Projected Daily Flow: U V5 GPD
Number of bedrooms: Number of Occupants: `P max
Pump Required: []Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
[Pta�ybc Mw* ed based on final location and elevations of facilities
u lic ❑ Well Distance from well feet
Permit valid for.
Fars
❑ No expiration
Authorized State Age �pG�� / /l�i.SS Date: nS/0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the 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 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 laws and Rules for 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, .19S4, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: QcutAcnSl TNr6 a A1 PROPERTY LOCATION: mac- 2� £
� SUBDIVISION LOT #
Facility Type: '4 62 59D 9t z G `7 Lel New ❑ Expansion ❑ Repair
Basement? ❑ YeBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: yZ6 GPD
(See note below, if applicable ❑)
7510 17yS5;&s/4,4 (Repair)
Installation Requirements/Conditions Number of trenctes 3
Septic Tank Size f zOy gallons Exact length of each trench 160 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TDH vs.
Conditions:
Maximum Trench Depth oL• 17 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: F Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
t Z inches total
**If applicable: / understand the skrtem type specified it di//erent from the type speabed on the application. / accept the specifiwionr 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 u a chance 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
Authorized State Age : Date: 63/h/ //-I
Construction Authorization Expiration Date:
NTE# 1-4— 5- L461-6 q Permit # 1Z 93 Z T
Harnett County Department of Public Health
Site Sketch
�7
PROPERTY LOCATON: N / s
C Za E
ISSUED T0: QC1n&N\\ ( .Ac4ul SUBDIVISION LOT #
Authorized State Agent: � �� -�2 5 Date: 0;3 /U 1 / I
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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: Mr�Applicant: 2.W.,Xs+t1 ^4r.'.24)
Address: AVC- 2} r Date Evaluated: 6 ,t
Proposed Facility: y 4 f(, SFp Design Flow (.1949): 91y �°i
Location of Site: NL Z3. I— Property Recorded: f
Water Supply: rr rublic❑ Individual El Well
Evaluation Method:�r Bo ri ❑ Pit ❑ Cut
Type of Wastewater: LLrSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: $ ArC.,
❑ Spring ❑ Other
❑ Mixed
P
R
O
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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (N.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 3°i�
o-(0
62 LS
r'�'W 1
(� 3y
g►C AL
Kf 5 P
341
v
Pry
34
PM
a. y
Z
L-3 is
o -8
62 SL
r-9 509 k
$-3q
SLL
F(S P Y
PS
3�►i
p` �"'�
pry
34
on^
o .y
3
L 3
o -8
Uz- LS
K She
36
13K SCL
5 e34fPS
304
P "ItC41
Pr,-`
3d
PM
o.4 -
Description Initial Repair System Other Factors (.1946):
S stem Site Classification(. 1948): 19/2, ✓�fi viK,//y 1✓fz �G
Available Space (.1945) 1., Evaluated By:
System Type(s) Z5' Y.6'' Others Present: 4A, re--> G✓Yn 1.t 2�FL3
Site LTAR p, O•