IPACHTE# Harnett County Department of Public Health 29326
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_S:6a;7A1iQA 1.
ISSUED TO:i Cti 2 py SUBDIVISION zfs LOT # -Z-
NEW 13Y REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - 612— (('1 J(.1)
Proposed Wastewater System Type: ZS% 2d ti_A li T
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes o
Pump Required: s ❑ No ❑ Mayb�quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community P'lublic ❑ Well Distance from well 1004 feet Permit valid for.
Permit conditions:
f
❑ No expiration
Authorized State Age t1% ��/�'/
K „1 — Date: 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, plan. 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 Taconic.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1953, .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: l)catl'e\ QranQ PROPERTY LOCATION: Cel -I PVrAo ,S(G f ich9 IZLA.
SUBDIVISION (2 ar G4lizs1- LOT # Z
Facility Type: 3 G(Z f `)r -4 G s� ER New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pump 41 r ZS%2� 5 2046 rn (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
POM a Z5,1 /kel- • S yS s> (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size roto gallons Exact length of each trench �141jip feet
Pump Tank Size
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 'L$ - I E: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. _ GPM
Conditions:
Trench Spacing: % Feet on Center
Soil Cover: 16-6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OR FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
2 inches above pipe
T Z- inches total
*If applicable: / understand the system type spealed /t different from the type spelled on the app/icalioa / accept the J 6hiatioar 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
tnnatmftinn Authomation is subject to compliance with the provisions of the Lawn and Rules for Sewage Treatment and Disposal and to the
conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag Date: zo3 / o // /
Construction Authorization Expiration Date: O t IZ7,
HTE# I — S —NV 16 C1
Permit # Z `%3 Z C
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (oil
ISSUED TO: _ '12 Pn oP SUBDIVISION 61 Ll c C[Ec F
LOT #
Authorized State Agent/�� l!��� Date:
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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: Ant -4 Applicant: per' Q1 00(x—
Address: (, N R)�I1Q 5&444 (L A - Date Evaluated: % -' l
Proposed Facility: Jin j> Design Flow (.1949): 47
Location of Site: CD `� Properly Recorded: Yi o
Water Supply: Public❑ Individual EI Well
Evaluation Method: AugerBuri El pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O. 4 ) 0<1
❑ 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 (IN.I
.1956
Sapro
Class
.1944
Restr
Horiz
1
L 4%
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): QfaviS•`vu"ltj Sv,'fc. �jlG
Available Space (.1945) Evaluated By:
System T e(s) Others Present:
Site LTAR p.