IPACNTE# i 4 — 5 — glIZ3 Harnett County Department of Public Health 29462
Improvement Permit
A building permit cannot be issued with only an Imm rovement Permit C
PROPERTY LOCATION: r� 6 Il i A S 20 Kk $ 2 I q 1.3
ISSUED TO/ I-0rAl�V-rIC-Aa 146rtt¢s . -[ nLSUBDIVISION -rte (jsum— LOT # -_9_
NEW g�PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3G _ (4q%Y640 5'Ft>
Proposed Wastewater System Type: 2 Si,- /Zed .Ar -6, r. Sys
Projected Daily Flow: 3&o GPD
Number of bedrooms: ;3 Number of Occupants: ('e max
Basement ❑Yes GYNo
Pump Required: ❑Yes ❑ No ay be equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for: Eii1ve years
Permit conditions: ❑ No expiration
Authorized State Agent.: O t/ / f 9/ Zo t 1- 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 thetking 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 .1958, .1952, .1954, .1955, AM, .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 T0: CgeA6erlat&,A l4amit inti PROPERTY LOCATION:
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� SUBDIVISION rt 6 e (2o�r
Sv P LOT #
facility Type:
Le' New ❑ Expansion ❑
Repair
Basement? ❑ Yes ETIo Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System'* 2S%
/teJd c:4,,�A
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
Z.iiu
/Leduc! rt - S ;'s (Repair)
InstallationRete uirements/Conditions
Number of trenches ff
Septic Tank Size 1 000 gallons
Exact length of each trench SO
feet
Trench Spacing: Feet on (enter
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: 3' inches
Maximum Trench Depth of
inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
6 inches below pipe
2 inches above pipe
1 Z inches total
**ff applicable: / anderstand the system type specyfed fi different fmm the type specified on the application. / accept the specfhcatfons of this pecou't
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if she 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
Construction Authorization is
Authorized State Agent:
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date:
HTE# 1-4 —5 —`1112 9 Permit # zggC 'Z
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: aooin5 {Loc<,1 ( 5a iya)
ISSUED TO: �Um�XCI�y.� I��Wl,T�cv SUBDIVISION 7(e (tc5L—<-%kO LOT#
Authorized State Agent: Date: q/Z o t -
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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: ° )_ '#-f'
Address: I P> y 7xt 4a�et'vG Date Evaluated: Ot//l.-Il'jL
Proposed Facility: 33rt. 5i 6 Design Flow (.1949): 3GoGPo
Location of Site: 1-1 rtiee,�L Property Recorded: %'GS
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Method:[J%Cager Borin ❑ Pit ❑ Cut
Type of Wastewater:L4-'Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
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F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Minenalogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.)
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System_Site Classification (.1948):
Available Space (.1945) Evaluated By: ,^t
System T e(s) ZS`o /41. Z-5;. ?al . Others Present: f1 n JfGJ C v/few rl�i1S
Site LTAR Al o. $4-