IPACHTE# 13 -6 - Harnett County Department of Public Health 29467
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: :3062 /3ol/q 13r,&, (7,4 C 52 17- t 1
ISSUED T0: ACIA6 D CQ MM to SUBDIVISION LOT #
NEW REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 462 S F"D ( --T3 I X 6 :f 1 )
Proposed Wastewater System Type: ZS,* tusk [.( on S
Projected Daily Flow: q 370 GPD
Number of bedrooms: mal Number of Occupants: max
Basement ❑Yes LN'No
Pump Required: ❑Yes ❑ No &fa"y be required has d on final location and elevations of facilities
Type of Water Supply: ❑ Community
El
Type Well Distance from well 1O0 + feet
Permit conditions:
Permit valid for.
l� years
❑ No expiration
Authorized State ApenC.: /�Date: tri/Z�/Lc t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements, This
site is subject to revocation if the site pian, 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed in accordana
with the attached system layout.
ISSUED TO: 6 rte D _ L um (16 14C9',51 PROPERTY LOCATION: 3c) -i a -i f z'J
SUBDIVISION LOT #
Facility Type: ylf2 j;' d> -4 / 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 12'lo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Z6e-�(Initial) Wastewater Flow: `/ ��� GPD
(See note below, if applicable ❑)
7-5 o vLed,c.0 a . (Repair)
Installation Requirements/Conditjons Number of trenches Z
Septic Tank Size I LS c' gallons Exact length of each trench ISO feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 8 inches
Maximum Trench Depth of: Z o 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. TDH vs. GPM
Conditions:
6 inches below pipe
Aggregate Depth: t inches above pipe
z inches total
WATER LINES IIN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
No UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undersand the system type specified is different from the type specified on the application. / accept the rpecifcatianr aphis 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
Lonsmiction Authorization is subject to compliance with the provisions of the laws and Rules for bewage treatment and Uisposal and to the Conditions at this permit JCC NI IPIIICU 311C JhCRn
Authorized State Agent: _ J - - Date: "y/ L:?-/zcal-+
Construction Authorization Expiration Date: 0y 1 z z-z—
HTE# 1 - 'i -'4 1136Permit # Z 9'l , .7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: 3M11 &CAR (5�,6, (L L-52 1-40
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: l ��"��—�����5 Date: b fl
✓ stG
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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:�QA%icanC Err 4 9 C.N+.w%•�
Address: 50Q944 (5r'dd,� Date Evaluated:
Proposed Facility: qg2 5G9 Design Flow (.1949)• qhs' Q A
Location of Site: Property Recorded: >,E j/�
Water Supply: Public❑ Individual 1;tll
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 7 / 4 4LL'
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
p
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN .)
Sapro
Class
.1944
Restr
Horiz
L Zk
0-1D
,,'I &L
r/( S`�°J�p
to-vo
3r 64
Z
L Z6
O -to
(aQ 6L
10-41
3C sr�
Y/ f '0
3
L 2A6
0-?
-7,s1rf X 34"
401-
o, y
N ->!a
QK Su,
j/5r
7s►'2�// COAG"
vow
y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): hIL
Available Space (. 1945) Evaluated By: IVAdrea G.yCr.n !le
System Type(s) a Others Present:
Site LTAR p,