IPACHTE# t -s - y 1 zo9 Harnett County Department of Public Health 29481
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
I PROPERTY LOCATION: Non n'ekocry, t/ 2.x )6 alb/
ISSUED TO: �pCs� Calvi .fept'lA6 c tee. SUBDIVISION DAna iLe 6aiV P -Lo 59 LOT # i
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5113(Z- 5 r --r> C 41 I X
Proposed Wastewater System Tyyppe: '43f,,a s ic, c g c 5
Projected Daily Flow: YZ& GPD
Number of bedrooms: _— Number of Occupants: r- max
Basement ❑Yes la-ifS�
Pump Required: ❑Yes ❑ No Q-PFay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community It ❑ Well Distance from well feet Permit valid for.
Permit conditions:
L +Vryear, s
❑ No expiration
Authorized State Agent:: Date: 05 / r e / Zcj t-4 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 bar 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 .1958, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references man this permit and shall be met Systems shall be installed in asx(irdance
with the attached system layout.
ISSUED TO: (&)krC L PROPERTY LOCATION: 1;)0nn'el.,rwlf i Lin qc%I ems 1
SUBDIVISION r>,n+Ylaec-e,rrt! {�;�2 = LOT#
Facility Type: 342 S a U `x 3S e' e� ❑ Expansion ElRepair
Basement? E-1Yes�} o Basement Fixtures? ❑ Yes iwl�
Type of Wastewater System" L5 ice, eLA . dC <-,sir (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
25 ,., (Repair)
Installation Requirements/Conditions Number of trencles 3
Septic Tank Size R gallons Exact length of each trench 4-�a feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. tm inches (:ZnClorrrc,
Maximum Trench Depth of: 12 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: h. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: a=nllee - Qr.z� inches total
WATER LINES (IN(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: / undeatand the System type specillied is diNereot /mom the type tpealed on theappAcadon. / accept the Jpeci6catioar o/thit permit.
Owner/Legal Representative Signature: Date:
inn Constmrnon Authorization is subject to revocation if the site plan, plat or the intended use changes. The Comtruction Authorization shall not be transferred when there is a change in ownership of the site. This
tonstructlon 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 Agent:' � 5 Date: v 5 / a 8 / zo v -4
Construction Authorization Expiration Date: os/tar/'ravz—
HTE# -A � Z( 4 Permit # Z 11/ YJ
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOR: O .n;n.b r�o� SLvn l' VS q0I 0..
ISSUED T0: Qobn& CGaWee, des, an - SUBDIVISION inn.6g-mbc- P; &e-cs LOT # Z5L
Authorized State Agent: Date: Ove /AV /I-*
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Departrnent of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:��f{ C.ru y(fe6 0
Address: 1-/ Zlt/ y� Date Evaluated:
Proposed Facility; 3p� S/� Design Flow (.1949): s36OLB/�
Location of Site: Property Recorded: yGS
Water Supply ublic❑ Individual ❑ Well
Evaluation Method- geerBo - ❑ Pit ❑Cut
Type of Wastewater. Sewage El Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: o . Shy 4--r--
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
L
E
#
.1940
landscape Horizon
Position/ Depth
Slope% (mJ
SOIL MORPHOLOGY OTHER
.1941 PROFILE FACTORS
.1942
.1941 .1941 Soil .1943 .1956 .1944
Structure/ Consistence Wemessr Sail Sep- Rest
Texture Mmetalo Color th IN. Class Honz
iX 6L 5o,4L-j,
P-Rle
Clans
& LTAR
k Z8
g� sCL
/sus
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-Z
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o -]z
62 6L
z -s
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5v276 0 L 7'`
z�
5
y
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31:
uescription Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P 5
Available Space(. 1945 Evaluated By:
S e -i S .L s7 Others Present:�fP�
Site LIAR I d. o,