IPACHTE# I ca -s ti l zv; Harnett County Department of Public Health 29482
Improvement Permit
A building permit cannot be issued with only an Improvement Permit sa 1.-64
PROPERTY LOCATION: 60 C c-4 5/-r / 13tc>c (C �l cap (�hoson (2c�
ISSUED T0:/ PaCad 4 6 Ma SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: _ f)u2:,M N .3 Q ( =(o` XS Z
Proposed Wastewater System Tgpe: 2.Sio API"-c.n
Projected Daily flow: Slob GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes
Pump Required: ❑Yes ❑ No Cilfay—be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community It lic ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
r t�rs
❑ No expiration
Authorized State Agent: Date: 0 5 / t 8.120 i4 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 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, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
S2 15$ri
ISSUED TO: PC'Cma'�SO— 14ttin4o� PROPERTY LOCATION: Gn Cc st aI Gtcr�IC CJS (—scZgon iz,
���� SUBDIVISION LOT #
Facility Type: 3 Cl �wch�4 �4fwx8�")c s El New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25;% n.va v �6 (-c.a � 5. , s 6r—(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
25% A�Avt-A-cry.. 5 s t{. (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size R coo u gallons Exact length of each trench TS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 229 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: z. inches above pipe
17- inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified /t different Imm the type specified on the applicatiaa / accept the specilcatims 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
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 Agent: /���/�/��//� Date: 0-s/
Construction Authorization Expiration Date: 06 Z o2 z
HTE# -S-41 ZcLS Permit # 2 -Ig FZ:
Harnett County Department of Public Health
Site Sketch
S(L t53.1
PROPERTY LOCATON: 60 C95 8r O c. l -TO t, k,A .
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent �_��/��%��� Date: 0-,-, 19 Zia11'
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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
'Tw 717nvC6f.-4 Nk
Owner: 42.P Applicant: Pc<r,�.o e_ \AouG. /
Address:((-' CrjbW &,a,✓ pr. Date Evaluated: t'���'Z
Proposed Facility: 3q2 14a„r. 1/c v_ Design Flow(.1949): :7(0 CZb
Location of Site: Property Recorded: 11!5
Water Supply: ❑lublic❑ Individual ❑ Well
Evaluation Method:[;4,—ger Boring ❑ Pit ❑ Cut
Type of Wastewater: Olewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:7, i/ Af
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
PositioN
Slope%
Horizon
Depth
(In.)
.1941
Stmcture/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Salim
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
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PS
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pf uv 5 �od1 S' �, f.. 5(
Available $ ace (.1945) Evaluated By: i C
System T s /Ica ` fla_1 . Others Present: A A jr¢ C_. rr; , r7 : MS
Site LTAR �. G.