IPACHTE# 1 5—yibz? Harnett County Department of Public Health 29484
Improvement Permit
A building permit cannot be issued with only an Improvement Permit s t`T z i
PROPERTY LOCATION:_ iv¢(20 n'1 6f if -6e lc 2c�Z
ISSUED TO: -0 J1 rN C—Un4t t ut+ia /N k(1 L. SUBDIVISION A - e � f, —A LOT # r,zi,
NEW EK REPAIR ❑ EXPANSION ❑
Type of Structure: '-1.32 5t',]`> ( r c)`ar C,C, `)
Proposed Wastewater System Type: 2Sio (L.a. -y.{ WS,_
Projected Daily Flow. t✓'Fo GPD
Number of bedrooms: Lf- Number of Occupants: 6 max
Basement []Yes 2 a_
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑ No ❑ May be required based on final location and elevations of facilities ,�
Type of Water Supply: El Community f�c ❑ Well Distance from well feet Permit valid for. 0 rive years
Permit conditions: ❑ No expiration
Authorized State Agent:
!/"l�/f/�_.��f,%/_�_,/l"/� yr Date: o5I Z Z! 1 -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 for checking with appropriate governing bodies in meeting their requirement. 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
Recruited for Building Permit
The cons mcoon and installation requirement of Rules .1950, .1952, .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✓ m L4)ns-Lrvc.6ic>n Snc _ PROPERTY LOCATION:
A�uz
5(t iyz4
Pon �c �C.-+hl4 tcac^{'e, (tel. )
"13 vK
SUBDIVISION A
vc !2;
(?0^ .1- LOT # & ::7-
Facility Type: t- 51= r> o fZ
II-NeW ❑ Expansion ❑
Repair
Basement? ❑ Yes 24o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** psamp 40
110 ✓trd't--': i-^ sus Fern
(Initial) Wastewater Flow: c/ e'f 0 GPD
(See note below, if applicable ❑)
Po� o >r c
1..S:o Rad- Su>te,n (Repair)
Installation Requirements/Conditions
Number of trenches f
Septic Tank Size t -4, 6o gallons
Exact length of each trench 90
feet
Trench Spacing: `� Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of: 26
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: It. TUN vs.
GPM
L inches below pipe
Conditions:
Aggregate Depth: z inches above pipe
I Z inches total
WATER LINES (INCLUDING 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 it different from the type specified on the application. / accept the rpecih'canonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to invention 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
conswcnon wthonnnon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit at[ AIIAti allh MtILM
Authorized State Agent:' Date: 05 -z-2- 1
Construction Authorization Expiration Date: 0 61%Zz /zz
HTE# 1 - 5' L4 10 Z 3 Permit # Z r yPy
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
S a ly
PROPERTY LOCATON: hvvn, Por\- oc
SUBDIVISION Av¢q Oona LOT#
Authorized State Agent:
Date: o5/ZL./l-4
TL.c\IC5 �, PJMeQ Se.PE�G) M4� jae. CeloL"K�
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pull
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400.831
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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: 03. q C
Address: oS /r 0/4
(.rf} C� �}vuj faaa Date Evaluated:
Proposed Facility: �qn_ 5 G_D Design Flow (.1949): fYc 6P9
Location of Site: Property Recorded: jreS
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:❑.BBo '' g ❑ Pit ❑ Cut
Type of Wastewater: 4�!r Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 2 . F / A C
❑ 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
th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
5L
0A
eK G
s4�7
r of
0.35
L
, ak
m-tB
SL
qu
�'C
ri sir
Sy�� �a�11
4y
3,
31
d-Lq
CSC
zu—yg
q(c
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P S
Available Space(. 1945) Evaluated By:
System Te(s) 2sd- Others Present:
Site LTAR 0,25f