IPAC RNTE# I I -S -Ll I Zg1R, Harnett County Department of Public Health 29483
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1�' O i f� PROPERTY LOCATION: 5 tiar, 6t �olnnt n " C Srz 151
ISSUED TO: -"CAIti cV A 1400 cL Sc\Cor>� SUBDIVISION LOT #
NEW PAIR ❑ EXPANSION ❑
Type of Structure: 432 pwmvrl OZrve T(-`)
Proposed Wastewater System Type: 5 io /4� ckr o• S vs .
Projected Daily Flow: 4 1,o GPD
Number of bedrooms: y" _ Number of Occupants: L%' -Max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes L�"o
Pump Required: ❑Yes ❑ NohiJ fay be required basedo_o final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 11��II Distance from well feet
Permit conditions:
Permit valid for:
❑ No expiration
Authorized State Agent: Z/�f'�yGj/l�.%�./_�'� Date: 1.5 / z z / t -4- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in oo way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 previsions 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, .1957, .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: Clca3,16ctA V608 Ck PROPERTY LOCATION: �S k&r" Uh45C.1 2d C✓5i 1511.)
� SUBDIVISION LOT #
Facility Type: y OwM 4 �Z'x ?-(,$) New ❑ Expansion ❑ Repair
Basement? ❑ Yes Ealfo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** zS v k cz 5; s hf� v (Initial) Wastewater Flow: 4/'k 6 GPD
(See note below, if applicable ❑)
&Vy deAy6,
-mss Ir (Repair)
Installation Requirements/Condifions
Number of trenches 3
Septic Tank Size I c>o 0 gallons
Exact length of each trench t vo feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 30 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: /S inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
6 inches below pipe
Aggregate Depth: z- inches above pipe
17 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: / onderstand the grtem type speciled /r different from the type speciled on the application. / accept the rpeulcationr of this pem7it
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 mt 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: d5.1 zz / I -f
Construction Authorization Expiration Date: zz
HTE #
1 - 5 - it 1 2-4 iFI< Permit # Z 9 il r3
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 6hecrtW Tohnsnn rW '61a 16111)
ISSUED T0: (ANjtu� t4oAW6 aF SanF0r0% SUBDIVISION LOT #
Authorized State Agent: Date: 05 / Z Z 1
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Department of Environment, Health and Nat- A Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Giu� 11OA 9 aL Sc smid
Address: S ,SY W TUHaon V. Date Evaluated:
Proposed Facility: 4geL 5 r!) Design Flow (.1949): gdrD 6P9
Location of Site: Property Recorded: >
Water Supply: ❑ Public❑ Individual �ell
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [1--S'"wage ❑ Industrial Process
Sheet:
Property
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in J
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minmlogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Restr
Horiz
i
2 k
o -5b
raQ S L
F2 $yes`
PS
3agg
(K sct
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y�
0.9
Z
L Z/0
0-31
3N-"
b7 �
S e 61,
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VX
G/ S PSS
L{B
v 6y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: l
System Type(s) Z ul Others Present: A 1tjrt---�
Site LTAR &'Zle