IPACHTE# f .} - s - 4S 30Y Harnett County Department of Public Health 29488
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:Os�e. n fR iq'n
ISSUED TO- Co, V A,, A "o h.,-6 -T At- SUBDIVISION LOT # I
NEW Ur REPAIR ❑ EXPANSION ❑
Type of Structure: 4 R2 S f y> C C, c-, v Y I o' i
Proposed Wastewater System Type: 15io Z k.,tw., S s!c
Projected Daily Flow: -1 S o GPD
Number of bedrooms: 4- Number of Occupants: 3 max
B t Ely
Site Improvements required prior to Construction Authorization Issuance:
Ba
es o
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Q1 ay Isquired based on final location and elevations of facilities
L -,r Public Well Distance from well feet
Permit valid for.
R-r,v—e years
❑ No expiration
Authorized State Agent: Date:y 5Z ?v / / q 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 she provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Reouired for Building Permit
The construction and installation requirements 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: _ G �Mhcs`w a \Not teA nc . PROPERTY LOCATION: 0colq.A LScL 5'j ° L
� SUBDIVISION LOT # J—
facility Type: 146a- 5 t=4) ( 4'C"y 4"")U- ew ❑ Expansion ❑ Repair
Basement? ❑ Yes [J--Ifo� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2 5 i„ 02A -J ,, �-L S , ,fir (Initial) Wastewater Flow: a'V GPD
(See note below, if applicable ❑)
L'i /Ze-41.,4-;te n ,- sic (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size 1 7—so gallons Exact length of each trench s 5 rs feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TDM vs.
Conditions:
Maximum Trench Depth of: L r. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 1 Feet on Center
Soil Cover. r 34 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
L inches above pipe
L Z inches total
**If applicable: / understand the system type specified is different from the type specified on the app/icadon. / accept the roecihcatiom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sin plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction humanization 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:yS1301 /
Construction Authorization Expiration Date: US / 30l C z
HTE# I — S -Li 130 F Permit # Z 9 4Bg
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0,,vrr0, (s, kLwi)
ISSUED TO: C-u.� \Xrir." l}o m,ea =` nc _ SUBDIVISION LOT # I
Authorized State Agent _ ,��� �1� Date: US 30// -7-
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address:015 oaxr,,A� ZF. Date Evaluated:
Proposed Facility: 'y 32 SGt) Design Flow (.1949): `lan GFD
Location of Site: perty Recorded: kej
Water Supply: - ic❑ Individual ❑ Well
Evaluation Metbod:D -Aug2er Bor'-oW- ❑Pit ❑cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: C1, Si ,,C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Positive✓
Slope %
Horizon
Depth
(in.)
SOB, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
St-cnrat
Texture
.1941
Consistence
Mineral
.1942
Soil
Wetness/
Color
.1943
Soil
N.
.1956
Sap-
Class
.1944
Resr
Honz
t
G -3v
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p 5 0 5
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): f�ro,iaini✓'> 5..
Available Space(.1945) Evaluated By: l�n�r>: G✓�„ti
System Ts z5io i4.a =_q, S Others Present:
Site LTAR 0 e —a,