IPACHTE# fT-S--`1ff4fY Harnett County Department of Public Health 29553
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: AyzrT FoAc4 Oc • Cb alit 5-a t ,71
ISSUED T0: SUBDIVISION A%,u�, Qorad ` LOT # -0
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -/qt7 5r—� C X &0s�
Proposed Wastewater System Type:
Projected Daily Flow: a/8 6 GPD
Number of bedrooms: —q Number of Occupants: i2 max
Basement []Yes 6a o
Pump Required: Dyes ❑ NoC7 May be uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
U,Fjfe-y�ears
❑ No expiration
Authorized State Agent: — Date: U G If f 3 / z.y 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 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, .19S7, .1954, .1955, AM, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: in%4n(S ConSEr,x1-fin, -Tac PROPERTY LOCATION: kierl Qtxd b rGr.ltvic'k lLwb S� NZS�
,� SUBDIVISION A, raf' r. LOT # 55
Facility Type: 4032 5T`+� _�fc0`$ C -Q CgFlew ❑ Expansion ❑ Repair
Basement? ❑ Yes 210 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 23 `I' 0 ti 5 ;Z f (Initial) Wastewater Flow: �/8C3 GPD
(See note below, if applicable ❑) A T
Z5kb AO-Avckan 5;,5-4!! .(*epair)
Installation Requirements/Conditions Number of trenches L"
Septic Tank Size t 7-50 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I I inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: Z inches above pipe
s t inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the ryttem type tpecifred it different from the type rpeciLed on the app&jdan. / accept the tpecilcationt 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 Authonution shall not be transferred when there is a change in ownership of the site. This
construction Authoritarian is subject to compliance with the provisions of the laws and Riles for Sewage Titanium and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��/1� Date: b L / 1 3 / z 0 1—+
Construction Authorization Expiration Date:0 G /13 /zozz
HTE# 1 " S -y1 y 5 -F Permit # 2 ;7SS�
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON: Aq paoz�
ISSUED TO: nn (-0 ASkuySUBDIVISION LOT# 6S
Authorized State Agent. .% Date: 0 -z- r, t -4-
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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: I Appplicant b0 on C 'A!' X'FI 0/1 iTAe —
Address: (,r�Y.S,� Aver t°an�ji Date Evaluated: O/./ir-/ 14
Proposed Facility: (f�R- SPD Design Flow (.1949): CfjI ,
Location of Site: Property Recorded: Yy�
Water Supply: Public❑ Individual El well
Evaluation Method: Auger Bori ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1'61? A -L
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
fa
417
fJ•
Z
y%
0-/Z
✓T.. Xf
P5
12 -36
G
F( SQ 5
5i'rZ l 3°u
54
3
Y%
o
�-1 0
Description Initial Repair System Other Factors (.1946):
-system Site Classification (.1948): Pio✓ Sz ri ty//�-- Sv as. d/�
Available Space (.1945) Evaluated By: A _ q� J Gv f� J
System T e(s) Others Present: �-FrrC/
Site LTAR