IPAC RHTE# -S yl sl cit Harnett County Department of Public Health 29557
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M , I I -r CLO :,c\ CL- I I ci
ISSUED TO: Qt � , PM I S, S M, m' SUBDIVISION LOT #
NEW R PAIR ❑ EXPANSION ❑
Type of Structure: 1405/2 Ss=ti (65,u ro S
Proposed Wastewater System Type: 'x-5 f,, ; e s,, c4: cuts S -s
Projected Daily Flow: 4P,G GPD
Number of bedrooms:q� Number of Occupants: p max
Basement []Yesm/-Iro
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No f�re uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community lic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
lrs
❑ No expiration
Authorized State Agent r%l��'/���Lt.��.�� Date: 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
squired 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: Qcsc.'�� G_ A h-gIII 15 (VU -2s\047 PROPERTY LOCATION: (Z.-oe.
SUBDIVISION LOT'#
Facility Type: s-? 6a- 5t=, ( C�S Y-(,5E?'Ife-w ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" L.5 �':w , vl� e h-cr, (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
plc /lst�u[�S�ri�,i Se,s (Repair)
Installation Requirements/Conditions Number of trenches �_
Septic Tank Size I Z50 gallons Exact length of each trench — feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2 ei inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: V Feet on Center
Soil Cover: r y inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
L -Z- inches total
"If applicable: / understand the s}rtem type rpedfed it different from the type spec/fred on the app/radon. / accept the rperihratiom o/ thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Concoction Authorization shall net be transferred when there is a change in ownership of the site. This
Construction Authorization is sublets 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: �� r /�'� _fm's Date: be 4Z4 /t -:(
Construction Authorization Expiration Date: 66 / z'4� / Z v
HTE# I —S "4IS19(ZZ956�-
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: M l� e s 2oc<3 ( S21 -408)
ISSUED T0: Cx�, Ph,11�5 Vunllok� SUBDIVISION LOf #
Authorized State Agent _� �1��'�r�''��� -23 Date: O'0
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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. Applica : 2c�,A4.2b NdVV
Address:Z64 (l�oc/[ iLl �f" O -C, Date Evaluated: 04'I09Iwq
Proposed Facility: 11g/( `�^ Design Flow (.1949): qX 6;60
Location of Site:✓' J Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger B ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /& AG
❑ Spring ❑ Other
❑ Mixed
1
P
R
O
F
1
L
E
#
.1946
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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 2'6
0-7?
64 5l
yf2
8 -'ID
ya
Z
c Zio
5L
1 S
li�•yj
2�z
S�
L Zino
o -Ib
SL
v--( f
10-9q
Sa
l'2 5P�
7-sul I, Pgj'l
jq
O•c!
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): fro✓•'.s%rinAd[17 ; f<A,Ze
Available S ace (.1945) Evaluated By:
S stem T e(s) Others Present: A6 � "J W LrTn� 12F4es-
Site LTAR