IPAC.I,#_I� Harnett Count Department of Public Health
y P 29562
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED i0: it ¢ �¢� PROPERTY LOCATION: &31:0, 6r
NEW REPAIR ❑ SUBDIVISION JUS d D r. PSG
EXPANSION ❑ �S
Type of Structure: y92 5p,�, aX a Site Improvements required prior to [onstruction Authorization Issuance:# I%
Proposed Wastewater System Type: Z
Projected Daily Flow __4 6 x c 5
Number of bedrooms: GPD
Basement ❑yP5 o
Number of Occupants: Amax
Pump Required: ❑Yes ❑ No 0_May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Communi
Permit conditions: ry P-fublic ❑ Well Distance from well
�_ feet Permit valid for.
D-11ile-y—ears
Authorized State Agent:: ❑ No expiration
Theissuance of this Dat
7 Heald' Department o waY guarantees the UGy�L-¢/Z�jp —s
sto s subject to eroreSo (the replan, plat, or the intended use changes. The Improvement reermit shall not be affected by a change in ownership of the sir. This permit is subject m meeting t with the provisions of
the Laws and Rules p rmir. the permn holder a responsible for checkin SEE ATTA[HED SITE SKETCH
es for Sewage treatment and disposal and to rondifions a( this e B mih appropnar governing
PI rmit. 8 g bodies in meeting their rethe proenn This
Construction Authorization
The construction and installation requirements of Aules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated
nw orard b
IM PI
for Buildinv Perrstitl
with the attached sp,m layout.
R y references into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: p r�
PROPERTY LOCATION. 2 3 E�nw
Facility Type: q3¢axGO� SUBDIVISION ours
Basement? ❑ res ew ❑ Expansion ❑ Re air n b LOT # t q
LI Basement Fixtures. ❑Yes P
Type of Wastewater System** m ❑ No
(See note below, if applicable ❑) ZSio 2-A
I'
(Initial) Wastewater Flow: Y$c5
Installadon Reauirem�nts/Com Z s�� V C fie, e� 6PD
S (Repair)
Septic Tank Size tZsogallons Number of trenches
Pump Tank Size Exact length of each trench t C-1 C-1
—� gallons Trenches shall be installed on contourfeet french Spacing:
-� Feet on (enter
Maximum Trench Depth of. a y Soil Cover. /T
(Trench bottoms shall be �inches (Maximum soil c inchexceed
es
/.l/q" level to . +not
Pump Requirements:in all directions) 36" above the trench bottom)
rt. iDH vs. GPM
Conditions:
Aggregate Depth: inches below pipe
inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTI(SYSTEM OR REPAIR AREA, inches total
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If ao_ of bl / understand the -}mein hype _periled it different from the type tpealed ov, rheapp/irapo� /accept the rpetilrrrio2r of tbir permit.
Owner/Legal gal Representative Signature:
fion
e Site
Construction AmM1onzation is subjea to mmpl ana withltheM1 provisional o(Ithe Laws andeRu for Sewage ireztmentstand Disposalandto thhalllonditions of this permit Date:
transferred when there is a change in ownership of the sir. This
Authorized State Agent: SEE ATTACHED SITE SKETCH
Construction Authorization Expira6e v
Date:
on
e z
HTE# 1j- 6-gJQ&
ISSUED TO:
Authorized I
Permit # 2 U6 -r—
Harnett
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2X�' Aj2n x 4�.:; c t, re C a`$)
sn S/D LOT # 1�
Date: G 6 l Za / 20 t'-*-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
t'70M1� PP t 9reX
Owner: A lican
Address: 4;�ozd IN• Date Evaluated:�l/�(17Z
Proposed Facility:��jG, j f Design Flow (.1949): ! �669
Location of Site: ,�,,� Property Recorded: W
n
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Bong ❑ Pit ❑ Cut
Type of Wastewater: 1.1n Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
.1943.1956
Soil
Depth MJ
Sapro
Class
.1944
Restr
Horiz
L1-0-
z s�
►�s �
PS
Z
L Z
0 -1 Z
CdC 5L
? S
TS
3
zi;
n -w
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) o Others Present:
Site LTAR