IPACI }-5-4154y
HTE# 11-6-'11645 Harnett County Department of Public Health 29561
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 5 RyglZ
p PROPERTY LOCATION: \,Jc, Lac.• bC^ cck-c-S-i"m La'yfj{ 07 >
ISSUED TO: ;0 6
h Arh,%' SUBDIVISION a LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'3RC-1d',e30') IMneotoa Hort
Proposed Wastewater System Type: 2,5 it . 2CA .6 t4 5 x
Projected Daily Flow: 5,A n> GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes 0
Pump Required: es ❑ No ❑ May bb equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lr3" Public ❑ Well Distance from well feet Permit valid for. 13 -Five -years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: C*/LB/Zot-I 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
the 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..
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: / understand the system type specified it different hom the type specified ov, the app/icadon. / accept the specibcations 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 Authomafion shall not 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: 1��! .T� _ilJ2�Z7i�/%�-.F Date:
Construction Authorization Expiration Date:0G J--z.azrL
Construction Authorization
(Required for Building Permit)
The construction and installation requirement 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
Sz 142z
ISSUED TO: Ke.l-- cf WCep._
PROPERTY LOCATION: Axl? I -c VZ Oc. CC L2fa5L ctit L ')lwf /l<1�
SUBDIVISION
LOT #
Facility Type: e 'Z . x ✓vsc:s
. l-to� aliew ❑ Expansion ❑ Repair
Basement? ❑ Yes 4o�j Basement Fixtures? El Yes 11 No
Type of Wastewater System** 1 Urylg �o Z5i0 11ewe 4.zn 52 5.
(�
(Initial) Wastewater Flow: q6o GPD
(See note below, if applicable ❑)
P1244(
16 V% &A K4k,n. 5 r. (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size t Z-50 gallons
Exact length of each trench I ob feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: /R inches
Maximum Trench Depth of. 30 inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs.
GPM
`r' inches below pipe
Aggregate Depth: -Z- inches above pipe
Conditions:
t Z 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: / understand the system type specified it different hom the type specified ov, the app/icadon. / accept the specibcations 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 Authomafion shall not 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: 1��! .T� _ilJ2�Z7i�/%�-.F Date:
Construction Authorization Expiration Date:0G J--z.azrL
4-5-41-S `l,}
HTE# t-1 -5 -y159S Permit # Z9Jri/D
Harnett County Department of Public Health
Site Sketch
/ S2 14 17 l
PROPERTY LOCATON: Ou-L L�6ft� D�.(Gh�S/ LcSh� T
ISSUED TO: - Ve'� _ArY�tv..n�1S�C SUBDIVISION LOT #
Authorized State Agent:
Date: oGl z -4 / 'ZD t-+
toC> a� .
M o
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2+�'x Hr'
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to cNa-isr/AqN
Department of Environment. Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: '� Applicant, r'�i ��""'' k'
Address: W'VC ( /,u� p� Date Evaluated: 0/��
Proposed Facility: yy /npR Design Flow (.1949): 1Jall-P/)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ager Bo ' El pit F1 Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: l
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Restr
Horiz
L Z70�-
Z
L Z%®
3
ze
a-3�
cf�
rY
p
3+4S
oxI
tvc�.
Y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): SINi.�i
Available Space(. 1945) Evaluated By: !p r6 ✓i $ t �n
System Type(s) 7,_ Others Present:
Site LTAR G✓n'in /I-�