IPACHTE# I -15 Harnett County Department of Public Health 29567
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: rix vv�ec <k brrL (La C Set L�—
ISSUED TO: ,s� 0(yCt4 r�� L—� ko, g Pg SUBDIVISION
NEW v REPAIR —❑ EXPANSION 0 ----------------LOT #
Type of Structure:
ite Improvements required prior to Construction Authorization Issuance:
_ taO,n (So�r< txi F=
Proposed Wastewater System Type: Z5 io
Projected Daily Flow: _ z/f1G GPD
Number of bedrooms- Number of Occupants: _max
Basement ❑Yes L'3'N0
Pump Required: ❑Yes ❑ No Clay be required based final location and elevations of facilities j"
Type of Water Supply: ❑ Community ❑ Public C�Well Distance from well ib<� feet (ri r.o� Permit valid for. iv[n7�' a yeah
Permit conditions:
❑ No expiration
Authorized State Agent.-: Date: r^s�/�g�rz s
The issuance of this permit by the Health Department in no way guarantees the issuance of otherpermits. The permit holder is responsible for Checking with appropriate governing bodies ATTACHED
SITE Seir KETCH This
site is subject m 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 commuctios and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by refineries into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 5,`uMASAI Q� pkc�s PROPERTY LOCATION: AZZe 0-r.y� /�
r (,5v>_. ISSGs�
SUBDIVISION LOT #
Facility Type: 4 pc <" S c y Elkew ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Zs fLo A , 5 s!z
(See note below, if applicable El)(Initial) Wastewater Flow �g� GPD
S yrs (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I Z S 6 gallons Exact length of each trench t oo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 30 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: `/ Feet on Center
Soil Cover. —i2d—inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6
inches below pipe
Aggregate Depth: Z inches above pipe
I Z— inches total
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.
**If applicable.• / anderstat7d the ryrtem type rpetiled it different from the type rpe6led on the app/kation. / In ti t the ipetiltatioot of Chit permit.
Owner/Legal Representative Signature:
This Conct ns Aut Auction tion is subject m rovoce with
if the sire pWn, plat or Me intended use changes. the Construction Aulhorintion shall not be transferred when the, 11 a change in ownership of the site. This
Construction Authorization is su6jett to compliance with she provisions of the Laws and Rules for Sewage Treatment and Dispasai and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: i'�%— �Date: vp IrZ }
Construction Authorization Expiration Date: oG / zv f-Zo r-
HTE# 1 � —5 —&41(.6 ei Permit # Z ;,% :*
Harnett County Department of PublicH ltae h
Site Sketch
PROPERTY LOCATON:_ i=bc�cz� G�vrzL S(i [5s$)
ISSUED TO:—)n`°E"`r p,Y Lg SUBDIVISION
LOT # �
Authorized State Agent: lj
� Date: Geo uiltvt�
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Dcpertrnent of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section
Propery ID:
Lot #:
SODJ m EVALUATION File #:
for ONSITE WASTEWATER SYSTEM Code:
Owner. ,j �i,A9Plicaot: 5, J ^ =� �e. tJC z -s rS -;3
Address: S Z r
.�LIi�'Zi?:G4.((�DateEvaluated: OG c
Proposed Facility: 432 5;_ A Design Flow .1949:
Location Of Site:( ) 4 GL b Property Size:
Water Supply: PrOPery Recorded: f <�
Evaluation M ❑ Publico Individual Q Well
ethod:El� �Soriny ❑ Spring ❑Other
Type Of Wastewater: Lf)'Sewage ❑ Pit ❑ Cut
❑ Industrial Process ❑Mixed
0
R
O
F
1
.1940
SOJL MORPHOLOGY
LVn
P
Pe
Horizon
Depth
.1941
07HM
PROFHE FAC
#
K
Slope
(ln )
.1941 .1941
S
.1942
Consistence
T"un min
w �
.1943
SOB
1
Lllrf�
Color
�tz_
7rQ�p�
r
16,
4U 4y t 5 V/ Sff
nb o4 5L6 �/ s "
I-sy2�
.1956
Sapro
Site Classification_ .
(.1944 8)
Evaluated By:�J,as
Others Present:
.1944 Profile
Restr class
"Om & LTTAR
j -J
C) 7
C5
G- y
C-5
y