IPAC RRHTE# IL7 —5-3451%x— Harnett County Department of Public Health 29570
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T r tMijp rLwX (cL ' �Lw l rLA — 5214153
ISSUED TO: ran PROPERTY
SUBDIVISION C U�lc n'c ,��'n� LOT# z.z
NEW TEPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: y.42 C5E'><
Proposed Wastewater System Type:
Projected Daily Flow: Y 000 GPD
Number of bedrooms: Number of Occupants: 19 max
Basement []Yes 2<0
Pump Required: Dyes ❑ No E41`Iayyb'��quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community L -Y Public ❑ Well Distance from well feet Permit valid for. E4-frye -years
Permit conditions: ❑ No expiration
Authorized State Agent: ate: 0�/2-3 / z C 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, .1952, .1954, .1955, .1956, .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 TO: M �p1y.l 0 Co PROPERTY LOCATION:-1-c.am'
SUBDIVISION C—C.0 Gc>nd nti LOT # 2Z
Facility Type: Y132 ( 50y w' ) s flew 0 Expansion ❑ Repair
Basement? ❑ Yes U-111-6� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25%w n d A,X.A n s (Initial) Wastewater flow: 4/Pk7:) GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size I7_5r7 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs. _
Conditions:
CLb^k zi re A (Repair)
I umber of trenches S
Exact length of each trench —9,,<-s feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Q(N inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
1 Z inches total
If applicable / unJe7nnd the tyrtem type Jpetiled it diKerent bora the type speafled on the app122fton. / accept the speaficatiov r o/ this Perm
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authomation 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 Date:_y',10.3/ z-,- �
Construction Authorization Expiration Date: 0 Z - GR J Lc zZ_
HTE# 1%�-395g9R kL Permit # Z 9S O
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 5�.5 ;N, 2 ,� 1 �Y(l,'uLr� • 5� y��
ISSUED T0: VVl vrl hle Inti Oro z G n SUBDIVISION T_ LOT # 2 �_
Authorized State Agent: Date: 1/0 3 / Z'Cl
As , -j
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aft: GAa�
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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: — Applicant: M&),4 -1eAw- Ur0ZG6
Address: Lc4- 2.Z'(f k,'65 ",+ nDateEvaluated: &&/a���
Proposed Facility: 1114 5Fg Design Flow(. 1949): 41306 (eA
Location of Site: Property Recorded: f��
Water Supply: ublic❑ Individual ❑ ell
Evaluation Method: Auger Bonn El Pit F-1 cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: de5G 4-C
❑ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L U"I,
n-�
-k s Y
fq SP5
u �5
2
L 40
0"O
G 2 5L
P�k ✓l��° +'
PS
8`t8
C
OK/SP1
y�
G3
C
U/25
3Zt
3 z
G .3
Description Initial Repair System Other Factors (.1946):
System Site Classifiication(.1948): (rc�nS,'L�nl�–. Jvz�L�
Available Space (.1945) Evaluated By: /
System Typos) Others Present:
Site LTAR