IPACNTE# i -S Z11L13o Harnett County Department of Public Health 29663
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
1 - PROPERTY LOCATION: nLQ uSL'ial
ISSUED T0: ��YS��� L—�t1$� �2>nSt`,(LS SUBDIVISION AM ifes- Lt—QiO f tar rt C I
NEW` REPAIR q EXP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
SF� `.LSO �Sl�
Type of Structure:
Proposed Wastewater System type: , S / -fl �
t �a0C� J ;
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Projected Daily Flow: ��GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes No ❑Ma be required based on Final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well—feet Permit valid for. Five years
Permit conditions:❑ No expiration
Authorized State Agent: ��
g �Imvemem
Date: C� 30 ) SEE ATTACHED SITE SKETCH
The nuisance of this permit by the Health Department in no way guar. The permit halde is resp Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plax, plat or the intended usehall not be affected by a change in ownership of the site. This permit is subject to compliance wish 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 requirement of Rules .1950, .1953, .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 wished system layout ((��
ISSUED T0: eJPKITPs LANO T��iN62S PROPERTY LOCATION:
/, SUBDIVISION MAM>6 z z o6E LOT #
Facility Type: _SED W C) xSQ K New EI Expansion ❑ Repair
Basement? ❑ Yes 712� No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" cKS76 crf 10 N Sy -T6m (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑) u/
r�- .S � 0 �� • � lS
Installation Requirements/Conditions Number of trenches (Repair) _ f
Septic Tank Size S e-, in o gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Exact length of each trench H 00 feet Trench Spacing: ' Feet on Center
Trenches shall be installed on contour at a Soil Cover. _ IG inches
Maximum Trench Depth of: S<t - inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36' above the trench bottom)
in all directions)
GPM
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
""If applicable, / understand the syrtem type specified it d/Oerent from the type rpedfled on the app/kation. / accept the rperi6caSonr ofthir permit
Owner/Legal Representative
This consnmion Awhodtat-lk,
Construction Authorization fWhject
plan, plat or she intended use
ions of the laws and Rules for
The
not be
Treatment and Disposal and to the conditions of this
Authorized State Agent: Date:
Co-n1tiquCifort Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# -Li 1u3 O Permit # a UQb
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: DL�o
ISSUED TO: � veA f\ �09 �HlCrt%Sp SUBDIVISION SC-?-- 2066 LOT # c1�
Authorized State Agent:4la?1514L�JE1L'SOL( �ty� Date: C— _ �a 7
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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:
Address: Date Evaluated: `I 2311
Proposed Facility: Lt P-00 i\ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Auger oring ❑ pit ❑ Cut
Type of Wastewater: _Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon
E Position/ Depth .1941 .1941
# Slope % (InJ Stmcture/ Consistence
Texture Minemlo
a' S Q'a04 G f-5 Ycy L�
OTHER
PROFILE FACTORS
1942
Soil .1943 .1956 .1944 Profile
Wetness/ Soil Sapm Restr Class
.t Color De th (M.) Class Horiz & LTA.
3
3
0-V
3o- k6
F(L Ss�Sf
P5
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Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.I 948):e 41
Available Space(. 1945) Evaluated B
S tem T e(s) 4S'l 'p Others Preset
Site I TAR o