IPACHTE#_ Harnett County Department of Public Health 29665
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
9y�
ISSUED TO: z !
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5-,-)4C--Qt' Om6:-, I L
PROPERTY LOCATION: 1I�QSyELns00D 4in
Ci -�,
SUBDIVISION is, eh
LOT # li—i
NEW
REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
S M (31
Proposed Wastewater
System TYeee: QV'n? )a r)S" a V.
L -V%
3
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants: --S
max
Basement ❑Yes
T9,No
Pump RequiredbRes ❑ No ❑ May be required based on
final location and elevations of facilities
Type of Water Supply:
❑ Community "E< Public ❑ Well
Distance from well feet Permit valid for:
Five
Permit conditions:
years
❑ No expiration
Authorized State Agent:: Date: (,)301 / SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the lummif\f 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, pla4 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this Dermic.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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 lapol. , \
ISSUED TO: "4—c— G L—L G PROPERTY LOCATION: ��[�4 SG2wO0D �2
5 SUBDIVISION tech LmO W-, LOT # I'gb
><
Facility Type: �? �31 '�5i� New El Expansion El Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Qu Mc---—eta%o FOv QJ t D N �y� 6 rc\ (Initial) Wastewater Flaw: GPD
(See note below, if applicable ❑)
PU M 7,e Q -S; Yo (Repair)
Installation Requirements/Conditions Number of trenches 3_
Septic Tank Size sOoy gallons Exact length of each trench SCO feet Trench Spacing: Feet on Center
Pump Tank Size % 000 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 'ate— inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft TDH vs. _ GPM
Conditions:
Soil Cover. I'I 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.
inches below pipe
inches above pipe
inches total
**If applicable /understand the #}stem type specified it different from the type speciled on the app/icadon. l accept the Jroec&catioar of this pem7it
the site
use changes.
shall not
Date:
a change
..unit con minimization is subject to corn licence 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: z 1 S Date: - 0 )'
Cons ion Authorization Expiration Date: 6 3 0
HTE# )i - S _Ll) sa , Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �t��t�E1zw DOD
ISSUED T0: M L�G \ 0trG-, (_LC, SUBDIVISION O ccs 0 ,T—T 1.01 #
Authorized State Ag TiS6L04M iyLk7�U�> Date: G'S�SI1�
I Or,'
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R
HW,%1ic2WO0D U2-�v6
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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: 6301 )%
Address: Date Evaluated:
Proposed Facility: tr eoq"'� Design Flow (.1949): 40, '�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method.:.T2—,Auger Bonng ❑ Pit ❑ Cut
Type of Wastewater: a Sewage ❑ Industrial Process
Sheet.
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L5
0 -LIR,
G 5
VFn Hs INl?
s
Description Initial Repair System Other Factors (.1946):
Systgtn Site Classification (.1948):.5
Available Space (.1945) N7 Evaluated By: d'�
System Type(s) V ttiq r / Others Present:
Site LTAR V