IPACNTE# Harnett County Department of Public Health 29559
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ll PROPERTY LOCATION: "VdNo (Zc�- CSR 1663)
ISSUED TO: _Jr4rt eat 00A405 SUBDIVISION LOT # y
NEW f' J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: t1r30 S'n C.SS tzdSo,
Proposed Wastewater System Type: ZS Aervr.� o.1 �S :r.
Projected Daily Flow: 4/,qC5 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes
Pump Required: []Yes ❑ No aHfa�ybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0-11blic ❑ Well Distance from well feet Permit valid for. 2- ve years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date:05F/l o /z.o t --I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 requirement of Rules .1958, .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.
ISSUED TO: �ijrYaiVrL, PROPERTY LOCATION: WV,,c%r,, aA r<ft t oa'i
SUBDIVISION —LOT # ;
Facility Type: 1/6:L 5r4 4 6 5 D -'New ❑ Expansion ❑ Repair
Basement? ❑ Yes Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25/'0 leo Chi o G1 573 h+n (Initial) Wastewater Flow: 9rgd GPD
(See note below, if applicable ❑) /A -r - c.zatar
ZSio 9n�'>c'LrT o n S,s&zn (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size l 2$ O gallons Exact length of each trench Cs o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z-01 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 9�` Feet on Center
Soil Cover. _�_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: inches above pipe
IT— inches total
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.
**If applicable: / understand the system type specified is different from the type spedfled on the application. / accept the speafliadonr of thir 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 Authorization shall not be transferred when there is a change in ownership of the site. This
ennumction Authorization is subject to compliance with the provisions of the Laws and Rules hr Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALntU lilt MtILH
Authorized State Agent: _ � �1___r_ iS Date: o J / ICY
Construction Authorization Expiration Date: if I o / to r- -z-
�I
HTE# ` S ` q&l of Permit # Z 7 S6q
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Mann g53)
ISSUED TO: 6,v\ 6j(p. 4-)Iw- (131as SUBDIVISION LOT # 3
Authorized State Agent: �— %�S Date:
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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: ,vlcvlp 1211
Address: 5'0 gat/.c', 14c e, gjg Date Evaluated: C1='1u1/:?
Proposed F2ility:u� � Design Flow (.1949): IIX 6CO
Location of Site: 77 Property Recorded:
Water Supply:ublic❑ Individual E3 Well
Evaluation Method: uger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: /• (u
❑ Spring ❑ Other
❑ Mixed
P
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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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.
Sapro
Class
.1944
Restr
Honz
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Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): U±tS� ��b �Q� e�ov� 5 c-�U7 S ✓�h>6�
Available Space (.1945) Evaluated By: nn
SstemT e(s) L Others Present: ,i%1 j rp.,.J C./fnn
Site LTAR