IPACHTE# II -S A110Harnett County Department of Public Health 29573
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�� PROPERTY LOCATION: (� ey(i Grr)Lre (ta d5 /moi • 52 y c//�
ISSUED TO: �SO606ifft 140,11 , CLL SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑_ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ,� 6 Z- i 667 X 4 Eli ) 5 a �
Proposed Wastewater System Type: Z590 AskurS�?an 5 S,
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: _Jrc max
Basement ❑Yes
Pump Required: ❑Yes ❑ No aWa-v be r ased on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
0 --Fry ly-years
❑ No expiration
Authorized State Agent:: Date: d 4 I f 017 a f-1 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 Pe_rmjtl
The construction and installation requirements of Rules .1950, .1957, .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: 5bUlLls-carn -ca 6, k-tov4.ce-t;, L1L PROPERTY LOCATION: P t2 d %rope (Lc alb fLc1 C5& )i
� SUBDIVISION `a LOT # ZA
Facility Type: 313l (666tYY$a) S 2- ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2 5 % C'� i o S 5 l+ (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑) h t
a G� -�A�
2 Sia AL C�ci Lo -el S >ss (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t Oil gallons Exact length of each trench `/U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2:O inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. �_ 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
Z inches above pipe
f z inches total
""If applicable• / understand the swem type specified /r different from the type spedfied an the app/icatii / accept the specilcationr of this 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 Aothontation shall not be transferred when there is a change in ownership of the site. This
Commission Authorization is subject to compliance with the provisions of the Saws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:Date: U'4/1 0 / u+q
Construction Authorization Expiration Date: v -4- 1 1 o / u z.z
HTE# I % - S - &/1 4-0 S Permit # Z 9 X4,-1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: P nom, Gr6Qe_ ac,,.>is SLA. ( Srr_ NN
ISSUED TO: SnuEkg_rn Tosti I4c>gkn,LLC- SUBDIVISION LOT #
Authorized State Agent Date: o 1 / to / Zoi
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Department of Environment, Health and Natural Resources
Sheet
Division of Environmental Health
Property ID:
On -Site Wastewater Section
Lot #:
.1941
Structure/
Texture
File #:
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
.1944
Restr
Horiz
V% �at A
Owner: �JZAAApplicant:
Address:L. + LR Qip,t)%( (Z6_-"z`Date Evaluated:
Proposed Facility: s�2 <=i.� Design Flow (.1949): 3GC> (SPD Property Size: . C>fj k -C
Location of Site: S Property Recorded: )Fh
Water Supply: Eublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:❑.M"uger �BBori,�nSS% ❑ Pit ❑ Cut
Type of Wastewater: Lnewage ❑ Industrial Process ❑ 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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
t 8-Z4
VL S L
Z11
zN
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ro t�
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604
Description Initial Repair System Other Factors (.1946):
Sit System eClassifiction(.1948): qrQ1�v�d��
S>p
Available Space (.1945) v, Evaluated By:
System Type(s) is 2,4 Others Present: "'KJ
Site LTAR j o. 3