IPACHTE# �gllgq Harnett County Department of Public Health 29582
Improvement Permit
A building permit cannot be issued with only an Improvement Permit SL d44f \
PROPERTY LOCATION: Sy5 Ge e65 C inK Pr^- (Cln,4be ile- 5spn
ISSUED T0: ,OrAQa-4-- L1(j.aiS, =0c:-- SUBDIVISION C -, L - n✓ LOT #
NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3geL ( Iy. 61,K 3C', S t -b
Proposed Wastewater System Type: Z,6, o 5 » .
Projected Daily Flow: •3 h O GPD
Number of bedrooms: 3 Number of Occupants: Amax
Basement []Yes
Pump Required: []Yes ❑ No D4iy be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0,� Ppbfic ❑ Well Distance from well feet Permit valid for. ( I�n
Permit conditions: ❑ No expiration
Authorized State Agent: l/ Date: 0-1/ u / u L-7 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 it responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 Lave and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The commission and installation requirements of Rules .1950, .1951, .1954, ASS, .1956, .1951, .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: Con or L ►k attcs . U7�c PROPERTY LOCATION: 616 Ctc-65 d,:]! pr., /i i avLe lc s4,r,n ctd-)
SUBDIVISION Ccrs6 L', n✓ 04 e — T a/S'
Facility Type: gotC4z,6'lca(l) Sr`b l3illiew ❑ Expansion ❑ Repair
Basement? ❑ Yes EJ --No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ZSia 0,-i C3 . 5 a 4 Ae- � (Initial) Wastewater Flow: :3 GPD
(See note below, if applicable ❑)
Z5Io s1,
-..l c.s,.o � S,s �c_� (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 10C>0 gallons
Exact length of each trench ay feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: I B inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 6 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
Z inches above pipe
s z inches total
" ff applicable: / underztand the system type specified it different from the type specified on the applicit on. / accept the specibrutiom o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sift 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 Authorization is subject ro 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:��s Date: v� / u (u L 1
Construction Authorization Expiration Date: u a / Zo / Z lC5 Zz
HTE# l } — S — LI 1-1ci 4 Permit # Z Cl S8Z
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON: LrnK D
ISSUED T0: .rn�cf�[. 11/r.�,��sn/c SUBDIVISION Ca;66 L:ii1L Q`kc � - LOT # _
L/ GY M"� / LO / Z-6 1-7
Authorised State Agent: �rih_.✓�i��•5�5 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•. (,&OC014 FIUHLS
Address: Go f V-4 _C(4J3s t, A/` Date Evaluated: O-4 o P/ / T
Proposed Facility:.gg2 S Design Flow (.1949): ✓jZO
Location of Site: Property Recorded: AE3
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:�ug-er Bop' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: b • 56� A -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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L1 &;
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GQ SL
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Z
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): vOSUt�lt�p\�/�fOV1SiCY4G�t�\� sihh�s-�G
Available Space (.1945) Evaluated By:
System Type(s) ' `o Others Present: 1-t {1 U (Y,�A -�. C. Cr In t e&5> %5
Site LTAR. 0-14