IPACHTE#
44181 q
Harnett County Department of Public Health
29587
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: N3 ime), . nAE'4 L-0 ('06
1/61 N )
ISSUED TO: —56-e
riL=4 z81c4s
SrhrSUBDIVISION
LOT # c?
NEW '
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
.31'b/z (69161'1,140)
$FJ}
Proposed Wastewater System Type: _45f6
Projected Daily Flow:
13615
GPD
Number of bedrooms:
--,3
Number of Occupants: (Imaa
Basement ❑Yes
No
Pump Required: Dyes
❑ Nokd'�May��
tired based on final location and elevations of facilities
Type of Water Supply:
❑ Community
PL9' ublic ❑ Well Distance from well feet Permit valid for.
9-11111Permit
conditions:
❑ No expiration
Authorized State Agent:Y Date: c'4- L T3 I zo t 7-4SEEATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanceof other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: 5Lepz mSon Q I `1 PROPERTY LOCATION: IS 5 Sr4gig CCwra+� Let , r/ ll5 c/6/ n7. )
SUBDIVISION �Tn r c c,jn T� r„ti LOT #
facility Type: 362 59e�jt')eW95F;r> � ❑ Expansion ❑ Repair
Basement? ❑ Yes O No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _j Rr o S,S Gt1w (Initial) Wastewater Flow: 3C�o GPD
(See note below, if applicable ❑)
Qypop ko 'Wi fled 5;25 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t 000 gallons Exact length of each trench —f- 5 feet Trench Spacing: 9k Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. / Z— inches
Maximum Trench Depth of: ZS/ inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
/ Z 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: / ondeatand the tyrtem type tpecifled it different from the type rpeciled on the app/iraa0 /accept the Jpecilcati0 s of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plan, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Commutators memorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��r�/����%/I Date: 0.� / -Z— l f
Construction Authorization Expiration Date: 0$hZ:*-t -z o LZ�
HTE# - 5 `g191 q Permit # Z9 ..Se -
Harnett County Department of Public Health
Site Sketch
T0: fit! �n ��cLS „�
PROPERTY LOCATON:
SUBDIVISION
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Authorized State Agent l
��
Date: V -V
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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
So�llr/n [^L%
Owner: ��} P2y Applicant $ kA*- 9Ir%5 74,
Address �.of z! .n0? -4 Ii
Date Evaluated: b-41 -LS/i7
Proposed Facility: 382 r,Gp Design Flow (.1949): �(,� GPD
Location of Site: roperty Recorded:
Water Supply: ublic❑ vidual ❑ Well
Evaluation Method: u er Bo ' Pit El cut
8 ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0, S3 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
Minemlo y
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.I
Sapro
Class
.1944
Restr
Horiz
i
L 3%
zV
5L
I� ike
�S
2445
3y! 3cp
.4*
Z
L 3v
c'LD
C/L ��ILS
vek'4.3�qS
(�S
c{y r'
yG+
3
L Sip
o-zD
zo-alt
4Sl s
p/ 5 e5
?-SV�'Ir B y0`r
4 Z+
o, tk
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): erOVl57)'04w1L 5WAbk
Available Space (.1945) Evaluated By:
aAAf �� fir' 40&S
System T e(s) Others Present:
Site LTAR