IPACHTE# 14 -5-'+)& 6 Harnett County Department of Public Health 29591
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: (_6Af4vn One<eors (Z-� CSrL 16 47)
ISSUED TO: >JAc%ky/t4 IA(,tlua 1y,1'15 SUBDIVISION LOT #
NEW E3' REPAIR ❑ EXPANSION ❑
Type of Structure: `/'32 C 6o`n50') 5,='�
Proposed Wastewater System Type: 2S to 5, jr
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: 8 max
Basement ❑Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May berewired based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�blic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
❑ Five years
❑ No expiration
Authorized State Agent: !�T ter' �2�Efs Date: a: I L e 6 ZCo l � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the muann of ether pertain. The permit holder it responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat m 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 are incorporated by references into this permit and shall be met Systems shall be installed in mordance
with the attached system layout.
ISSUED T0: 0!n1 PROPERTY LOCATION: SL4-4)
SUBDIVISION LOT # C
Facility Type: 4 232 ( 5o', K5o') 51=J�> ET New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9 --go- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"25% rte�luc �ln� S 5 w\- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSi ReA"on 57sEcn., (Repair)
Installation Requirements/Conditions Number of trenches d
Septic Tank Size I;kce� gallons Exact length of each trench L`Z6 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 24 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: it, TDH vs. GPM
Conditions:
Soil Cover. r z- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z- inches above pipe
17 inches total
**If applicable: / understand the system type specified is different hom the tipe specified on the application. / accept the specihcadonr 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 Authorization shall not be moistened when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI lill lilt IRLILM
Authorized State Agent: P ' _..iy/z/� _ Date: CJS (z Aa(f
Construction Authorization Expiration Date: o .
HTE# —LI 1 A(,6 Permit # � R 57 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 6C.r2kc4 Gmaar6 n.cS (52 16g4)�
ISSUED TO: (4GA- - AIA -s SUBDIVISION LOT # g�
Authorized State Agent: Date:
FA
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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: inJurt- /-%MG 61dS
Address:&,il Cc,r5r.4 (.ryc+j - Date Evaluated: d Zl;I
Proposed Facility: YQ2 SFS Design Flow(. 1949): tIbC) G/,
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual Lj Well
Evaluation Method: ugerBorin ❑Pit ❑cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: �. Z,j
❑ 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 (MJ
.1956
Sapro
Class
.1944
Restr
Horiz
qq
Tl o02�
& LL
VelS%�°
2430
valt, SU
� P
�
304
C),
Pit
I$ -ZZ
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U
"'19
L 11 -LI -6
0-Z8
6e, Ls
P
P5
dr SU
X61
Yg
0P05
Z0- 118
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): QroJ.S.ng9)
Available Space (.1945) Evaluated By:
System Type(s) E5 o Z ib Others Present:
Site LTAR