IPACHTE# 14 -S -Y/$ (o5 Harnett County Department of Public Health 29594
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit
PROPERTY LOCATION: t720 G3 r -)b ecve. C�,. Q.d . �SrL 1269 )
ISSUED T0: �in.�� p F v I K SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r"m;,E, / 1-1 r rn 5£�
Proposed Wastewater System Type:
Projected Daily Flow: 1 ®b GPD C.5&, e- eHCnCre.J M,
Number of bedrooms:�� a Number of Occupants: v h max
Basement ❑Yes 2-: o
Pump Required: ❑Yes ❑ No IR'9ayberequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ei ublic ❑ Well Distance from well Feet
Permit conditions:
Permit valid for.
ft
Five years
❑ No expiration
Authorized State Agent:: .YrYS Date: c'$ / o z / w 14 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 in 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 in conditions of this permit..
Construction Authorization
(Required for Building Permit)
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 instated in accordance
with the attached system layout.
ISSUED TO: V6%1N `� s=�wlk PROPERTY LOCATION: _a581 �1aec ae U,, Q'X. 65n- czcor,
SUBDIVISION LOT #
Facility Type: or. D --New ❑ Expansion El Repair
Basement? 1-1Yes4o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 259� (Initial) Wastewater Flow: oc-' GPD
(See note below, if applicable ❑)
U SinM1G t'0.M.
Trench Spacing: Feet on Center
Soil Cover. / 7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Depth: z inches above pipe
5, f Z inches total
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.
**If applicable, / understand the system type speciled /t different from the type speciled on the app/icalon. / accept the spedlcalom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of she 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 SEE ATTACHED SITE SKETCH
[Authorized State Agent: Date: 0 �/ o 'Z- / Z-1-
Aaa�z c �2rt, Construction Authorization Expiration Date: v8/uz /zozz
�,5
(Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size
s oc0 gallons
Exact length of each trench
q6 feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of:
a4- inches
(Trench bottoms shall be level
to +/-1/4"
in all directions)
Pump Requirements:
h. TDR vs.
GPM
SE.4e- Msrricm>rr,
Ivo
Conditions: Conray/An;rnal Stoca�'
S; ALC ,O( -&its. [.)4„ 4..,1kft%-s
A ..-10
U SinM1G t'0.M.
Trench Spacing: Feet on Center
Soil Cover. / 7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Depth: z inches above pipe
5, f Z inches total
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.
**If applicable, / understand the system type speciled /t different from the type speciled on the app/icalon. / accept the spedlcalom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of she 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 SEE ATTACHED SITE SKETCH
[Authorized State Agent: Date: 0 �/ o 'Z- / Z-1-
Aaa�z c �2rt, Construction Authorization Expiration Date: v8/uz /zozz
HTE# I'I - S - 41 �( 5 Permit # 2 G 6,7 f/
Harnett County Department of Public Health
Site Sketch
1 L.vl (� PROPERTY LOCATON: 2581 (6<.r 6r� ue Un . lia . ( % IZCx+�
ISSUED TO: p� SUBDIVISION LOT #
Authorized State Agent: �T���>�/hY3 Date:
q.az�2r�•a C,vrt2� r�
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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: Y:'l"I(t' ✓"01V
Address:ZO-/&4ec�t- 2j t Uate Evaluated:
Proposed Facility: g. Design Flow (.1949): ICXJ GP(,
Location of Site: 17` Property Recorded: W--5
Water Supply: ublic❑ Individual Well
Evaluation Method: Auger Bor E] pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 113-1713 Ake-
❑ 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
Rear
Horiz
f Z
l 3b
0-'Z
C4 L3
)tai! '4,�
5
IZ q8
130C x
e_S r5
?.sY(1111OWA`
qS,
v. y
!cC 65
Vj::;�
VIA&
56 l_
Oil �
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (2rZ)L/4oku46> S -v/ -Lw <✓ Lo,
Available Space (.1945) Evaluated By:
Sem T e(s) Others Present:
Site LTAR 1 D. o ,