IPACNTE# 1q- 5-y/ az Harnett County Department of Public Health 29593
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -3 c 2 '3 wec5 t
ISSUED TO: ri • GJMM o9 SUBDIVISION LOT #
NEW REPAIR ❑ EKPAN ON ❑
Type of Structure: S 62 6 l Ic $ Y' S P7t>
Proposed Wastewater System Type: 4cAt C t'c, Ste,
Projected Daily Flow: 3G6 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes Bin
Pump Required: ❑Yes ❑ No f uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community (3"Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for, 4Et
❑ No expiration
Authorized State Agent:CTS»Z�����ik! Date: C—"& oz/ zos-4 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 it 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed io accordance
with the attached system layout
ISSUED TO: f c-c..N n, C,� mm ries PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 362 5 -'1-s x Su a 6 (---> E;-1re-w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 7_S i� a � 1 „r I n 5-;26 z . (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable ❑)
Zyr% Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I COOL gallons
Pump Tank Size gallons
Exact length of each trench I oU feet
Trenches shall be installed on contour at a
Maximum Trench Depth of-. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: `f Feet on Center
Soil Cover: re inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: Z inches above pipe
1 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: / understand the system type rpetiled is different from the type spelled on the application. / accept the speriftationr of this permit
Owner/Legal Representative Signature: Date:
Thu Construction Authorization is subject to revocation if the site 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
tonstru<tron Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. act AI IAIIttU alit MtIIH
Authorized State Agent: Date: e't5/ vz /u t�
nN Jac c.xrct t—s Construction Authorization Expiration Date: o r-ovz
HTE# - 5 - g / j!>y l Permit # 2 G C;q 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2:? wPr.L
ISSUED T0: �i r p C.� mo+ n�,s_ SUBDIVISION LOT #
Authorized State Agent: ����i��s Date: 4i
A /kµ`n SLG .J Lv![1Lti '�
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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: 419&�A 1�Applicant: gr wL tj .
Address: P_. C_ Z:F r.w- Date Evaluated:
Proposed Facility: 30e_5-)r:i) Design Flow (.1949):Xb Gm)
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual j] Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:. �--�
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
landscape
Position/
Slope%
Horimn
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L5
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ta
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Z 6V(011 24''
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Description Initial Repair SystemOther Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Te(s) Others Present:
Site LTAR