IPACHTE# Harnett County Department of Public Health 29691
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
g� PROPERTY LOCATION: IJLoysy�,\
ISSUED TO: P%ycxS Pv Lfs.,"40 ckc0%l,a6q.6 SUBDIVISION Mnc ,C- Q..4, a Q. a. UC IAT A "x,h
m a rur,
NEW REPAIR ❑ YPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �R% (moo ';�6d
Proposed Wastewater System T pe: ,Q7c, Sal cuatLott
Projected Daily Flow L t GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes )l
Pump Required: ❑Yes ❑ No XJ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �'g Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: Date: Q 1-4!il SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in noway guazantee 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 if the site plan, plat or the intended use changes 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
squired 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 installed in accordance
with the attached system layout.
ISSUED TO: Qe`% —0'S PN L"9%MZQ 6%" PROPERTY LOCATION: 010 U5l7,1
5Sr0(rob-tib SUBDIVISION _PRr.r..�,e BEa L (Z�p6E LOT # �sA
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _1'z)61 °10 152- %3n;T say S -y; C—F'r" (Initial) Wastewater Flow: l"ll GPD
(See note below, if applicable ❑)
a`5�10 RCip • SY (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size gallons Exact length of each trench 30fJ feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of h " 15 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: M'M�MU#% Q%- (ea" pF CDV611- N6-6p15C) QVtf2 DRS11P4 F,GT_fl 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 speciled is different from the type speciled on the application. / accept the rpecilcationr of this permit.
vm¢vr.cgai nepreacntauve aigIRILUM Date:
This Construction Authori 's subject to revocan.on if the site plats 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 4;4_Lct to co a 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:�V\ 5 Date: $ u
Construction Authorization Expiration Date:
HTE# F7—S Z11L17) Permit # 6'� 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: C)1-0 USy� T
ISSUED TO: kPrL-, r S SUBDIVISION LOT #
Authorized State Agent: 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:
Address: Date Evaluated:
Proposed Facility:L1N Y' Qf c-) Design Flow (A 949):4
Location of Site: Property Recorded: '
Water Supply: ice, �c, Public❑ Individual El Well
Evaluation Methoa:� AuC9 Bdring E] pit ❑ Cut
Type of Wastewater: w ..YY•`T,,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minemlo y
1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
LS
O..) h
G SL
�J
CF2 i5 T +
Inti -l2
y
2�)
`�3
\5
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
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