IPACNTE# 11-6-4//9 Harnett County Department of Public Health 29600
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1n �c;s'raa 1-N cZ A C'5 t2 I Y/
ISSUED T0: 57c>S pct, n SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 302 SV>e(.4 S t=:2
Proposed Wastewater System Type: 25% n, A r on 5;z s
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: C— max
Basement []Yes �o
Pump Required: []Yes ❑ No LYtfay be requiredd base a final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public =Well Distance from well 100 fee<r , ^>) Permit valid for.If�rs
Permit conditions: ❑ No expiration
Authorized State Agents /i �.�/I7�9 iii Date: (J'd/ 11 17AI �— SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The pemtit 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. The Improvement Permit shall not he affected by a change in ownership of the site. This permit is subject on, compliance with the pronsions 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 o1 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 accordance
with the attached system layout.
ISSUED TO: h 5PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: '36"L i67 &4 s 5 r=m El�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes [2-'9o- Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** 't.-5% neAvC�L—: tp/\� 52-5:g � (Initial) Wastewater Flow: 36o GPD
(See note below, if applicable ❑)
49vMe% Z..5%5 (Lei. pct bA Sys_ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1000 gallons Exact length of each trench iOo feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: an 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: ft. TDH vs. GPM E inches below pipe
Aggregate Depth: inches above pipe
Conditions: ( Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l undeataad the rystem type speciled it different from the type speciTed on the application / accept the specibcationr of this petmit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subbct to revocation if the sire 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
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 permiL 5tt Al IALn[U Dllt .MtlUl
Authorized State Agent: l �_e-�-, /d�� Date: 4
Construction Authorization Expiration Date: crrc y I ZocSIQ
HTE# r 5 ^ I / tJ Permit # a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: IJGrre n Z.A (sill t 4yJ
ISSUED TO: -TC-99a 5, nJO 0 SUBDIVISION LOT #
Authorized State Agent lam'_—����// 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:TO � $- 2'i tri
Address: Wwrle.o �l - to Evaluated: D
Proposed Facility: uV'� 5r't, Design Flow (.1949): � r
Location of Site: Property Recorded: ft
ell
Water Supply: Public❑ Individual W
Evaluation Method: AugerBorin ElPit El cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G.?6 A G
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(ln.I
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN I
.1956
Sapro
Class
.1944
Restr
Horiz
L 'Z/.
a -G
f",r
(�lJ
-aa
a✓
6- 3G
�a f«
f/ i P f�
']. s>'d�lt 9 3a"
3C f
b•3
Zt
r.1Z st�Qyp
es
8-39
3K 344
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3yt
03
Description Initial air System Other Factors (.1946):
System Site Classification (.1948): L)o 5V, &b1C1 P`OU ! S
Available Space (.1945) Evaluated By:
System Type(s) 2 Others Present:
Site LTAR