IPACHTE# 1-4 -5-1/McIl Harnett County Department of Public Health 29599
Improvement Permit
A building permit cannot be issued with only an Imrovement Permit
00 PROPERTY LOCATION: tic, Is & 2cxn CSIs wioti�)
ISSUED TO: t. 4 n r SUBDIVISION U LOT #
NEW REPAIR ❑ EXPANSION
Type of Structure: 413 /L 43',(56t S r=n
Proposed Wastewater System Type: Z5%
Projected Daily Flow: Yao GPD
Number of bedrooms: Ld N Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes o
Pump Required: []Yes ❑ Noa required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
l i�rs
❑ No expiration
Authorized State Agent.: Date: // f / Z0 t --'I 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 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 .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references man this permit and shall be met. Systems shall be installed in accordance
with the atmched system layout
ISSUED TO: k3',%&Trs id -Ywnna k>�ncre. PROPERTY LOCATION: (,S — aoo-q)
SUBDIVISION LOT #
Facility Type: `/31Z 3c1'1c56' S t=a> Ca --New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2—lo— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Z5% n 5, 5 Et._ (Initial) Wastewater Flow: %C> GPD
(See note below, if applicable ❑)
Pomp !.n Z5%, > 525— (Repair)
Installation Requirements/Conditions Number of trenches 6
Septic Tank Size t 00 gallons Exact length of each trench r. O feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: a inches
Maximum Trench Depth of: 0 2) 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
Aggregate Depth:
Conditions:
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.
inches below pipe
s inches above pipe
R'a inches total
"If applicable, / understand the system type specified is different lrem the type speafied on the app/icadoa / accept the specipcanons of this permit
Owner/Legal Representative Signature: Date:
This (instruction Authorization is subject to revocation if the site pian, plat or the intended use changes. The canstrunion Authorization shall not be transferred when there is a change in ownership of the site. This
(onsmction Authorintion is subject to compliance with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: /` Date: c'8/1I,rZL1::7
Construction Authorization Expiration Date: c-'6111 /"a
9
HTE# ' } _5 ' N) 9a 3 Permit # a q 5(7y
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: I ��, 2� srz. a0 U=7-�
ISSUED T0: hl 1han 17 -nu SUBDIVISION LOT #
Authorized State Agent - Date:yEl�� T
_t A 3v>rLe CJrzxl IN II
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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:,I Applicant:. W', ;ow" A W t!) 60/09M, ���a
Address: FFo7� (La Date Evaluated: l
Proposed Facility: rpt_ $ Design Flow (.1949),,:``ym L P•O
Location of Site: Property Recorded: 7(O
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
'Xy�
. C0/ &%x
4--6 G/ec-s.
4e -
Property Size:Zoje 6N+Ilp. �zr„
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
S stem T e(s)
L Z%
0-4
Gq 1.6
"
Site LTAR
Ps
62 5
rtP
lfs
o. SCS
L 2/°„
0-1
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V P5
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36
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Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (.1948):Available
Space 5 ce (.1945)
Evaluated By:
`
A At r&1 "rrfl, aAtk
S stem T e(s)
2 �o
Others Present:
Site LTAR