IPACHTE# Harnett County Department of Public Health 29215
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_CkJLr[44 0 'Ve-c- i S t 14rte)
ISSUED TO: cM Tereµ, 'iz> cllin5 SUBDIVISION LOT # t
NEW REPAIR ❑ 'EXPANSION ❑
Type of Structure: 3011 5 I.L3tx 35'•4' St'—V-�>
Proposed Wastewater System Type: z5% a-e—A ock, c_"` S .�
Projected Daily Flow: .z r- sn, GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement Dyes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No ala -y he required based on final location and elevations of facilities
Type of Water Supply: ❑ Community u lic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ars
❑ No expiration
Authorized State Agent: Date: c:>fz //xb bbl -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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, ASK .1955, ASK AM, .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: tA,lt,Hn r erev 4 S; t14acu PROPERTY LOCATION: 6c,iC cs : o, s>a. LSri- wvbQ
SUBDIVISION LOT # 1
Facility Type: 811- 3'x"s. G15 21ew ❑ Expansion ❑ Repair
Basement? ❑ Yes El --f o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* 6=,n6. (Initial) Wastewater Flow: 3l,0 GPD
(See note below, if applicable ❑)
?.leap 1--O( P
Lsi, rlr�.. 5'� .vk � Re air)
Installation Requirements/Conditions Number of trenches Y
Septic Tank Size tCoD gallons Exact length of each trench P5 C> feet Trench Spacing:
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. /£3 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: IS. TDH vs. GPM
Conditions:
Soil (over.
Feet on Center
inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
6 inches below pipe
inches above pipe
t 8 inches total
"*If applicable: / undersand the system type spealed it dihilrnt hum the type spec/led on the app/kation. / accept the soe6&j#ionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject m 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
construction Authonaation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and 114mal and to the conditions of this permit )tt AI IALHtU NIt Ill
Authorized State Agent: c.�� �'
�ii��l„615 Date: �`/ � ,Jos�4
An'� C�jnct tti Construction Authorization Expiration Date: 0710GI baa
e�
HTE# !. - S - y d 645 Permit # 2 q 91-1!;
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 6cA14ri rS rL"je n 1 . (G2 Iq/8
ISSUED T0: Lw5'.Ali[Aph�TeA-,,min 1[egj SUBDIVISION —s y LOT #
Authorized State Agent: rTd Date: 0`//o(o/ Qbi:7-
AorLj:a c,v2CLt
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— —
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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: 1✓ •�/'"'" n' cKU`S
Address: Qul(. :d�gz„u., rad . Date Evaluated: o9/�/�1-
Proposed Facility. Design Flow (.1949): 36b 60�>
Location of Site: 302 �� Property Recorded: )-eJ
Water Supply: Lfrublic❑ Individual ❑ Well
Evaluation Method: ❑-A g r Boring ❑ Pit ❑ Cut
Type of Wastewater: []--Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (3.5 A C
❑ 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
.1943.1956
Soil
Depth IN.)
Sapro
Class
.1944
Resn
Horiz
System Te(s)
Z5`, rte -d. 7j
Others Present:
n flLifif
Site LTAR
p. '3 01 3
lb -33
9r C_
A sP
5fZ
a
1-311
0-11
k 51
Y y
Ps
)�e�
c
IiSP�:
y 34
03
3
I- 3i
0-1 A
62 3L
q
LAAA
3K C-
61S P i�
52 �/e -elo
Va
a.3
L 3/„
V -I a
CR
13 -36
Ix C_
6(S � 5'
r. (Z SZ6 `r
304
o 3
Description
Initial Repair System
Other Factors (.1946):
System
- Site Classification (.1948):
vn3,j,4/,
Available Space (. 1945)
Evaluated By:
n
nJK,,3 GvsY
System Te(s)
Z5`, rte -d. 7j
Others Present:
n flLifif
Site LTAR
p. '3 01 3