IPACNTE# a)(4 Harnett County Department of Public Health 29221
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: '9 3% 2 i v e -r- R.A . (t T 14 7
ISSUED TO: i l (j bk:)des SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 4'13 /Z ':1(oIX Co
Proposed Wastewater System Type: Z-5 '1
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: `6 max
Basement ❑Yes 0
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No C`7-May'be reired� based-o��nal location and elevations of facilities
Type of Water Supply: ❑ Community I3�1 u61ic E ell Distance from well %c -r,) -(- feet
Permit conditions:
Permit valid for.
C3+V
❑ No expiration
Authorized State Agent: c Date: 64 116? I d(5 ISEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Testame nt 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 in 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 in compliance with the provisions 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 of Rules .1950, .19S2, .1954, .1955, .1956, .1951, .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: 1M!'Y,,S b� i i8.� PROPERTY LOCATION: 33 c1 R : v. r cUk o C SrL 1
SUBDIVISION LOT #
Facility Type: a/132 4 tt. °14 E§'%e�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** '1-`J%> /L --k d.,r t-� c,ti 5 ;s (Initial) Wastewater Flow: X80 GPD
(See note below, if applicable ❑)
'Z 6l0 'o h S, ss (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 3 50 gallons Exact length of each trench I A6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z 6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: 14 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
— inches below pipe
---- inches above pipe
inches total
**If applicable: / understand the system type spedled is different from the type spedfled on the app/kation. / accept the specAcanionr of this permit.
Owner/Legal Representative Signature: Date:
This 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
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 permit SEE ATTACHED SITE SKETCH
Authorized State Agent:— _ 2- � Date:Oct 1141 Ao it -7
Construction Authorization Expiration Date: tom ( (y 19jo',3a
HTE# -S a'� (� Permit # 2gi as i
Harnett County Department of Public Health
Site Sketch
�" PROPERTY LOCATON: '33'1 2; � �, ( S a ( q 16)
ISSUED TO: fY1Cf�S HOno_h.�,��¢S5 SUBDIVISION LOT #
Authorized State Agent l �/' A z .�� Date: cqj 1 1' 201 :1
2CPgt �
P tz—OCA ,C2-lj
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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: /V a$ Akw '01(5
Address: 30 /Lr're/ 4A Date Evaluated: 01/1ql--?�
Proposed Facility:��� SF� Design Flow (.1949): t/$O
Location of Site: Property Recorded:
Water Supply: blic❑ Individual
Evaluation Method: ,ger Boring 1t ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size: �'. �4 to
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
f
(L•,Jtf
�4wlG
j z
4
Utz L
b-
YO
6.35
361
G2 1,5
Wj'L
v4YX
PS
t2 q0
6
Description Initial Repair System Other Factors (.1946):
Sstem Site Classification (. 1948): {2Co5�o�lal�
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR _ 04S