IPACHTE# -5 q& Harnett County Department of Public Health 29223
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C:ira:.1Q cs2 1$a1)
ISSUED T0: (w1(a(� t� r 1 JPcwCS" r SUBDIVISIONy " LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 332. x,syr 6 Cgs
Proposed Wastewater System T pe:
Projected Daily Flow. '4G o GPD
Number of bedrooms: Number of Occupants: Ce max
Basement ❑Yes o
Pump Required: []Yes ❑ No 21gay bye q'red based on final location and elevations of facilities
Type of Water Supply: ❑ CommunityLX Public ❑ Well Distance from well feet Permit valid for.If vJ�f"e years
Permit conditions: ❑ No expiration
Authorized StateA¢ent::`!/ �'l'�—/1%ice nate• o9/GL,1 /QC t'.Z SEE SITE rw
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The issuance of this permit by the Health Department in no way guarantees the issuance of other permia. 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 Summit 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, .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: IDA' r.hcaoa t. L0ets•ems ::Yr PROPERTY LOCATION: G C-aL )
SUBDIVISION � LOT #
Facility type: bn 11 x (/{' SL�� f ❑ Expansion ❑ Repair
Basement? ❑ Yes [J,-NBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** i 2p " ><.c 5 s (Initial) Wastewater Flow: i3r.0 GPD
(See note below, if applicable ❑)
2")Csl ff/w (Repair)
Installation Require ments/Conditions Number of trenches 3
Septic Tank Size L C<�O gallons Exact length of each trench 16 feet Trench Spacing: cf Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. /C� inches
Maximum Trench Depth of: Z g 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: tt TDH vs. GPM
inches below pipe
Aggregate Depth: / inches above pipe
Conditions: / 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: / undelytand the ryrtem type rpeciled it different from the type specifled on the app/icadon. / accept the rpecilraiiw of this permit
Owner/Legal Representative Signature: Date:
This construction Authorisation is inspect to revocation if the site plan, Sloe or the incended me changes. The Construction Authoriution sha11 not be transferred when there is a change in ownership of the site. This
t.onsnuction Authorisation 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: — `� � /l�LfS Date: o`i gail va%ol-4
Att', c vrL CL t .J Construction Authorization Expiration Date: cxr /aa/aoag
HTE# -q63&3 Permit # 0elrias
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 5rL $� 1�
ISSUED T0: �� iC Inc F l L�' SUBDIVISION LOT #
Authorized State Agent:�_���!_ /fEf� 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: A,; mke/ 4/eivaJ,
Address: vrV p&q C, z/e_ Date Evaluated: 09/1 li`/1
Proposed Facility: 302 $ Design Flow (.1949): ) (OF%
Location of Site: �, ,� Property Recorded: 1r,4
Water Supply: [?' ublic❑ Individual ❑ Well
Evaluation Method:[3-<uger Bo ' 9 ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: C3, S8 A -C_
❑ Spring ❑ Other
❑ Mixed
P
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.1940OTHER
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
.1941 .194!
Structure/ Consisten,
Tex[w'e Minerelo
PROFILE FACTORS
1942
Soil .1943 .1956 .1944
Wetness/ Soil Sapro Restr
Color D th (IN.) Class Horiz
Profile
Class
<AR
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L 1;F,
0-12
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Description Initial Repair System Other Factors (.1946):
S stein Site Classification (.1948):
Available Space (.1945) Evaluated By: p ll
Site LTAR s) ZS v Others Present:
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