IPAC RHTE# 1 f-5AaDJCGCL Harnett County Department of Public Health 29229
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -4(d> 011 o)G Circ -e" ?�1. i.5 rL 114
ISSUED T0: t --"C G SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: gila2 69'X-151 .5
Proposed Wastewater System Type: a 5i&
Projected Daily flow: 4196 GPD
Number of bedrooms: _IV- Number of Occupants: 0 max
Basement []Yes P-90
—
Site Improvements required prior to Construction Authorization Issuance:
Pump Required:es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ --fu- Clic ❑ Well Distance from well feet Permit valid for. L34W"years
Permit conditions: ❑ No expiration
Authorized State Agent: Cil /_� 1 —i16' Date: 10l ✓S / ao 1-7 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The corimuction and installation requirements of Rules .1950, .1952, .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 T0: —r--1 G C-�S(,u A 14ca my --a, PROPERTY LOCATION: )4e.6 oll.ae. Qar^Ac ( �an N3o)
SUBDIVISION LOT #
Facility Type:' raj �w El Expansion El Repair
Basement? I]Yes �I o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** P",,,,n_4 S� M r s<r (Initial) Wastewater Flow: 980 GPD
(See note below, if applicable ❑)
PC rAtn kcs kki ftc.L` 6' s 6&a (Repair)
Installation Requirements/Conditions t Number of trenches 14 7cQ 30
Septic Tank Size laso gallons Exact length of each trench IZ,WA, 3 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of: 16) 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 — inches below pipe
Aggregate Depth: i inches above pipe
Conditions: — inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type speciffed on the application. / accept the spea1liationr of this pem/it.
Owner/Legal Representative Signature: Date:
This Construction Authomation 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: /—!:, Date: ;10t-4
Construction Authorization Expiration Date: I o &5 / a oa a
HTE# -5-40130a C Permit # Qia3a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ol e Y Cw�n /2�. CSL w30/
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent:/ -�— ; Date: / v/ 03 / as 1 -4—
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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: rJL C '� AJO 'ems
Address: f4&O 01 j t r5 - -, &, Date Evaluated:
Proposed Facility: "t 6F=,>4--% -Design Flow (.1949): f(E'O Gk4
Location of Site: �7 �,�,, // Property Recorded: LLO
Water Supply: Ld1Puulic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 7, qi? n G
❑ Spring ❑ Other
❑ Mixed
P
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1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcmre/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rear
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (0rv,hs24,1•Jt�
Available Space(. 1945) Evaluated By: �\, CN�r=n l
System T e(s) Others Present:
Site LTAR