IPACHTE#
Harnett County Department of Public Health 29238
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 3(, rncAln ' C (-IltAiII t2,6�t acuG�
ISSUED T0: 1Jtn���vcc1¢.4 1-6y4Z SUBDIVISION C04,4%e64ZCAQ, LOT# 14,
NEW 19 � REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4//4 /L 30v x 1 3 7 S J. -f37
Proposed Wastewater System Type: 25 n o -al -e" Oil ,
Projected Daily Flow: 5!a c , GPD
Number of bedrooms: _ Number of Occupants: max
Basement []Yes 9-ffo—�
Pump Required: ❑Yes ❑ No f� rr ' ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community f��ublic ❑ Well Distance from well feet Permit valid for. D+vf years
Permit conditions: ❑ No expiration
Authorized State Agent::/'I/ah�� ��Ea`� Date: "/'/ /a /;a is rZ_ 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 provisios, 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordane
with the attached system layout yl 96 05
ISSUED T0:ti�� �vrnc'd t lin �$ PROPERTY LOCATION: 3 t\ (LA
SUBDIVISION LOT #
Facility Type: `/3 2 e X'<3' S i 13--Te�w ❑ Expansion ❑ Repair
Basement? ❑ Yes 8— o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS s . (Initial) Wastewater Flow: c/$ 0:;�:t GPD
(See note below, if applicable ❑)
ZS%, de- a CU.- 525. (Repair)
Installation Requirements/(onditions Number of trenches Lr --
Septic Tank Size L0oC� gallons Exact length of each trench feet
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of. Z '6 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: y Feet on Center
Soil Cover. /6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
A, d inches below pipe
14 inches above pipe
tiA inches total
**If applicable: l undeatand the ryrtem type rpeciled it diNerent from the type rpeciled on the application. l accept the rpecilcelonr 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 soothe 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 ltt AI IAL11tU lilt Ili
Authorized State Agent: Date: %c>// a /ao a�
c L�a.J Construction Authorization Expiration Date: ,c>//a /aoaa
HTE#
1i-5-42��4� Permit# 211G30 -
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 3q ril«Ct'n«4 C6r;L<en- Itf0 cx ao�5,
ISSUED T0: W U6C— S.t�n e� 140AAa-b SUBDIVISION �� .N-1g-s-tc>.�P— LOT # L
Authorized State Agent: /mill Date: ' V 1 l a /-A olz4
138)
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432
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Department of Environment, Health and Natural Resources
Sheet
Division of Environmental Health
Property ID:
On -Site Wastewater Section
Lot #:
.1941
Structure/
Texture
File #:
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
.1944
Restr
Horiz
fu b e3
L 4_2%
Owner'$• W'J, ✓• A litany Uu 11 LIL&
6o2 SL
Address: Lo�.(L Date Evaluated: ro/Ul/T
Proposed Facility: w 5�] Design Flow (.1949): Property Size: AC
Location of Site: Property Recorded: YY'S
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ,ger Bonn ❑ Pit ❑ Cut
Type of Wastewater: U -Sewage ❑ Industrial Process ❑ 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
Minenilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapm
Class
.1944
Restr
Horiz
System T e(s)
L 4_2%
v Z`I
6o2 SL
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Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (. 1948):
Pfp�.4i
Available 5 ce('1945)
Evaluated By:
System T e(s)
5�
Others Present:
Site LTAR
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