IPACNTE# 11-5-44M,4— Harnett County Department of Public Health 29245
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:�� 6Z,Asi, �Rcs�l;115 rt�t . 4R— 144 3
ISSUED TQ __�r�Vicr�cn� �r �M¢rS SUBDIVISION —rte LOT #
NEW � REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 33 2 GO -X GS
Proposed Wastewater System Type: Z5%
Projected Daily Flow: Ce,0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes
Pump Required: es ❑ No ❑ MMay b901' ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community PfJ' ublic ❑ Well Distance from well feet Permit valid for: 04iie—rats
Permit conditions: ❑ No expiration
Authorized State Agent: ate: / o/ACv/';?01 ':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 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 sublease 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..1951, .1954, .1955, .1956, AST, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the atuched system layout.
ISSUED TO: PROPERTY LOCATION: : actyt j a - d ( 4,F I� ,,S a -A SlC-14 (3)
SUBDIVISION 7/,¢ rze sS z� LOT #
Facility Type: 3�2 (.o`z� SI Sr3� Et-'Iew ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" P—e 'v--� ZS%b 5;, :5 (Initial) Wastewater Flow: 366 GPD
(See note below, if applicable ❑)
fU-AQ 4,-G Z S/` �r d . Sys• (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /OCX> gallons
Pump Tank Size r ooU gallons
Exact length of each trench `r3� feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Q44- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover./ a� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
.v.A inches below pipe
Aggregate Depth: —4 inches above pipe
rvq 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 aPelicablc / onderf and the system type specified /r different from the type specified on the application. / accept the speulcanonr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Audmraadon is subject to revocation if the site pWn, plat or the intended use changes. The Canstrunion Authorization shall not be transferred when there is a change in ownership of the site. This
eonstrucnon eummnzanon 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: / 25 C / -z; c L9
C—)f7 2t Construction Authorization Exairation Date: /o/ac:la,oaa
HTE# Permit # ZC/61g5
Harnett County Department of Public Health
ISSUED TO:
Authorized State Agent:
Site Sketch
PROPERTYLOCATON: wALti 2;k,,,_ C_ROt\fidM1S L.S.
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Date: .0; v Ia c V"-:1-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(); , .
Owner: Hunk Applicant: 6�6.e.-trek t4�
Address:7'tic Scr-o cif /� Date Evaluated:
Proposed Facility: i9 z S�v Design Flow (.1949):.QG6 t:
Location of Site: Property Recorded: X.�S
Water Supply: [21R51ilic❑ Individual ❑ Well
Evaluation Method:�ger Boring ❑ Pit ❑ Cut
Type of Wastewater: D -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6. q U -C..
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
'1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
- Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
+
L%
v�
6.��
62 LS
7�e yP
ay 3�i
6K stL
lW S
ai
A46
QAG 5rt
f (fic'/
PS
Ll
L 3"E
C -C LS
✓l� SSfPf�
36-y6
/�G
yw
° rZX`^�
—
Yb
04
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): UaS,,,'F•,b/i�f�ro..(s,'�.�atY S_,-E--.b�
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR �,.f ,,,y