IPAC RHTE# I1 ' S-Y-1a.D3'7Q Harnett County Department of Public Health 29738
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ Q ,\ PROPERTY LOCATION: L AS �i etz Qo
ISSUED TO: goDB / nQQQAr) `V %W7 o2yyerPSo s LrJ SUBDIVISION LOT #
NEW' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Ch+ueaca I vv-1c> F-,A
Proposed Wastewater System Type /e a uGt>u S[y�
Projected Daily flow: 50b GPD
Number of bedrooms: Number of Occupants: SOS max
Basement ❑Yes >(No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Suply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: \ ` ❑ No expiration
Authorized State Agent: \ \ \ �5 Date: 1013 D O —7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarani issuance of other permib. The permit holder is resp for checking with appropriate governing bodies in meeting their requirements. This
site is subject in remcation if the site plan, plat or the intended use changes. 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 construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acwrdana
with the attached system layout.
ISSUED TO: PROPERTY LOCATION: LA517&2 QR9
SUBDIVISION LOT #
Facility Type: C1i V CV -A w 1 Y—TC,40 )X New ❑ Expansion ❑ Repair
Basement? ❑ Yes '4 No asementtures? I--]YesNo
Type of Wastewater System** So/.yeovcS\a4 S y-5-N6M (Initial) Wastewater Flow: 5C)Q GPD
(See note below, if applicable ❑)
cZS% 265 , =, (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 10°0 gallons Exact length of each trench '80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 11 inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover: -4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciled is different from the type speciled on the app/icadon. / accept the specileatiom of thiir permit
Owner/Legal
Construction Authorization is
plat or the intended use changes. The Construction Authorization shall not be tmnderr
of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: `*-Al Date:b Id
Golftction Authorization ExDiration Date: l
Date: _
there is a
SEE ATTACHED SITE SKETCH
HTE# 1-7-5-tia031 t2 Permit# ^-1—)3�
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: LPts N�ErZ, Z
ISSUED T0: ����+ SUBDIVISION LOT #
Authorized State Agent: CaI-)-i TOLS5o02Lg Date: 10131
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
_ lz� SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: UCO sCt�. n,,3q(;,,Design Flow (.1949): sp 03
Location of Site: Property Recorded:
Water Supply: "Public❑ Individual ❑ Well
Evaluation Method: [��, Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 1; Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
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1
L
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#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure!
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
S ste i Site Classification (.1948): Pi
Available S ace L1945) _ Evaluated By[7S
System Type(s) 4 Others Present:
Site LTAR