IPAC RHTE# -J- 0a3aA Harnett County Department of Public Health 29751
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
11 1- ���o PROPERTY LOCATION: $ G L fe S-. rl,l(
ISSUED TO. �i(�[iD �V�(1Pat {�C�MQ,F" SUBDIVISION C.� jh^_{ te_. LOT#
NEW GY PAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 113-1 :191 X (46 ` 5ti-11�1
Proposed Wastewater System Type:;$y`r,
Projected Daily Flow:� GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes C; -#o'
Pump Required: ❑Yes ❑ No EJa,I1` hpu fired based on final location and elevations of facilities
Type of Water Supply: ❑ Community EVPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
ars
❑ No expiration
Authorized State Agent: ('�_ G��2�• ��!�Ir�r Date: / C- / 3& / -a o a -:4- SEE ATFACHED 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 requirement. 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 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, .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 mxched system layout.
ISSUED T0: L>cn-\e- 'Tvcru_ 4 a --c,6 PROPERTY LOCATION:
3t6
co441,- "tom o (6c Cie Maw)
SUBDIVISION G
v A AI
s 4Zy!!F _ LOT # 35
Facility Type: 93,Z 3b x 4&, 5
[;-Wew� ❑ Expansion ❑
Repair
Basement? ❑ Yes 2 -lo- Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System** o?S% ltc_J
. G.G. g -N s Z -V a
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
AJ. -(,MAP_
25/./�cd . S �s . (Repair)
Installation Requirements/Conditions
Number of trenches c/
Septic Tank Size 1150 gallons
Exact length of each trench
feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over. inches
Maximum Trench Depth of: 2—
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: fL TDH vs. GPM
Conditions:
y✓4 inches below pipe
Aggregate Depth: NA inches above pipe
f '/k 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: / undeatand the ywem type spenled is different from the type speciled on the application. / accept the fpediinationr of 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 not be transferred when there is a change in ownership or 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: f o 13o/s"ZGt
G J /llL1r, Construction cation Expiration Date: cI / so/o'V
HTE# — " 4 'q� 3CbtZ Permit # a, !r 7--5- 1
Harnett County Department of Riblic Health
Site Sketch
PROPERTY LOEATON: 3 �b 6 ca-wt w� AFL_ C 3 , c Lc resit 0 .�
ISSUED TO: We�c Mcirneti POA ea SUBDIVISION LOT # 35
Authorized State Agent: Date: c 13c 0�0t -4-
Q) Q)
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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
Mew LC c
Owner: qq0_c-S;V, Applicant:
Address: L* g5 ( L l A Wq kcu w.. Date Evaluated:
Proposed Facility: q�r.L_ $,;2> Design Flow (.1949): gE3Cj6Pt�o
Location of Site: Property Recorded: T4
Water Supply: It Individual ❑ Well
Evaluation Method: Auger Boni ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G.x61 AC_
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
LS
�/
✓`4q
�s
61
GA-
L5
0tAA,r49L,r
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fir( 6cr.
F/ SPS
'(0S
M l
3G
6
y
LS
✓* ,Y
Z$
S
Zb
v. V
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace(. 1945) Evaluated By: rA ����'^
System T e(s) Others Present: is
Site LTAR G . /