IPAC RHTE# 11 -6 -LI daS�cZ Harnett County Department of Public Health 29247
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 U g 1 Et \io l Q� . f Sn 14 3:)
ISSUED �Ac s d!� CN,�\E� SUBDIVISION C2 LOT s/� LOT# 1-++ ab
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: so ez / S/' x I&' 5sA Kn -N
Proposed Wastewater System Type: A6$1. A !�q .
Projected Daily Flow. 36,a GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes 9-15�
Pump Required: ❑Yes a ❑May Is uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�Publjc ❑ Well Distance from well feet Permit valid for. f
Permit conditions: Hc+w:p n.a.>pf k °�r"A'� �ar n s-,Z-tc (2tA ❑ No expiration
Authorized State Agent::/°�%T'� i�s� — Date: / C�Z.�Icy aa t a 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 sire 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 .1958, .1953, .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 attached system layout
ISSUED T0: PV,-VL"rt Goll-."\E=e- PROPERTY LOCATION: foq I (52 W 34
SUBDIVISION Groh\c . S� a LOT # )94p
Facility Type: 3(32 14 )(N Si S 2--ffe�w ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" �7 5 i c ) 2 A 2 a Ss � (Initial) Wastewater flow: 3L o GPD
(See note below, if applicable r-1)
pvmo t -x>
55�, 5 s (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1000 gallons
Exact length of each trench SG feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: o?Jf- inches
(french bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs.
GPM
Trench Spacing: 7 Feet on Center
Soil Cover. /-07 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: — inches above pipe
Conditions: Pmn�, h y,, c 1 6 L u1\ j¢� n b 0 1 S Fd a �\ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system type speciled it d/Kerent /rote the type specified an the app/iratiaa / accept the rpeufrations of this permit
Owner/legal Representative Signature: Date:
This construction Automation is subfect to revoauon 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: z Qu / '3C,,
Construction Authorization Expiration Date:
HTE# y ami 2 Permit # 'Z of a� y q -
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: t o G t F, Arca 2Q1 ( 52 ! `t3 4)
ISSUED TO: SUBDIVISION Gr-Eja s iC�> LOT # 1-14--g-0
Authorized State Agent: Date: 1 V� 13 0 / 2A a %'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: kc mix GOi1,Zc Le
Address: tog/ 3—i6. 'L Date Evaluated: I'b%a6�aol�
Proposed Facility: - rZL. • Design Flow (.1949): _V" C J®P
Location of Site: 3/ 5w -ti Property Recorded: W
Water Supply: Garuublic❑ Individual [:1 We]]
Evaluation Method: uger Bonn ❑ Pit E] cut
Type of Wastewater: Morin
❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(inI
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
y Q,
0 Zg
cw- ba.
✓"k e/44
PS
4t6
i r
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L (o%c)
0-36
(-C' 15z-
tf�i`�44,,FS
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01C C L
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Y3
U
3
L L o
-iq
14-�p
gtc cL
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P5
904
2�c v
o . 35
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):} S
Available Space .1945) Evaluated B
System T s) z Others PresenC
Site LTAR