IPACHTE# I -5 y 41-3 Harnett County Department of Public Health 29753
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -AG u W V
ISSUED TO- U?_Cmc L-,,,nAeAvC'rt\e. SUBDIVISION LOT # 3
NEW Ly REPAIR ❑ EXPANSION ❑
Type of Structure: '382 'Joa y go l SFA
Proposed Wastewater System Type: lis% Rcct on s�
Projected Daily Flow: 360 GPD
Number of bedrooms:Number of Occupants: _ max
Basement ❑Yes 5-1
Site Improvements required prior to Construction Authorization Issuance:
0
Pump Required: ❑Yes ❑ No ay beerequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9"fuhlic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
91.1FI"eyears
❑ No expiration
Authorized State Agent: ��, r lir—s�� Date: if f/ 0 d /.?at Z 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 requirement. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the provisiom of
the taws 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, .1954 .1954, .1955, .1956, .1951, .1956. 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 TO: 6- ILSof Zcu— LC'fN&-'J er-Ap PROPERTY LOCATION: ac.. W ". v
Facility Type: 332 qo� 5; 2 ---New
Basement? ❑ Yes o Basement Fixtures? ❑ Yes
SUBDIVISION
❑ Expansion
❑ No
❑ Repair
LOT # _-'�
Type of Wastewater System** A S 9'n
,a, A on 5 y or
Ec�
(Initial) Wastewater Flow: -360 GPD
(See note below, if applicable ❑)
%ii,% 2.m„c•L,'on
5 �.,kr �.
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1 con gallons
Exact length of each trench
ECO feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover: /Sip inches
Maximum Trench Depth of:
Q6 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
A` 4 inches below pipe
t aA inches above pipe
fl.) A inches total
**If applicable: / undeawd the ffstem type spelled is different from the type speciled on the app/ication. / accept the rpecifcationr 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 not be transferred when there is a change in ownership of the site. This
Construction Authorization u 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: %l/&R / 96 t �7
Construction Authorization Expiration Date: p/LO a /20 a9
HTE# 1'A ` 5 `y a.G 13 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: NG /-1w y 9I
ISSUED TO: SUBDIVISION LOT # 3
Authorized State Agent: �i �� Date: 11 t 0 R I R6 t —f
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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
Sheet:
Property ID:
Lot#:
File #:
Code:
Owner: Applicant: E/rte'3c. 4Gc'"d'�✓'«�7ae—
Address: NL- /�xiY 2--y Date Evaluated: IL 161 I `t;o I T
Proposed Facility: 3g2 St�� Design Flow (.1949): 5&> 6P i Property Size: , ct A C
Location of Site: Property Recorded: L&!5
Water Supply: E;.PQ c❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:ED-Orlig-er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
E
4
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
&LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
i,3
L L3%
°''
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PS
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6 scG
A/t 5
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los
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Ole
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7 0
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T s) °u 2r, /Lt- Others Present: '�A`��'-J
Site LTAR