IPACHTE# f�_J-�LJ6Sn Harnett County Department of Public Health 29755
Improvement Permit
LonS ►J o 1t� L A building permit cannot be issued with only an Improvement Permit
e`^n PROPERTY LOCATION:_ arooKIPo.0 fir. (tern;f�ro� a 2a 5M1 ! S)
ISSUED T0/ �SCAtocP 5t�t LCSpt� SUBDIVISION LOT # J
NEW [� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (yGs y Sim' ) Sa—�
Proposed Wastewater System Type: rd5�o llo v } c
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: t� max
Basement ❑Yes LJ 4
Pump Required: []Yes ❑ No R ay be required base al location and elevations of facilities
Type of Water Supply: ❑ Community O Public LH�We11 Distance from well %OCJ feet ✓'C/Permit valid for. f�'F1ve years
Permit conditions:
❑ No expiration
Authorized State Agent: SEE ATTACHED SITE
The issuance of this permit by the Health Department in no way Restart... the issuance of other permits. The permit holder u SKETCH
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 subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.
Construction Authorization
(Required for Building PerDHQ
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accord
with the attached system layout ance
Lvny •a * nnct.,��
ISSUED T0: J -ter - `Tc.G1/�c�n PROPERTY LOCATION: 6rcr�46ei t,'Nc-. 4F;-.; qco,1nn� ftA <4
SUBDIVISION LOT #
Facility Type:�1(66X�r i� 5 i� t� Izd�Rew ❑ Expansion ❑ Repair
Basement? ❑ Yes f 0 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2�5- n a2, �* ti � c.�w (Initial) Wastewater Flow: 3Cod GPD
(See note below, if applicable ❑)
Romp ,Eo 95% !ls.�. �Z�(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t nc-U _ gallons Exact length of each trench (ori feet Trench Sparing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 1 � G inches
Maximum Trench Depth of 904 18 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Aggregate Depth:
WAItK LINt) (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
A-) A inches below pipe
'`1 A inches above pipe
/'J AC inches total
**If applicable- /understand the ryrtem type rpecifed /r different from the type rpeciled on the app/kation. / accept the Jpecihcatioar of thir permit
Owner/Legal Representative Signature: Date:
chis Constris Authoriation is subject to revocation if the site pin, plat or the intended use changes. The Construction Authorisation shall not be transferred when there is a chance in ownershin of eh. dr. Thh
wmomcrmn 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: ��--r�� —�� Date: t f l oee f a c; p �4
eJ v 2 Construction Authorization Expiration Date: 1t4ua l a6a-,3
HTE# -14a(, 6o Permit # 2-9 -455
Harnett County Department of Public Health
Site Sketch
Lona N. Mc Lin PROPERTY LOCATON:-ire I,2Qc C 'ryS 52 i3at5�
ISSUED TO: Mc. rn2b SUBDIVISION LOT #
Authorized State Agent: �i�--� — Date: t I oar
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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: L' ok le""kpplicant: �i cu 8 2-
Address: Date Evaluated: 1l
Proposed Facility: 3 5�= p) Design Flow (.1949): z0C,;>D
Location of Site: Property Recorded: rK5f
Water Supply: ublic❑ Individual El Well
❑
Evaluation Method:uger Boring ❑ Pit ❑ Cut
Type of Wastewater:ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O. (r 7 4—L
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
Other Factors (.1946):
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
System
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mutendogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
SitetLTAR
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a.�l
Description
Initial Repair System
Other Factors (.1946):
System
Site Classification (.1948):
hero li4st
b�
Available Space
1, 1945)1
By:
Others Present:
ern e(s)
�6` f u��
SitetLTAR
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