IPAC RHTE# �� -5-4 `o1l�f%2 Harnett County Department of Public Health 29756
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C _ --c�:sr f ccs ^A- (LA
ISSUED TO: (nC LCSO SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9132 ( 41 � X Cn L t ) 6 r'->
Proposed Wastewater System Type: a5A, 44 .
Projected Daily flow: 60 GPD
Number of bedrooms: �3 Number of Occupants: max
Basement []Yes 94No
Pump Required: []Yes ❑ No aL� M y be vet based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.nLa-J'F" a years
❑ No expiration
Authorized State Agent:G� �—»����s Date: II I y9/aDCi SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenu. 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 .195D, .1952, .1954, .1955, .1956, .1957, .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:f, .ntos �X�cySun PROPERTY LOCATION: o �Set—Ln. (Ty�irc rnv C1. S(+ t1��
SUBDIVISION ^G LOT #
FacilityType: C9itxfeL ai 5 C=D C7—Ne 9t" ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ;Q Z' %Q e-�'e,n 5 S f�� (Initial) Wastewater Flow: :3&n�b GPD
(See nate below, if applicable F-1)L
Pomp bc5 c% 'l trenCls - 5 , s . (Repair)
Installation Requirements/Conditions Number of ches) 3
Septic Tank Size IOOn gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 16 inches
Maximum Trench Depth of. --> IF5 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: (t. TDM vs. GPM
Conditions:
A inches below pipe
Aggregate Depth: r% -A, inches above pipe
v -A 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: / understand the system type specified it different from the type speciled on the app/icatiom / accept the specilcanitar 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 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: L I ) 64) m?oL--
A N heLIF: '-'� c • , „ �1 ,tet) Construction Authorization Expiration Date:! t' 04 / ao Rai,
HTE# Permit # '3 9
Harnett County Department of Public Health
Site Sketch
--�^ PROPERTY LOCATON: ro x pec Ln l c r c n� (LA- S(L 1 �
ISSUED T0: JGIMOS::j: tt CA SUBDIVISION LOT #
Authorized State Agent: Date: l I Oct 1 a 617
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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: 'i Applicant: =c-6
Address: rv��t21.5 L Date Evaluated:
Proposed Facility: 3[ 5 --� Design Flow (.1949): , �C _)j
Location of Site: Property Recorded: 0'6:5
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method:QAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
O
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Property Size: C _:;7S
Zs as
❑ Spring ❑ OtherI $F�
�— So
❑ Mixed //tt --
P
R
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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 (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
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fls
20-'l6
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Description Initial Repair System Other Factors (.1946):
System Site Classification(.1948):
Available Space (.1945) Evaluated By: 4-.)
S stem T e(s) ` 6 ` Others Present: `p' C-" r r\
Site LTAR o .