IPACHTE#- 5-44)7( Harnett County Department of Public Health 29761
Improvement Permit
A building permit cannot be issued with only an Improvement Permit \
PROPERTY LOCATION: Trtas. CLid tee— (4r 11 Sn5 ct.e\. 1
ISSUED T0: _�cvrnlur tut SUBDIVISION Tv al» LOT i� j
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3/32 G V s x.501 SSC
Proposed Wastewater System Type: 2 :5 .2's:.> & ac:�cu SA .
Projected Daily Flow: 3G G GPD
Number of bedrooms: 3 Number of Occupants: C, max
Basement ❑Yes o
Pump Required: s ❑ No ❑It+TF v
MMay bb quired based on final location and elevations of facilities �'
Type of Water Supply: El Community 1 Public El Well Distance from well feet Permit valid for. rive—years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: // /tS�a6-;+- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holde�ible for shaking 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 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 attached system layout
ISSUED TO: CPROPERTY LOCATION:Trot a (L":L 'C-Z0'Itlk5 cU
.�
SUBDIVISION -�, ae- v4e-- LOT # ?o
Facility Type: '0 L 6,4')(50s 5t=� 2--ffew ❑ Expansion ❑ Repair
Basement? ❑ Yes l Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** O'> rap -L-c' 255 2aA c 6:u ` %,s . (Initial) Wastewater Flow: 36D GPD
(See nate below, if applicable ❑)
A�p ko %% ;,s. (Repair)
Installation Requirements/Conditions Number of trenches `3
Septic Tank Size I cx U gallons Exact length of each trench 4's5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /6-b /o inches
Maximum Trench Depth of: Q8--vaa 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 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
N k inches above pipe
rok inches total
**If applicable: / understand the system type speciled it different from the type speciled on the app/icadafl. / accept the specifications 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 ro the conditions of this permit, SEE ATTACHED SITE SKETCH
I
Authorized State Agent: /e viii_, ��5 Date: t1 I% 5 I 'a61 -A
punct C-'-3CLaIConstruction Authorization Expiration Date: It I t5 /aoaa
HTE# I i -S - g► r%�70 -:4 Permit # Fq 9 -161
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: -TC�P�n 2 �u^(O� tI .IAS 2-Q
ISSUED TO: 3nr.s, SUBDIVISION --Me, nLOT# ab
Authorized State Agent: o -�! Date: tl t 5 / a o t'4
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: (ir^�
Address:`/ Lc+ Date Evaluated: It 11.5111
Proposed Facility: 3g2 5t"� Design Flow (.1949): ' (VCS
Location of Site: Property Recorded: f2
Water Supply: 'blit❑ Individual ❑ Well
Evaluation Method:❑A+>� Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: U, 4-CIAC
A C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Iand scape
Position/
Slope%
Horizon
Depth
(In.)
SOH. 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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Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): P ov�5�'c�ht� S�•' Available Space(. S ace(.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR 2�,