IPACHTE#,1s_�a (0 Harnett County Department of Public Health 29759
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: iso Lenn;r_ 5m•4.1n 2a . C 5rt- 449)
ISSUED TO: Ta h-�S L-L'C' SUBDIVISION LOT #
NEW &k'� REPAIR ❑ EXPANSION ❑
Type of Structure: y 52 3i �X Yrs s5irD
Proposed Wastewater System Type: 95%
Projected Daily Flow: 948 GPD
Number of bedrooms:Number of Occupants: 174max
Basement ❑Yes o
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
El No ;Maps y bee 'ped based on final location and elevations of facilities
❑ Community LJ�Publlc ❑ Well Distance from well feet
Permit valid for.
IL'i' Ive years
❑ No expiration
Authorized State Agent:/�j ��!! i.�'�� Date: tk 115 /aos-+- 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 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 mmuuction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: Ta -i7 PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 9 tL 3�7 1 X 1/0 5i �ew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" C cznrt . CoCY4dG.l 5,� (Initial) Wastewater Flow: a`l0 GPD
(See note below, if applicable ❑)a7
_R"vXA ecce +n C� r,V� &rll. ek 573. (Repair)
Installation Requirements/Conditions Number of trenches o1
Septic Tank Size 1t15U gallons
Pump Tank Size gallons
Pump Requirements: ft, TON vs.
Conditions:
Exact length of each trench /co(=t feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: as inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: /e7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
6 inches below pipe
'd inches above pipe
a inches total
'"If applicable: / understand the system type speciled is different from the type specified on the application. / accept the tpecilcadims 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: tt 11S la 01-1
A+Jnn --, --> cvLtu rJ Construction Authorization Expiration Date: 1% 1 15 / 'RoRa
HTE# 11Permit # 2 q -? S c>
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 4$-4 Gla L52 t4a�)
ISSUED TO: Ta i-cn+ rn5 L (Ci SUBDIVISION LOT #
Authorized State Agent Date: 111 16 ) as 1 -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:<Lt.-
Address: (L -t\- Date Evaluated: ItltV�i4
Proposed Facility: 2 51-= o Design Flow (.1949): PA7 GPS
Location of Site: Property Recorded: ?4
Water Supply: ,�,� t lic❑ Individual ❑ Well
Evaluation Method:Q-augeriB�Bonn��.. ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 1%
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Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): Q('ov�`i t`tit.1�J Svc-{.,jjke
StSpace 1. Evaluated :
System TY o Others Present:
Site LTAR