IPACHTE# 1 �-SL�ba� Harnett County Department of Public Health 29803
Improvement Permit
A building permit cannot be issued with only an Improvement Permj[
L C�
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PROPERTY LOCATION. t�E ?T%1!2 -ON
ISSUED T0: SS E v 0 <a�E QV `L O);(L�1
SUBDIVISION Ct=N<RE LLA LOT #
NEAK REPAIR ❑ ERAANSION ❑
(6o xS� J
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVD
Proposed Wastewater System Tppe: QSn/• Q6o»G, s cia
`360
JSS�o a
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 4,
max
Basement []Yes � No
Pump Required: ❑Yes to No ❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Community �' Public ❑ Well
Distance from well feet Permit valid for: Five years
Permit conditions:
a
❑ No expiration
Authorized State Agent: ®J� -� Date: s 1 la.o 1 s 71 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee once of other permits. The permit holder is responsible for c .king with appropriate governing bodies in meeting their requirements. This
sire is subject to revocation if the site plan, plat or the intended use changes. The provement 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 o1 Rules .1950, .1957, .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 r�
ISSUED T0: MDss +�M�Ca ULL9Ef7.S PROPERTY LOCATION: SLl 6 Cfaaw�6ttnrl
/ ll SUBDIVISION C�rr'NCL�LLi'v LOT #
Facility Type: S��O�SS/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes , No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** d J /b a C -AU CrS i eS aero S- SEtr (Initial) Wastewater Flow: 36 b GPD
(See note below, if applicable ❑)
�-S`lo �%.Gs�. �+S . (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size S ctO Q gallons Exact length of each trench `,O CO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 `Z, inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover. % 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system t)pe speeded is different from the type specded on the app/ieatiism / accept the rpecibrationc of this permit
Date:
This Construction Authorization act to revocation if the site plan, plat. or the intended we changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This
construction Authorization is subject to compliant visions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� �"io Date: tT
Authorization Expiration Date:
HTE# Permit # a'-Tn3
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON:/� `� `�t L?-) L am6cZo N
ISSUED TO: os5 C
SUBDIVISION 6Nsq_G-Li P LOT #
Authorized State Agent: >) �i �V%1 SoL �,Do{�> Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:Design Flow (. 1949):314 03z)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger B ring ❑ Pit ❑ Cut
Type of Wastewater: 'JQ Sewage ❑ 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
(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
5$
S_
0-33
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Description Initial Repair System Other Factors (.1946): Pt
S st Site Classification (.1948): i
Available Space (.1945) 4 Evaluated By: O�r
System T e(s) i} 70 Others Present:
Site LTAR