IPACHTE# 11-6-ggj�D Harnett County Department of Public Health 29774
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ! !? .;,f n' .car, GF "( 2; "r- tz� • 34-L 9 y t�
ISSUED�TOp(`�IFcn d TocyCca G� r: 11 SUBDIVISION Cc.C,kc ' n , ) r ( LOT # Q to
NEW Isj' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 23 2 5 Gl V 9 6 r M Art,t -«-
Proposed Wastewater System Type: :;? 55�, (ZeA S 5 .
Projected Daily flow. '3 r c;, GPD
Number of bedrooms: — 3 Number of Occupants: C. max
Basement ❑Yes ❑'Ao
Pump Required: ❑Yes Ellro— ❑ MMay b"uired based on final location and elevations of facilities /'
Type of Water Supply: ❑ Community Ea? Public El Well Distance from well _ "' A feet Permit valid for: 51-f years
Permit conditions: Qi -cp r� h • V 1lt/' ^ 'E..ff J
a k ""=f -t h M r,Je ^i' Co � n ' ❑ No expiration
Authorized State Agent: 1' Date: 1'� 041 los 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site on, 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 bur 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: (,\vn I"Tryn'.c1 Cc.c-ral\ PROPERTY LOCATION: ltoh �:wP>1;nL 5 C2r✓Kr-rt.t . s2. I Vt91
SUBDIVISION G .0Cc'.a r LOT # ;�
Facility Type: 3132 %o' x 20 snAry Kizer, p�jew ❑ Expansion El 'Repair ✓
Basement? ❑ Yes E3-lro- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 4-6- 'R SZ, 2e a y -A is " (Initial) Wastewater Flow: 160 GPD
(See note below, if applicable ❑)
u?5% 2e -S. Ss, (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 1000 gallons Exact length of each trench 6o feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Pump Requirements: h. TON vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: y5- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
C -
Soil Cover: Co inches (innPu2r��
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: I inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches total
*If applicable: /understand the ryrtem type toeafied it dilerent from the type spedled on the application, / accept the specifboons 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 Comtruction Authorization shall not be transferred when there is a change in ownership of the site. This
LonsVluchon 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: 1't IOa-abt=L
J!Lr--N Construction Authorization Expiration Date: t 'R o'a lama
HTE# I T 5- -L4? 7 a O Permit # 2 C/4 4 T
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: I�.O p ,13W,nQ 2�
56-�'2c� 52 /P'/;Y
ISSUED T0: Glen �T�n ; �ti G �c mac; l l SUBDIVISION G . a-1<. ; n s L -c --^A; n . LOT # G I
Authorized State Agent �—� G�',�—�s�uu�T! Date: a I O 316 i
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIWSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: C l ,rl--1-T'�c1 Com•,; r,>i j
Address: jl:L) �w�; L, j.L_ Date Evaluated: i'.��p-1I►�'
Proposed Facility: 3, ` Design Flow (.1949): ;t c, C r T
Location of Site: fropertyRecorded: yr_3
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method -[3 Auger Borin mit ❑ Cul
Type of Wastewater. ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: i , 5p /}-e—
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
.1940
Landscape
Position/
Slope Yo
Horizon
Depth
(In.)
SOIL ORPHOLOGY
.1941
OTHER
PRO FB.E FACTORS
Profile
Class
<AR
.1941
StructuralConsistence
Texture
.1941
MIDezalo
.1942
Soil
Wetness/
Color
.1943
Soil
.1956
Saxe
Class
.1944
Restr
Hari
y �u
G _. Y
S
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Description Initial Repair System Other Factors (.1946):
SYStem Site Classification (.1948): Un 3, 1., b
Available Space(.1945 c
S em T s r Evaluated By:
Site LIAR c `'" Others Present:
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