IPAC RI1 2(Z- 29776
NTE# l —s-Wc� 2 Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATION: �: 1 (?u; n Ln. c ld $•k<-- _
ISSUED TO:12 1 d< (� C�cics5 (�1'Ilr�t cl SUBDIVISION R=;LIG., : ���5� Qa- LOT #
NEW Q,'- RaJEPAIR ❑ EXPANSION ❑ Site Improvements required prior to Constructmn Authorization Issuance:
Type of Structure: 387- l4 yx -4G, t 5 w nn 4 [ �
Proposed Wastewater System Type: ?W- , Qg A,,a +',u l 57,�
Projected Daily Flow: *�Z (,, O GPD
Number of bedrooms: Number of Occupants: C- max
Basement ❑Yes o
Pump Required: []Yes Imo- ❑ May be uquired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Cs uhlic ❑ Well Distance from well feet Permit valid for:
Permit conditions:
2-ri—ye —years
❑ No expiration
Authorized State Agent: Date: I t.3 j/I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iguana of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject in 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.
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 is different hom the type speriled on the app/nation. / mceut the specibtationr o!this permit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended uu changes. the Construction Authorization shall not be transferred when there is a change in ownership of the sire. This
Lonstnlction 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: /E Date: 1r?/ if I RCA-q-
)�( Construction Authorization Expiration Date: I aI 11 1 9nTQ
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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: n, c fG,Cos
v g �1 cloks
Lc3 I1: G' �� PROPERTY LOCATION: O
rL, s �
.e1 Ou( C al q—, .,
Facility Type: 3 W sy 40a rA k
:3 Z A�
/.. � SUBDIVISION ft;5 3 %��e �t r'< L T #
r) mew ❑
y Expansion ❑ Repair
Basement? ❑ Yes Eil-�o Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
Cie A. ;c, n S6 4-C
(Initial) Wastewater Flow: UvO GPD
(See note below, if applicable ❑)
PvY1n 1x
6C/6 4.e -A-5 (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1 CS, I - gallons
Exact length of each trench W -i feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: G inches
Maximum Trench Depth of: / ?5 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. TDM vs.
GPM
inches below pipe
Conditions: Uc
P - d : S i r eJ
Aggregate Depth: inches above pipe
I 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 is different hom the type speriled on the app/nation. / mceut the specibtationr o!this permit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended uu changes. the Construction Authorization shall not be transferred when there is a change in ownership of the sire. This
Lonstnlction 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: /E Date: 1r?/ if I RCA-q-
)�( Construction Authorization Expiration Date: I aI 11 1 9nTQ
►'A -5- 90,cajZ
HTE# I %'S -qO`d fL Permit # 991462
Harnett County Department of Public Health
Site Sketch
st-L 1`)
'��" PROPERTY LO[ATON: �..n;e,l G% ,,�n Ln . LIA
ISSUED T0: R: CtL s� >\7it �cyl�v� 1 ,II CT7t'A SUBDIVISION a.7 vF+.. Ps-. LOT #
Authorized State Agent: / Date: 101 p QC>1•4-
oa ccNTc.,2 Ec a��5-1 _
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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: W IGi-4 Applicant: IV I -1/f W,
Address: [.c% L dmzj O?vi n H+- Date Evaluated: a3/o4J/�r
Proposed Facility: 762 fk Kl+ Design Flow(. 1949): 4
Location of Site: Property Recorded:
Water Supply: blic❑ Individual Well
Evaluation Method: ger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: / S F
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
.1943.1956
Soil
Depth IN.I
Sapro
Class
.1944
Restr
Horiz
fig
►� S P
�, �Q �Ii 32''
3�l i
0 .�
3Nf
o.
Description InitialRepair System Other Factors (.1946):
System Site Classification (.1948): PS
Available Space (.1945) V, Evaluated By: pvo\ �� C�urrit,-, /? 3
System T e(s) �" Others Present: V
Site LTAR(ij .
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: W11; l Applicant: /[,t -k W'/(i _kid
Address: tq{ Z J2�4/ej 6kjAn /-n Date Evaluated: U 3 l/o/ ��,
Proposed Facility: 3$2 30r" Design Flow (.1949): �
Location of Site: Property Recorded: A,
Water Supply: EJ'Public❑ Individual ❑ Well
Evaluation Method: Auger Borin El Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
r O 4
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L 3?
0-i8
z
3j
U-10
Zo 3y/
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): e3
Available S ce (.1945) Evaluated BY:
System Type(s) i /414- Others Present:
Site LTAR p, T