IPACHTE# 1 �, -4alt3 Harnett County Department of Public Health 29782
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: <-nA5 45/ 'y
ISSUED TO: 'T S A-%-, St(cIN SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure:.3 Y32 'fid Y W' 5 F='>7
Proposed Wastewater System Type: ;?%6 Q z "x "—A 4>s
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: G max
❑Y
Site Improvements required prior to Construction Authorization Issuance:
Basement es o
Pump Required: ❑Yes ❑ No 51,1 ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well NA` feet
Permit conditions:
Permit valid for.
E -Five years
❑ No expiration
Authorized State Agent:%LTi l / >� Date: /21,?/�2o17 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 requirement. This
site is subject to revocation if the site plm, 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 in compliance with the pmvisiom 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 .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: nx:T4b�n
Co-kcc�ic>z, PROPERTY LOCATION: l,DrD Oc:� yC Nc� No t NZs 1
J SUBDIVISION LOT #
Facility Type: (L t)CQ' .Sl� I -New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Q5`„ 5 kms' (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Q'57 /yL%tbtt 5 . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10M gallons Exact length of each trench too feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /i !3 inches
(Trench bottoms shall be level to +/.I/4”
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Soil Cover. 61 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.
14 inches below pipe
.v A4 inches above pipe
tJ Ile inches total
**If applicable: l ondeatand the system type specified it diferwt Imm the type specified on the application. l accept the specifcationf 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 At AI IAIntU Nit Mtltn
5�__ _��
Authorized State Agent: �������i, � Date: I ;?I l a r✓ s t -
/+C Construction Authorization Expiration Date: fLi/ a L I �oa�
HTE# 14-S -gWfl3 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: lot UC C v5 •T a 1
ISSUED TO: KAU'I ' (eec-,CA SUBDIVISION LOT #
�r
Authorized State Agent: �t� Date: I o'3 IR t I ao t--4-
•1 � I Ilr -r�,
V
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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: r t : f Applicant: Nx�r '
Address' 05 L'^i N Date Evaluated' 121 j
Sheet:
Property ID:
Lot #:
File #:
Code:
Proposed Facility: _ Design Flow (.1949): C Property Size: 'T[!
Location of Site: .Z S1 -C7 Property Recorded: rLi
Water Supply: u lic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: El orin . ❑ Pit ❑ Cut
Type of Wastewater:12-Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
E
4
.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.
Sapro
Class
.1944
Restr
Horiz
r>a
r_ 3i
�-f5
61C L6
✓roc 5!wyy
8-3a
6-C c
1'[ s
rs
V4
P w -+e t 1
Set
o �3
3
t.
6-e `',
344
Pare
�j
8-30
1k. c
Sot
Prat
30
o.3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.19-48):
Available 5 ace.1945) Evaluated By: •->•w fQ.w
S stem T e(s �` /� S°' Others Present:
Site LTAR C"41 G