IPACHTE# 11-5-gag18 Harnett County Department of Public Health 29785
Imarovement Permit
A building permit cannot be issued with only an Ira rovement Permit 5 2 l�j�L
GT �xMcc� PROPERTY LOCATION:_ �� S (91r1 5&,P— m), •S
ISSUED TO: , Ke 0, SUBDIVISION fZ. LOT # as
NEW 00' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:i2 a{3s XS(I rMGO .
Proposed Wastewater System Type:
Projected Daily Flow: :3!a[S GPD
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes o
Pump Required: es ❑ No ❑ May bemire ired based on Final location and elevations of facilities
Type of Water Supply: El Community E�Public ❑ Well Distance from well feet Permit valid for.
Permit conditions: ❑ No expiration
Authorized State Agent::-�!//�i Date: l � � � � AGI q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department 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 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 in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of 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 Kcordance
with the attached system layout ET 5'2 I�C 1
uSGrrt,aG�
ISSUED T0: Ke-;JIi Pol��v c� PROPERTY LOCATION: $5 5eenca Leg- Lcs. `UIQ' 5,l's a. 5D)
SUBDIVISION LO
Facility Type: '393,f- ;?6'x5G' Mop � ❑ Expansion ❑
Repair
Basement? ❑ Yes CSI o Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System** P.NrAn -6t,
ik�- '25k)/tp-..
S as
(Initial) Wastewater Flow: ?C-0 GPD
(See note below, if applicable E:1
T{z5
�ciao (Repair)
Installation Requirements/Conditions
Number of trenches_
Septic Tank Size SC C> gallons
Exact length of each trench ICS
feet
Trench Spacing: S Feet on Center
Pump Tank Size locZ gallons
Trenches shall be installed on contour at a
Soil Cover: (8 inches
Maximum Trench Depth of: if "I
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: h. TDM vs. GPM
4'--" A inches below pipe
Aggregate Depth: �k inches above pipe
Conditions: 6i1 1 r*sp esb �c>� So'.1 (ZPS �' �cC 5ui E c qc�r— e N fL-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable• / ondeatand the system type specified it 6herrnt from the type specified on the app/ication. / accept the specilcations o/ 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: I a if 9a/ ¢us
c�-vxz, , Construction Authorization Expiration Date: I ;i l /aae; a
HTE#
I7-5- 4a5ia Permit # v C/ IC -6
Harnett County Department of Public Health
Site Sketch
ES
PROPERTY LOCATON: rci5 s,etnc¢s
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ISSUED TO: Kle;kh 9011c,�
SUBDIVISION fL; z
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LOT # )Zk_
Authorized State Agent:
Date: 1a Gi
a I po
332 Htao
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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'^"'� "Applicant:
Address: Fi4%4c L oV Date Evaluated:
Proposed Facility:3�2� Design Flow (.1949): 3C6 (oQ�
Location of Site: =� Property Recorded: WS
Water Supply: 21 blic❑ Individual ❑ Well
Evaluation Method:❑,1@_ger Bor�inS ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1.11 kc—
[I
c—❑ Spring ❑ Other
❑ Mixed
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
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945)` Evaluated By:
System T e(s) Others Present:
Site LTAR c,