IPACHTE# 11,5-4a5(5
Harnett County Department of Public Health 29787
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r'� PROPERTY LOCATION: �vS+n 2 Lc, . i Ru-� �i"')
ISSUED TO: /G<7f_C�hn t�c) SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 30, 2 nwM"
Proposed Wastewater System TyYpe:
Projected Daily Flow: c., GPD
Number of bedrooms: �3 Number of Occupants: Amax
Basement ❑Yes 01o
Pump Required: []Yes ❑ No fybb uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well ,--+ feet Permit valid for. N4 rve_y�ears
Permit conditions: 5 e.P.kc c Pp rm , 'r 42erra-4- acv ss �ctr>s P_n_�rr ❑ No expiration
Authorized State Agent: Date: d/ oS act a 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 requirements. This
site is subject to revocation H 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..
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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: Gos—ao� PROPERTY LOCATION: hIs. 0"=
SUBDIVISION LOT #
Facility Type: 3(3 2 foo t X -3R
t�wt 11+ C�Hew 11Expansion ElRepair
Basement? El yes Co Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a5% ILA'_"r � C(Initial) Wastewater Flow: 3c c, GPD
(See note below, if applicable ❑)
2sia✓4.� . 5�. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench G o feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. / inches
Maximum Trench Depth of: 2 1/ 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
Aggregate Depth: — inches above pipe
Conditions: s e (�kC Lam, i tics w0—r a S& P��ss inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE 101L FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undetstand the system type spelled is different from the type sroeayled on the application. / accept the specificatiam of thin 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
Authorized State Agent:
with the provisions of the Laws and Rules for
Construction
and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: bl'cps /?6x$
(tion Date: o t Ids J,.iic�s-ars
HTE# �� "5 "ga9L5 Permit # a-14g�T-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 3oNn a.. a fN Ln ((LL -1 RsS.
ISSUED TO: Cyor-600 uexx1 MmcILS SUBDIVISION LO #
Authorized State Agent �— i� � � 1� Date: C> ac, IC8
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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
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Owner: Mwvn-S Applicant:
Address: &l6q 2y,.1, rv4_ Date Evaluated:
Sheet:
Property ID:
Lot #:
File #:
Code:
Proposed Facility: ` Design Flow (.1949): aGv G4"'> Property Size:
Location of Site: Property Recorded-!�3
Water Supply: F blic❑ Individual Well ❑ Spring ❑ Other
Evaluation Method: EJ.ATg—eer Boring ❑ Pit ❑ Cut
Type of Wastewater:'Sewage El Industrial Process ❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L 37,
o y�
s`/iL5
L�2
`fes
S
3
L
(02.
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): `,,L
Available Space (.1945) .� Evaluated By: Ar�CJ
System T e(s) !c. , U. Others Present:
Site LTAR S' v