IPACHTE# —5-0-- 5 Harnett County Department of Public Health 29781
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 <666 EVe c LPt' "N (L 2 ISSf2
ISSUED TO: rZA Allen E1u0Lf= 3e- SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 332 DCaSM t•4 't;a0 1X601
Proposed Wastewater System Type: Q5 iEa s,
Projected Daily Flow: 3ro0 GPD
Site Improvements required prior to Construction Authorization Issuance:
Number of bedrooms:Number of Occupants: L max
Basement ❑Yes No ,�
Pump Required: []YesElNo gllrlay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Cublic ❑ Well Distance from well ria feet
Permit conditions: %on f,-treltc4.
Permit valid for.1f v
frvzoc- ❑ No expiration
Authorized State Agent: Date: of I OL4 I aot 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 it 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Required for Building Permit)
The constmction and installation requirements of Rules .1958, .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: is l dkof 21104 _ PROPERTY LOCATION: t 4'jGS "Uvr—k ni . CSrt, tS��
SUBDIVISION LOT #
Facility Type: ova If go'XG&I Ga.—Ww ❑ Expansion ❑ Repair
Basement? ❑ Yes Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Al — (etc a:j . 24el,,XLA ,N 5, s (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
fQrA� L E'C—r .c (Repair)
Installation Requirements/Conditions Number of trenches 1 3
Septic Tank Size 1 Qr gallons Exact length of each trench 400 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I iv inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
C%
Trench Spacing: Feet on Center
Soil Cover: a inches CM dt,Zaa
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: — inches above pipe
l. inches total
a —,%i.
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: / anderstand the system type rpedhed it different from the type tpecifed on the app/kation. / accept the speci9fradans of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
eonstmction 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: O t I 0 g 1 a o t 8
At.--ipreo.,,� G. czla-4 J Construction Authorization Expiration Date: of I(>ifirr
HTE#
11--5 Permit # aef 1-91
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATOR: 1£�'15 �-be leZe-- C=h, (Lcl - C5/L IssFc )
ISSUED TO: Fr-eA AIle iN
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LOT #
Authorized State Agent:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOLUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
t!2rs7
Owner: cil d v Applicant:
Address: /9)5 t'kaeer d. R�(, Date Evaluated: i I
Proposed Facility: �W bw M () Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply. ublic❑ Individual ❑ Well
Evaluation Method:❑.Auger Boning El pit C] cut
Type of Wastewater. 9-79-ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: RC'
❑ Spring ❑ Other
❑ Mixed
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
.1956
Sapro
Class
.1944
Rear
Horiz
Profile
Class
& LTAR
L
0-8
Utz L5
z 5Yx' S
3
%
o-
341
6
n
og
Description Initial Repair Syst9p Other Factors (.1946):
S tem Site Classification (.1948):
Available Space .1945 Evaluated By: "y
System Type(s) " v ltfi•, a7 v Z• ..
Site LTAR Others Present: re-�.i� ��x ���,
.s v.v