IPACNTE# ►(c-5-u�1 X31 Harnett County Department of Public Health 29791
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: if0$ ke-56) , 2-t ( 5m ItQa3
ISSUED TO: s` G-ontnTA qqk Lc rdSca�R;ta SUBDIVISION LOT #
NEW 5K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '32aY1251 7-Ncrn >yo C3t.72G�se l�
Proposed Wastewater System Type: 95%- /tc waw: o ti s-> < , y
Projected Dail Flow: 1 UO GPD
I r Cst4-� Nt � Y
Number of bedrooms: Number of Occupants: +-ate max Hga�p51 r zzcs P zT/ar3l C
Basement ❑Yes o
Pump Required: es ❑ No ❑ May be requiredd based n final location and elevations of facilities
Type of Water Supply: ❑ Community blit (!Well Distance from well 5 y feet Permit valid for. R nF e years
Permit conditions: SZDLi SH�11 ke .506 (kA, 4:�, ❑ No expiration
Authorized State Agent: Date: ct'1 ( it QCA{ai 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 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 taws 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, .1953, .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 T0: _S S G� nS rc Ck'. f ksc< v , PROPERTY LOCATION: ` qC e o3j
SUBDIVISION LOT #
facility Type: h><f 85 s t�vrm Skcl{er O'lew ❑ Expansion ❑ Repair
Basement? ❑ Yes 13—lo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** P Senn 4--0 aro `/v X1 -Zo c` 5 (Initial) Wastewater Flow: 10 U GPD
(See note below, if applicable ❑)
fvrlp to 25ie {Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I C'-�Oy gallons
Pump Tank Size I obO gallons
Exact length of each trench 41.5 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: X:;�; inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
1511
Trench Spacing: % Feet on Center
Soil Cover. fie inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A inches below pipe
Aggregate Depth: inches above pipe
^QA, 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 from the type specified on the app/icadon. / accept the spedfcationJ olthis permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended uu zlunges. The Construction Authoriation shall not be transferred when there is a change in ownership of the site. This
lonsem cion Autrnnzatlon is
Authorized State Agent:
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 61 I V1 I 'OLC'k 9�
Construction Authorization Expiration Date:
HTE# A L' s— (401 ia3 1 Permit # a 6) 4 q I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 9 qC>6 Cc, kgxbbvn, (L-1. LSA j
ISSUED TO: `�' S Lon4f- .Lkinh 4 tw2b4tejSUBDIVISION V LOT #
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Authorised State Agent ✓ �� ���� ����—>�'� Date: C'ti I tt 6 t
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
I✓t%/I�h
Owner: fLtih PP /� -f!j `fr �
�'A licant: SiY- Co rac � �.� SC ,,
Address: 9" COVAOW 2b-., Date Evaluated:
Proposed Facility: ZVE Design Flow (.1949): Cb �Sbj Property Size:
Location of Site: noperty Recorded: Y GS
Water Supply: ublic❑ Individual ell ❑ Spring ❑ Other
Evaluation Method: Auger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1'a1
% 3%
0.10
64 54
10-30
5� scc
�/ 5 P
V�Pj
304
FEvw.l
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3v
0-S
3
3io
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12 aS
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ri SPI,
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Description Initial Repair System Other Factors (.1946):
—System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System TPresent:
a5`o 4-.d- 25 Others Presenzgr}3
Site LTAR