IPACHTE# -S-44 Harnett County Department of Public Health 29792
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
B PROPERTY LOCATION: �O Ucxrelc�nd �r (hoLs 2a 52 IItG)
ISSUED TO: �X I; 6w-,nt,4 . of r-.1-61-lt1yille LLL -SUBDIVISION LOT # QciS
NEW REPAIR ❑EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 96/1- "1 f:� a X G 3 a S rh
Proposed Wastewater System Type: 95% /Ick. cele. c,n Ste_
Projected Daily Flow: y6b GPD
Number of bedrooms: Number of Occupants: (81 max
Basement ❑Yes f�o
Pump Required: ❑Yes ❑ No 21Ftay berequired based on final location and elevations of facilities
Type of Water Supply: El Community Ei lublic ❑ Well Distance from well feet Permit valid for. ale years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: w I Al ) 'a01 43 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 ro Mutation if the site plata plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the sire. This permit is subject to compliance with the pmyisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permiL.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .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: _t -IX ra Cc,.ns-£. of PROPERTY LOCATION: a0 ct.-� 92 Is
_ SUBDIVISIONy�K yrc„ LOT # �S
Facility Type: gil qe "I(, 3a 5w E9'lew ❑ Expansion ❑ Repair
Basement? ❑ Yes E?'Io— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"5 `lo /Lt -d C bio n 5 ;' 6 tc(Initial) Wastewater flow: YBG GPD
(See note below, if applicable ❑)
nos%a
4r01-kco1. S,erl.,,s,, (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1 000 gallons
Exact length of each trench li!sC feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth ofi :? V inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: k. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. 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.
AA inches below pipe
n inches above pipe
_ inches total
ffOwner/Legal
applicable,/ understand the rrdtem type rpecih'ed it different from the type .rpecibed on the app/ica�ion. / accept the rpeciinationr of this permit.
presentative 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
Lonttructmn 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: a' /it I d C4 S
t\'N�rtrii C�TJG:Jz> Construction Authorization Expiration Date: ofItt I 2073
HTE# I-5-'4a`I%�, Permit# aG-4ct?
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: `Ri I -I Oc . CtZ>-Ls a-� 52 lit
ISSUED TO: t4 f 14 Cvn5{ ci EtW (, tlo SUBDIVISION Cha, ry%1 LOT #
Authorized State Agent:. Date: Q7 I I U a C>t �
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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: l Applicant: t4 f 4
Address: af4(,W4-(-, j>i aqs Date Evaluated: c1 1a11$
Proposed Facility:� Design Flow (.1949): YfPo r_4s>
Location of Site: Property Recorded: /25
Water Supply: uhlic❑ Individual ❑ Well
Evaluation Method: uger Borin ❑ Pit ❑Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.1194C_
❑ 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
Minmlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rau
Horiz
Ila
L 4i�
Cort t_5
W4
9U 4$
9!< 6LI,
F(t- ffSl y
5 S
o� g
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): ppw5;r„n,tl5 5„a{..ipl.�
Available Space 1.1945) Evaluated By:
System Type(s)) AS v Others Present:
Site LTAR G . p. G