IPACHTE# I1- 5- 41 q Harnett County Department of Public Health 29851
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
W t ci2C PROPERTY LOCATION: L ON fo H 2 i d - LR a 11 "%15 12J . 54 t�ty�
ISSUED TO: M 6C !)0mggb 1, I)C — SUBDIVISION iLtL y I LOT # /44 -
NEW EDS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 432 5 8 t V Sts' SF�
Proposed Wastewater System Type: aSYo Aze A
Projected Daily Flow: Sig 15 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 210
Pump Required: Dyes ❑ No a�faybe r -based on final location and elevations of Facilities
Type of Water Supply: ❑ Community u❑ Well Distance from well feet Permit valid for.IvC9'Fre years
Permit conditions: ❑ No expiration
Authorized State Agent:-fi��tr/- l_��1/s Date: V! /Q5 /otoTQ, 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 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 pmvisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Reauired for Building Permit
The construction and installation requirements of Rules .1958, .1951, .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 TO: Ski-ot"-Za 1[1c. PROPERTY LOCATION: IO4 —1 fZd' 52 (40
SUBDIVISION TVX- -(Le.,r� LOT # ItL-
Facility Type: LI82 6&'),, S8 s t �j C ❑ Expansion ❑ Repair
Basement? ❑ Yes El -Io Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25/0 /1-e- oLkzan 5 �Vc4�--M (Initial) Wastewater Flow: `/8G GPD
(See note below, if applicable ❑)
a6&
5-a&(Repair)
Installation Requirements/Conditions
Number of trenches t
Septic Tank Size to 5 n gallons
Exact length of each trench 4O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 19's inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: r1 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
fie` inches below pipe
Depth: r -> .a inches above pipe
N N 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 s}rtem type spetibed it different Irony the type spewed on the app/iradoa / accept the specibratioor of 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 AI IALHED lilt SKETCH
Authorized State Agent: Date: cyl'a6/Qo(G
Construction Authorization Expiration Date: til ) 26 / a 003
HTE# 17-1 y a 1514 Permit # 9 i 66)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 104 Tz'2ph4 21¢. csa1 1413)
ISSUED TO: E SUBDIVISION Tb%o. LOT # t�
/ G
Authorized State Agent:'' Date: ac -4&,
11` eft 00 i40, ny-!
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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
liU a✓5
Owner. ` Applicant -
Address: _IL..
pplicant:Address:_Il.. 4tA'v Zo* 14 Date Evaluated: al /RW/"�
Proposed Facility:. 5�> Design Flow (.1949): 9,40
Location of Site:,—,� Property Recorded:]/
Water Supply: 21 blic❑ Individual ❑ Well
Evaluation Method: [3 -A -ager Boring ❑ Pit ❑ Cut
Type of Wastewater: i❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: lj,6q
❑ 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
1,2
L 3 is
o a'F
I e Lf
VQ �fo�
79 3L
�K ssL
fG 554
7., Y5M j,G3y"
v�PS
3(04
3
L 32
' `a4
e&-
V2 -Z 3W
A-36
3r, ru.-
r f P y�
U IPS
3(,'
Description Initial Repair System Other Factors (.1946): C
System Site Classification (.1948): Un5�:1�••1q�/('r"��ss"^"t1 y..�1+bl.c
Available Space( 1945) Evaluated By: Q
System Type(s)9 S`u Gd- 511 iL, rt.e_�A- Others Present:
Site LTAR 0,4s. c • L45