IPACHTE# 17-6-4965 Harnett County Department of Public Health 29798
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: //0 `%ruehl 't;4L1== /J&i A.5 /(,L $a— h1l
ISSUED TO: �jfsc&rk HofWz SUBDIVISION . 40— r y LOT # 15 -
NEW a— REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —cd42 (,q,x fid Sfp
Proposed Wastewater System Type: 95% tze� ST_
Projected Daily Flow: y/&C, GPD
Number of bedrooms: Number of Occupants: --S—max
Basement ❑Yes o
Pump Required: es ❑ No El May beef ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 -Public ❑ Well Distance from well t—. X feet Permit valid for. G1-Fire-yESrs
Permit conditions: ❑ No expiration
Authorized State Agent: n:f —.__ I Date: G 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
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 T0: QwArSN5lrrc L4onos3 me PROPERTY LOCATION: 10 `tnc L;d ( 20 AinS 11�t. L WCq)
SUBDIVISION Tlo LOT # s
Facility Type: 432 64 a K`o i F D—Neww ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑-1116' Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** alenU Acs o9S96 tln� 6t oti 5 2s (Initial) Wastewater Flow: Vec> GPD
(See note below, if applicable ❑)n
95%� lied. 5 ,� (Repair)
Installation Requirements/Conditions Number of trenches — t
Septic Tank Size case gallons Exact length of each trench Q -7o feet
Pump Tank Size t a Sa gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ZR inches
(Trench bottoms shall be level to +/•I/4w
in all directions)
Pump Requirements: ft. TON vs. GPM
Trench Spacing: Feet on (enter
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: � a Lamm ,� � x en ,,.� CIVL 1. Cp 5 P ce
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.
`s & inches below pipe
Jl ? inches above pipe
tiA inches total
**If applicable- / understand the system type rpeciled it different hom the type specified on the application. / accept the rpechini mtr of this permit
Owner/Legal Representative Signature: Date:
This construction Authonzadon is subject to rerocation if the site plan, plat or the intended use changes. The Construction Amhorintion shall not be transferred when there is a change in owoenhio of the site. This
wnssrucnon Authorization n 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: f Date: i a6 IaW a
A� „a L-x3(Zp_%>J Construction Authorization Expiration Date: �-T
HTE# I q - S - 4'3--155
Permit # ci�l'
Harnett County Department of 1'Vhlic Health
Site Sketch
PROPERTY LOCATON: 110 r�yy 0.du (2c1) 9S Rpt 52 i4t3
ISSUED TO: l0(,,{,es--nxTK NUMBS/ - C, SUBDIVISION , e_ LOT # 16—
Authorized State Agent/ .�s�i `� Date: _ Cwt C�1 £',
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: —A ligant:
Address: 1-4,' efit"- Ls Date Evaluated:
Proposed Facilityrfk_Ae-; 'K /+/S Design Flow (.1949): V66 C?4>
Location of Site: /If- 5F;;> Property Recorded:
Water Supply: ublic❑ Individual ❑Well
Evaluation Method:ager Bio ug ❑ Pit ❑ Cut
Type of Wastewater: Tj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ 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
Swcturel
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
77
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:n�.e�a C.�rC%n ttf3
System Type(s) Others Present:
Site LTAR G. o.yG-