IPACHTE# 1 L6 - 4 ac(,3 Harnett County Department of Public Health 29858
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: rl, 18,r-3)
ISSUED TO: �C-C-�^7 M • rttkcj SUBDIVISION
LOT #
NEW REPAIR EXPANSION ❑
Type of Structure: C t X S 4 —n
Proposed Wastewater System Type: 2S&lLcd r� vn pL,
Projected Daily Flow: 3 C'G GPD
Number of bedrooms:—- Number of Occupants: L max
Basement ❑Yes G:No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
❑ No af�Pf y be re sed on final location and elevations of facilities
❑ Community ublIt ❑ Well Distance from well feet
Permit valid for.
❑ No expiration
Authorized State Agent: Date: v t / -;R (1 ayl U 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 r sponsible 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 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, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 'S?-rer,n M 5 tc-`cLGS �\ PROPERTY LOCATION: VY "(1 2 Cu �� ct . I `cam 3
SUBDIVISION LOT #
Facility Type: 'S3 L G`x 5 t 5� ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ���� _ r/ L.vc S : 0 5 (Initial) Wastewater Flow: -3 GPD
(See note below, if applicable ❑)
S to /l�w�vc c n Sys (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10005 gallons Exact length of each trench syn feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. / W_ inches
Maximum Trench Depth of: 0 V inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/•1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM r A inches below pipe
Aggregate Depth: "Ae inches above pipe
Conditions: V-dax E> cc\ �'S �,on dZEy r --A- 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: l understand the system type speciled /t different from the type speciled on the application. / accept the spealcations 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 he transferred when there is a change in ownership of the site. This
construction numonzaton 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: v 1 J -,;j to f .a of k
(> J S tJ Construction Authorization Expiration Date: of I a r,
HTE# I - S - 43yG3 Permit # �2 5 0 5 R
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: YYtc nn Czct.� (5ti I3)
ISSUED TO: -sS cr--M t SEr;(tLt SUBDIVISION LOT # I
Authorized State Agent / //!G Date: "r d6 / )6/ r->
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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
Q.o'eA'`c6
Owner: P„*\.,k(Applicant: -Ter" S M'uG6n�
Address: (A v,, Z C. Date Evaluated: 01Id5/4
Proposed Facility: 3�,hFy� Design Flow (.1949): 3L6 64h
Location of Site: Property Recorded: VC%
Water Supply: �� ublic❑ Individual ❑ Well
Evaluation Method:,rvuger Bori9?- El Pit El cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: / kc,
❑ 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 J
.1956
Sapro
Class
.1944
Restr
Horiz
I,
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o-ao
(.c s t-
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P5
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15/ G
62 515��
Ya
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3, q
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g
Description Initial Repair System her Factors (1946):
AvailableS Space .1945 S stem Site Classification (.1948): Pruv'iS�'oawk) $ v;J�.%LG
( ) Evaluated By:
System T e(s) - cwt ` Others Present: (W rr-v� Cr 'Ajf' AS
Site LTAR U.3 0