IPACHTE# �- s- . a Harnett County Department of Public Health 29857
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L c.ne O_r,
ISSUED TO: 2C Draw 'iRA S [iiU4c t c� SUBDIVISION "LOT #
NEW REPA ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 36-Z Spr>
Proposed Wastewater System Type: d6i3b
Projected Daily Flow: X C, 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No Lube required based on final location and elevations of facilities
Type of Water Supply: ❑ Community rublic Well Distance from well feet Permit valid for. O'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:Date: 01 6 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The comm,ttion and installation requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aaordance
with the attacked system layout
ISSUED T0: PROPERTY LOCATION: Luno 26ad ( 52 I'250a�
SUBDIVISION LOT #
Facility Type: "tit G 1x
S'=s� 143�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes [YI o
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
6--, C'p s
(Initial) Wastewater Flow: G GPD
(See note below, if applicable ❑)r�
IPQrA
ix�! .7 a A _(Repair)
Installation Requirements/Conditions
Number of trenches —tib
Septic Tank Size 1000
gallons
Exact length of each trench G O feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. / �_ inches
Maximum Trench Depth oL• 94 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:
h. TDM vs.
GPM
n f inches below pipe
Aggregate Depth: a" A inches above pipe
Conditions: -&'tr
\ {- L k�on Q n
J4 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
""If�a licable: l ondeatand the spyiem type rpe6fred is different from the type rpeciled o y the application. l accept the rpeti&abanf of thin penlit
Owner/Legal Representative Signature: Date:
This Construction Authonution is subject to revocation if the site plan, plat. or the imended use changes. The Consmu<don Authorization shall not be transferred when there is a change in ownership of the site. This
wnssmction ministration is subsea 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: �' �T � Date: 01 'R So / ac') S3
T
�4n.�u7 rte, ;ZA Construction Authorization Expiration Date: cA (at, /�u25
NTE# l S- 43(:.3q 2 Permit # a C1 (�57
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: L --w Q, ac>c� sn, 1 Ce'r, i
ISSUED TO: "Ter&My SE��yC��nsc1 SUBDIVISION LOT
Authorized State Agent: Date:
A rt_ c,� rte, s
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Deparnment of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
V-JVA
Owner: Applicant: Zero . ra, SArtrX1�
Address: LcM� eZ...ti , ate Evaluated:
ell a51aol�
Proposed Facility: 3 S� Design Flow (.1949)::Y po 6acj
Location of Site:Property Recorded: 7e,,3Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger �BBor�mS ❑ Pit El cut
Type of Wastewater: d'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1, pv�
❑ 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
Law
o- as
e,e. 6L
vr--f- /gy
P5
a04a
g` sct
f4, ffY'
7.Sy1t4II@4dlt
I/a
20-y4
91- 5LI-
,2 fysP
7,sr�tyo"
L/ .9
G.
Description Initial air System Other Factors (.1946):
S stem Site Classification (.1948): Qr Vj6 K0,11, 5 S u."b tia
Available Space (.1945) Evaluated By:
System T e(s) Others Present: (incl Ce..y C'�n01
Site LTAR