IPACHTE# I-1-5- q 9 Harnett County Department of Public Health 29867
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t.ctictyr�%G
ISSUED TO: v b S"ti0 -D7/v—. SUBDIVISION LOT # 3
NEW Er EXPANSION ❑
Type of Structure: 3 <5 2 con' X 46 t 5
Proposed Wastewater System Type: r2, - x
Projected Daily Flow: 3(—G GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes 23a!-
-Pump Required: es ❑ No ❑ B' Public
6 e based on final location and elevations of facilities
Type of Water Supply: ❑ Community PubLJ" lic 0 Well Distance from well V— In feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
IveLN'F years
❑ No expiration
Authorized State Agents Date: <—;W / eiR /-,�nl'i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department inno 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 pian, 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 m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordano
with the attached system layout
ISSUED TO: LL "Oec¢$ irc PROPERTY LOCATION: a PS 4.Ca ►� 21, (Sc1 l4
SUBDIVISION LOT # �3
Facility Type: 382 (i x 115' 5 � B Ne z� ❑ Expansion ❑ Repair
Basement? ❑ Yes L N� Balment Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pv no -kms �S,i (Initial) Wastewater Flow: %o GPD
(See note below, if applicable ❑I)
n"Mo Jac, a Sjo /Ce A - 54,b. (Repair)
Installation Requirements/Conditions Number of trenches E_
Septic Tank Size 1000, gallons Exact length of each trench c p feet Trench Spacing: 9 Feet on Center
Pump Tank Size i L -,Q , gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 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. TON vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
ir'� inches total
**If applicable: / understand the system type speafled is different from the type specified on the app/icadan. / accept the specih'cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction duthwintion is s 6a, to revnmtion if the cite oln plot or the intended use cban., The Construction tortonution shall not he transferred when there is a chi in ownerchin of the site. Thit
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and ro the conditions of this permit At A11Rl.11tU )Ilt )Atlln
Authorized State Agent: . �� 4 Date: v `3'U 2 / 'Ro'i
a� v L i4rZ Construction Authorization Expiration Date: v a �03 / -5
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Harnett County Department
Site Sketch
Permit # t' y S(o -q
of Public Health
_ PROPERTY LOEATON: agi3 b,� a N -�SeL I qqj)
ISSUED TO: SUBDIVISION LOT # 3
Authorized State Agent Date: t> 'R f as 8
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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: — Applicant: C..:.s "a f �CS�'`'' :_�
Address:j,o , 3 1>g�72c46c 2a- Date Evaluated: 4tJet IQ
Proposed Facility: 3qZ, 5� Design Flow (.1949):
Location of Site:_Property Recorded:
Water Supply:u lic❑ Individual ❑ Well
Evaluation Method:[]. -Anger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: o, %9 .
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
p
.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 (M.)
.1956
Sapro
Class
.1944
Rear
Horiz
1,3
L y-c�/C�
o -ay
(,,z .
► s r,�
2d-3�
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PS
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): ���� S iDn�c� S,o E•-6 /�?
Available Space (.1945) Evaluated By:
System Te(s) 5 Others Present: �•'Lr�2", �"'�/�' �£.KS
Site LTAR