IPAC RHTE#Jj-5-4a4l_i<L Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 3W �4vnn h
ISSUED TO: l MQ9 -rcC SUBDIVISION
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 'JMZ 14V)4'6& S
Proposed Wastewater System Type• '015% 4,,L— "�5
29875
10 0z\I * .oa t ->cvpc�S LOT #
Site Improvements required prior to Construction Authorization Issuance:
s g� �"
Projected Daily Flow: 3 GO GPD _� t►' 'Si iL Se%>Eir 5 oQ 1V I f O
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes _ u
96M 15 2P9 VI/Q C�
Pump Required: s ❑ No ❑ May be r ased on final location and elevations of facilities
Type of Water Supply: ❑ Community u61ic ❑ Well Distance from well /Vf}� feet Permit valid for. ears
Permit conditions: ❑ No expiration
Authorized State Agent:: <--/ Date: _s,a1 a,01 �� 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 construction and installation requirements of Rules .1950, AM. .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: C.txn637SC�y j=d kkok4a�,'Tyr PROPERTY LOCATION: 3O� Gar n 4 l ., lJcsti�6ulkcd Q� .5eC 143-T�)
SUBDIVISION f3.14A.�1 `y6cc s LOT # o37i
Facility Type: �1d2 44X' S a �❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 3 -ln Q5h 4" m 5 1�C9� 5 6e CSe,�� (Initial) Wastewater Flow: 3ca GPD
(See note below, if applicable ❑�{l
A iZS A Aad roFF-S (2 &Sf�] (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size \ 6 gallons Exact length of each trench '25rO feet Trench Spacing: 7 Feet on Center
Pump Tank Size 1 00(s gallons Trenches shall be installed on contour at a Soil Cover. �o inches
Maximum Trench Depth of-. 1 iia 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. TDM vs. GPM NJ' inches below pipe
Aggregate Depth: NI - inches above pipe
Conditions: -s'. j rVA inches total
c
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC YSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable / underrtand the r}rtem type Jpedded it different Jrom the type tpetihed on the app/kation. / accept the rpeci9 alioor o/ th/r 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 ATTACHED SITE SKETCH
Authorized State Agent: L �9 i,� � Date: oa I dl I aCA8
a' sif=0�� c��cC(,uJ Construction Authorization Expiration Date: O2Iat Lao
HTE# 1 -5 — 4a41g2 Permit # of C1 ra 15
Harnett County Department of Public Health
Site Sketch
ISSUED TO: Ci�M -�c r� ND oR - PROPERTY LOCATON: (a 521
SUBDIVISION C3c \1c V� LOT # L 3
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Authorized State Agent: Z5:7' � Z~-' Date: 29 a I wl
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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: Hord ZrAe","
Address: L ck k63 <d td v'zcru Date Evaluated: ba /011 I Cb
Proposed Facility: rf52 ,5Faz:�, Design Flow (.1949): 4e 60 46F"
Location of Site:- Property Recorded: K"'-"WaterSupply:blic❑ Individual ❑ Well
Evaluation Method:❑_htt� B g ❑ Pit ❑ Cut
Type of Wastewater: `Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: U . 5 ( r;
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): �o��Sionct.(L su-y!•✓✓�,
Available Space (. 1945) Evaluated By -
System P >
T e(s) '� Ary
Site LTAR Others Present: