IPAC RRHTE# Harnett County Department of Public Health 29882
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/1�� PROPERTY LOCATION to P— (.n • Corixe'0 • S2 "JB'4)
ISSUED TO: �cg ac). CiWn 6.In4,tafli, SUBDIVISION Tr,V ns A rc crn LOT # G
NEW F4�AIR—�❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: VO 2_ 5a'xrly t 5 �
Proposed Wastewater System Type: Q 56
Projected Daily flow: VE)ca GPD
Number of bedrooms: Y— Number of Occupants: 4 max
Basement ❑Yes L a
Pump Required: �Ws ❑ No 0ay be�1aced on final location and elevations of facilities
Type of Water Supply: ❑ CommunityubIL�YP is ❑ Well Distance from well feet Permit valid for. 0-Fivfryears
Permit conditions: ❑ No expiration
Authorized State Agent: i Date: G a / a/ / a^o/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject to revoation 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 far Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
Required for Building Permit)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
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ISSUED TO: Gca 2 b nsc (,-to� PROPERTY LOCATION:iTc `�e^��� Ln CBrv271 nAf- n
SUBDIVISION So hnsc r\ r"r�r M LOT # G
Facility Type: 432 5n` A 4a` 5 P � ❑ Expansion ❑ Repair
Basement? ❑ Yeso Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** P.rA_{r� <�r, !1„� c � v S (Initial) Wastewater Flow: '/?)e'-> GPD
(See note below, if applicable ❑) %
PUMP -to GJ;�� 5(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1(X76 gallons Exact length of each trench 3c -,,l feet Trench Spacing: Feet on Center
Pump Tank Size 1 obr 3 gallons Trenches shall be installed on contour at a Soil Cover. r� inches
Maximum Trench Depth of.. I f:�) 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. TDH vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
IIIA inches below pipe
r✓� inches above pipe
rJ ne inches total
**I( applicable: / understand the system type speciled is different from the type speciled on the app/icadon. / accept the rpecifcadom 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 be transferred when there is a change in ownership of the site. This
eonstmcnon Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this pemdb SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 0a cv�,
P�aJC�tz J c-12a,_I Construction Authorization Expiration Date: vat �oa3
HTE# Permit # el esQ
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOEATON7(a Sa t o L n. C(3
r%X 7_0a�x:n l
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent: � � Date: a /a I I Qo/e
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address: ;j0{V/s4 f
Proposed Facility:
Location of Site: tf32
Water Supply:
Evaluation Method:❑
Type of Wastewater:
Sheet:
Property IDi
Lot #:
File #:
Code:
ilicant: /Lt;, ���s.1 P4,t.C�
✓A5 v J Date Evaluated: Iv l�4b
7- Design Flow (.1949): Property Size:
5 r�,,—, - .Property Recorded:
Lrtruolic❑ Individual ell ❑ Spring ❑ Other
Auger Bonn it ❑cut
LJ -Sewage ❑ Industrial Process ❑ 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
Wemess/
Color
.1943
Soil
Depth (IN J
.1956
Sapro
Class
.1944
Restr
Horiz
L 3;.0-,;l14
G,o-, 61-,
✓gG SfS'
34+
Pc-,rrly�
A
Ps
y a
o 3S
3
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r� �
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1
18-3b
615,
(5
3w
o 48
Cse
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('s
Nar
Pawse
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35
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): ni^��✓r�S�Ggy/� S.�{�(y�
Available Space(. 1945) Evaluated By: q
System T e(s i Others Present:
Site LTAR -,; L