IPACHTE# IcA- s-yaaqHarnett County Department of Public Health 29888
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
//�� � yy-- PROPERTY LOCATION: C'.y C -Acv); COS RocA
ISSUED T0: WA 0'M 2iC r9 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 462 56'X 5a' 5f= .
Proposed Wastewater System Type: a5%> rLLa._c f�yy S ej ,
Projected Daily Flow: 41(;--> c> GPD T
Number of bedrooms: qG Number of Occupants: C&_max
Basement ❑Yes Ga,
Site Improvements required prior to Construction Authorization Issuance:
0
Pump Required: []Yes ❑ No IIH ay �be requiredd bas!dd ^"final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 174�Well Distance from well / Cg> feet CM i
Permit conditions:
Permit valid for.
0-a years
❑ No expiration
Authorized State Agent: UJ/ — �'> i Date: c> 9/ a & / aori2 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deponent in no way guaanIms the ismance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revaation 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..
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable• / understand the r),tem type specified it different from the type Jpecifyed on the app/kation. / accept the rpecilcatiam of thin 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
Cons niction Authorization is subject in 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: c 'Q / Z?G
/k.�tjct� Lv/r2,+v Construction Authorization Expiration Date: cJ�i,/ oto /ava3
Construction Authorization
(Required for Building Permit)
The construction and instillation requirements of Rules .1950, .1952, .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 T0: IA" 2:c�V,
PROPERTY LOCATION:
C mcrr nam oaf g2 t9(e3)
SUBDIVISION
LOT #
Facility Type: tt'3(L 55'x 5aS i -f_—.
9--'Nlg�w ❑ Expansion ❑
Repair
Basement? ❑ Yes o Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System" 95%v
S +6Zg=cn
(Initial) Wastewater Flow: YSG GPD
(See note below, if applicable ❑)
I�tn MSX
a6%v /L�ZvZ�lsc�n
Ss56ccn (Repair)
�r�
Installation Requirements/Conditions
Number of trenches 4/_
�
Septic Tank Size t ami gallons
Exact length of each trench ! c>o
feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: / F5
inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs.
GPM
inches below pipe
Aggregate Depth: oln, inches above pipe
Conditions: On
tyk inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable• / understand the r),tem type specified it different from the type Jpecifyed on the app/kation. / accept the rpecilcatiam of thin 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
Cons niction Authorization is subject in 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: c 'Q / Z?G
/k.�tjct� Lv/r2,+v Construction Authorization Expiration Date: cJ�i,/ oto /ava3
HTE# I _ S- 4 309-
4 Permit # a y g
Harnett County Department of I'Tzblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
P
� li�_7 nA 2 {�
PROPERTY LOEATON: L u m m t n t 5 (,5 2- I; �
SUBDIVISION LOT #
Date: L'�;) /0�c/ao/e,
p2=-.-%!> c-a2(LI z—`
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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: —s Applicant: A&4.,N 2tt.S�rl
Address: 60^*,V-5 -5 t2.c� , Date Evaluated:
Proposed Facility: �S2 5� Design Flow (.1949): '/go U�
Location of Site: Property Recorded: Yes
Water Supply: ❑ Public❑ Individualell
Evaluation Method:0 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Er —Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: I;? .yy +C_
_
❑ 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 MJ
.1956
Sapro
Class
.1944
Restr
Horiz
L
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): UeWt ,Ltb) ¢ / p ros, i.-> ioAsat, 5.,( "L,
Available Space (.1945) Evaluated By: 11
System T e(s) Others Present: AnOK- C, -.3!t -,r,
Site LTAR O , 3 .3